Barendse-Hofmann Minke G, Steenvoorde Pascal, van Doorn Louk, Zeillemaker Anneke
Department of Surgery, Rijnland Hospital Leiderdorp, Leiderdorp, The Netherlands.
Department of Surgery, Rijnland Hospital Leiderdorp, Simon Smitweg 1, 2353 GA, Leiderdorp, The Netherlands.
Eur J Trauma Emerg Surg. 2009 Feb;35(1):74-8. doi: 10.1007/s00068-008-8026-8. Epub 2008 Jul 22.
A compartment syndrome is an increased tissue pressure within a closed osteofascial compartment. This compromises blood flow to the muscles and nerves within that compartment, which -if not treated adequately in an early stage-results in permanent tissue and nerve damage. It most frequently occurs in the lower leg, but can also occur elsewhere when muscles are enclosed in tight fascial compartments, such as the forearm and hand. In this report a patient is described who developed an acute compartment syndrome of the arm after a cable-wakeboard accident in which his arm was strangulated. Cable-wakeboarding is an extreme sport that has become very popular over the last years. Early recognition and treatment of an acute compartment syndrome is of extreme importance since in short term necrotic muscles can lead to severe irreversible complications. Accidents with cable-wakeboarding often occur during the start. This is caused by the strong forces that are on the cable during the start. Strangulation injuries of the arm can cause a compartment syndrome of the arm. Possibly a wet-suit or dry-suit offers some protection. However, the duration of strangulation determines much of the damage. Although diagnosis of a compartment syndrome can be difficult, a high index of suspicion combined with fast and adequate treatment with a fasciotomy improve outcome and prognosis.
骨筋膜室综合征是指封闭的骨筋膜室内组织压力升高。这会损害该室内肌肉和神经的血液供应，如果在早期未得到充分治疗，会导致永久性组织和神经损伤。它最常发生在小腿，但当肌肉被包裹在紧密的筋膜室内时，如前臂和手部，也可能在其他部位发生。在本报告中，描述了一名患者，他在一次滑水板事故中手臂被勒伤后发生了手臂急性骨筋膜室综合征。滑水板运动是一项极限运动，在过去几年中变得非常流行。急性骨筋膜室综合征的早期识别和治疗至关重要，因为短期内坏死的肌肉会导致严重的不可逆并发症。滑水板事故通常发生在起始阶段。这是由起始阶段缆绳上的强大力量造成的。手臂勒伤可导致手臂骨筋膜室综合征。可能潜水服或干式潜水服能提供一些保护。然而，勒伤的持续时间很大程度上决定了损伤程度。虽然骨筋膜室综合征的诊断可能困难，但高度的怀疑指数加上快速且充分的筋膜切开术治疗可改善结局和预后。
