Kong Gyu-Min, Kwon Yong-Uk, Park Jun-Ho
Department of Orthopaedic Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Hip Pelvis. 2015 Dec;27(4):278-82. doi: 10.5371/hp.2015.27.4.278. Epub 2015 Dec 30.
Compartment syndrome is an ischemic change resulting from an increase in compartment pressure. Initially, patients present with direct tenderness and swelling, and the weak circulation secondary to compartment syndrome can eventually lead to motor and sensory impairment. If the increase in pressure results in neurological impairment, emergency intervention is required to decompress the compartment. Typically, compartment syndrome develops on forearms or lower legs. The gluteal compartment is rarely the location of compartment syndrome and only a few cases have been presented in the literature with trauma or hematoma. We have treated a patient with gluteal compartment syndrome who presented with no history of trauma or hemorrhage and present that case report here.
骨筋膜室综合征是一种因骨筋膜室内压力升高而导致的缺血性改变。起初,患者表现为直接压痛和肿胀,继发于骨筋膜室综合征的血循环减弱最终可导致运动和感觉障碍。如果压力升高导致神经功能损害,则需要紧急干预以对骨筋膜室进行减压。通常,骨筋膜室综合征发生在前臂或小腿。臀骨筋膜室很少是骨筋膜室综合征的发病部位,文献中仅报道了少数伴有创伤或血肿的病例。我们治疗了一名无创伤或出血史的臀骨筋膜室综合征患者,并在此呈现该病例报告。