Faymonville C, Andermahr J, Seidel U, Müller L P, Skouras E, Eysel P, Stein G
Department of Orthopaedic and Trauma Surgery, University Hospital of Cologne, Kerpener Str. 62, 50924, Cologne, Germany.
Surg Radiol Anat. 2012 Dec;34(10):929-33. doi: 10.1007/s00276-012-0982-3. Epub 2012 May 26.
Recent publications have renewed the debate regarding the number of foot compartments. There is also no consensus regarding allocation of individual muscles and communication between compartments. The current study examines the anatomic topography of the foot compartments anew using 32 injections of epoxy-resin and subsequent sheet plastination in 12 cadaveric foot specimens. Six compartments were identified: dorsal, medial, lateral, superficial central, deep forefoot, and deep hindfoot compartments. Communication was evident between the deep hindfoot compartment and the superficial central and deep central forefoot compartments. In the hindfoot, the neurovascular bundles were located in separate tissue sheaths between the central hindfoot compartment and the medial compartment. In the forefoot, the medial and lateral bundles entered the deep central forefoot compartment. The deep central hindfoot compartment housed the quadratus plantae muscle, and after calcaneus fracture could develop an isolated compartment syndrome.
近期的出版物再次引发了关于足部肌间隔数量的争论。对于各块肌肉的归属以及肌间隔之间的连通情况也尚无定论。本研究对12例尸体足部标本进行32次环氧树脂注射及后续薄片塑化处理，重新审视了足部肌间隔的解剖形态。确定了六个肌间隔：背侧、内侧、外侧、浅中央、深前足和深后足肌间隔。深后足肌间隔与浅中央和深中央前足肌间隔之间存在明显的连通。在后足，神经血管束位于中央后足肌间隔和内侧肌间隔之间独立的组织鞘内。在前足，内侧和外侧束进入深中央前足肌间隔。深中央后足肌间隔容纳跖方肌，跟骨骨折后可能会发生孤立性骨筋膜室综合征。
