Willendrup Fatin Salim, Klit Jakob, Benyahia Mostafa
Ortopædkirurgisk Afdeling, Hvidovre Hospital, Kettegård Alle 30, 2650 Hvidovre.
Ugeskr Laeger. 2015 Jan 26;177(2A):70-1.
Compartment syndrome of the foot is a rare but nevertheless a very important limb-threatening condition which is generally caused by traumatic injuries. Diagnosis is made by recognising the common signs and symptoms: pain out of proportion, pain with passive stretch of the compartment, paraesthesias, and in worst case, paresis and missing pulse. Elevated pressure in one or several of the nine compartments in the foot confirms the diagnosis. When suspecting compartment syndrome acute fasciotomi is essential in order to prevent devastating complications such as nerve dysfunctions and foot deformities.
足部骨筋膜室综合征是一种罕见但极其严重的肢体威胁性疾病,通常由创伤性损伤引起。通过识别常见的体征和症状进行诊断:疼痛与损伤程度不符、被动拉伸骨筋膜室时疼痛、感觉异常,最严重的情况是出现肌无力和脉搏消失。足部九个骨筋膜室中一个或多个压力升高可确诊。怀疑骨筋膜室综合征时,紧急进行筋膜切开术对于预防诸如神经功能障碍和足部畸形等严重并发症至关重要。