Auckland City Hospital, Park Road, Auckland, New Zealand.
Scott Med J. 2011 May;56(2):120. doi: 10.1258/smj.2011.011103.
Compartment syndrome complicating a ruptured Achilles tendon has previously been reported in a surgically treated patient. However--to our knowledge--this is the first report of compartment syndrome following conservative treatment. A 45-year-old man ruptured his Achilles tendon and elected to have treatment in an equinus cast. Three weeks later, he developed compartment syndrome and despite fasciotomy, required surgical debridement of his anterior compartment. Delay in both diagnosis and subsequent fasciotomy resulted in a poor outcome. Any suspicion of compartment syndrome mandates early compartmental pressure monitoring. The exact aetiology is uncertain but we speculate that the equinus position of his ankle combined with weight-bearing, was a major contributing factor.
此前已有研究报道过手术治疗的跟腱断裂患者并发筋膜间室综合征，但据我们所知，这是第一例保守治疗后发生的筋膜间室综合征。一名 45 岁男性发生跟腱断裂，选择使用矫形靴进行治疗。3 周后，他出现了筋膜间室综合征，尽管进行了筋膜切开术，但仍需要对其前间室进行手术清创。延迟诊断和随后的筋膜切开术导致了不良的结果。任何对筋膜间室综合征的怀疑都需要进行早期的筋膜间室压力监测。确切的病因尚不确定，但我们推测他踝关节的跖屈位和负重是一个主要的致病因素。
