Myerson M
Foot and Ankle Center, Union Memorial Hospital, Baltimore, Maryland 21218.
Bull Hosp Jt Dis Orthop Inst. 1987 Fall;47(2):251-61.
The early recognition and treatment of impending compartmental ischemia in the foot in the context of severe injuries will prevent the late sequelae of myoneural necrosis. When suspected, simple tests will confirm the diagnosis. If the clinical findings are equivocal, compartment pressure monitoring is an essential diagnostic tool. Methods of measuring compartment pressures in the foot are outlined. Prompt decompression of the compartment syndrome with appropriate fasciotomies either by medial or dorsal longitudinal incisions is indicated to preserve function and form of the foot.
在严重损伤情况下,早期识别和治疗足部即将发生的骨筋膜室缺血可预防肌神经坏死的晚期后遗症。当怀疑有此情况时,简单的检查即可确诊。若临床发现不明确,骨筋膜室压力监测是一项重要的诊断工具。文中概述了测量足部骨筋膜室压力的方法。对于骨筋膜室综合征,应通过内侧或背侧纵行切口进行适当的筋膜切开术,及时减压,以保留足部的功能和形态。