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一例与重复性运动创伤相关的大腿急性骨筋膜室综合征

A Case of Acute Compartment Syndrome of the Thigh Associated with Repetitive Athletic Trauma.

作者信息

Schimelpfenig Samuel, Liddell Travis, Page Eric

机构信息

Avera McGreevy Clinic, Sioux Falls South Dakota.

Department of Pediatrics, University of South Dakota Sanford School of Medicine.

出版信息

S D Med. 2016 Dec;69(12):553-555.

Abstract

We present a case of acute compartment syndrome (ACS) in an athlete who sustained minimal but repetitive trauma to the thigh during a sporting event. During his evaluation, concern was raised regarding the diagnosis of ACS as a cause of his symptoms. This was confirmed by measuring the intra-compartmental pressures and he subsequently underwent successful emergent fasciotomy, eventually making a complete recovery. ACS is a potential complication of muscular-skeletal injuries from various causes, and our case is unusual as the cause was mild but repetitive trauma in an otherwise healthy athlete. It is important to recognize the signs and symptoms of ACS to avoid the potentially significant complications should the diagnosis be missed.

摘要

我们报告一例急性骨筋膜室综合征(ACS)病例,该运动员在一场体育赛事中大腿受到轻微但反复的创伤。在对他进行评估时,对于ACS作为其症状病因的诊断引发了关注。通过测量骨筋膜室内压力得以确诊,随后他成功接受了急诊筋膜切开术,最终完全康复。ACS是各种原因导致的肌肉骨骼损伤的一种潜在并发症,而我们的病例不同寻常之处在于病因是一名原本健康的运动员遭受的轻微但反复的创伤。认识到ACS的体征和症状很重要,以免漏诊而导致潜在的严重并发症。

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