Black K P, Schultz T K, Cheung N L
Medical College of Wisconsin, Milwaukee.
Clin Sports Med. 1990 Apr;9(2):471-87.
Compartment syndromes occur frequently in the leg in association with athletics, but may occur in the forearm and many other muscular compartments as well. Similar inciting events may result in either acute or chronic forms with vastly different clinical presentations. With an understanding of the anatomy and pathophysiology, and the ability to directly measure compartment pressures, an accurate diagnosis can be readily made. Acute forms require immediate fascial release to minimize muscle and nerve injury. Surgical treatment of the chronic form is highly successful and usually allows an early return to athletics.
骨筋膜室综合征在腿部与体育运动相关时经常发生,但也可能发生在前臂和许多其他肌肉间隔中。类似的诱发事件可能导致临床表现截然不同的急性或慢性形式。了解解剖结构和病理生理学,以及直接测量骨筋膜室内压力的能力,就可以很容易地做出准确诊断。急性形式需要立即进行筋膜切开减压以尽量减少肌肉和神经损伤。慢性形式的手术治疗非常成功,通常能使患者早日恢复运动。