超声引导下经皮穿刺筋膜开窗术治疗慢性运动性骨筋膜室综合征：病例报告
Ultrasound-Guided, Percutaneous Needle Fascial Fenestration for the Treatment of Chronic Exertional Compartment Syndrome: A Case Report.
作者信息
Finnoff Jonathan T, Rajasekaran Sathish
机构信息
Department of Physical Medicine and Rehabilitation, School of Medicine, Mayo Clinic, Rochester, MN; Mayo Clinic Sports Medicine Center, 600 Hennepin Ave, #310, Minneapolis, MN 55403; Department of Physical Medicine and Rehabilitation, School of Medicine, University of California-Davis, Sacramento, CA(∗).
Department of Orthopaedics and Rehabilitation, University of Iowa Sports Medicine, Iowa City, IA; Division of Physical Medicine and Rehabilitation, University of Alberta, Edmonton, Alberta, Canada(†).
出版信息
PM R. 2016 Mar;8(3):286-90. doi: 10.1016/j.pmrj.2015.08.015. Epub 2015 Sep 4.
Chronic exertional compartment syndrome (CECS) involves a painful increase in compartment pressure caused by exercise and relieved by rest. The most common site for CECS in the lower extremity is the anterior leg compartment. We report a case of a collegiate athlete with bilateral anterior and lateral leg compartment CECS who was successfully treated with an ultrasound-guided, percutaneous needle fascial fenestration of the affected compartments in both legs and was able to return to full, unrestricted activity within 1 week of the procedure. This case highlights the potential application of this procedure for the treatment of anterior and lateral leg CECS.
慢性运动性骨筋膜室综合征（CECS）是指运动引起骨筋膜室内压力升高并产生疼痛，休息后缓解。下肢CECS最常见的部位是小腿前侧骨筋膜室。我们报告一例患有双侧小腿前侧和外侧骨筋膜室CECS的大学生运动员病例，该患者通过超声引导下经皮穿刺对双侧患侧骨筋膜室进行筋膜开窗术成功治愈，术后1周内即可恢复全面、无限制的活动。该病例突出了此手术在治疗小腿前侧和外侧CECS方面的潜在应用价值。
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