Vajapey Sravya, Miller Timothy L
a Wexner Medical Center, Orthopaedics , Ohio State University , Columbus , OH , USA.
Phys Sportsmed. 2017 Nov;45(4):391-398. doi: 10.1080/00913847.2017.1384289. Epub 2017 Oct 3.
Chronic exertional compartment syndrome (CECS) is a rare condition that usually affects distance runners and other running athletes. It is characterized by pain and pressure in one or multiple muscle compartments with repetitive physical activity. Reduction in pain typically occurs with cessation of activity. Evaluation of CECS consists of a thorough history of patient symptoms and ruling out of other causes of symptoms. Post-exercise pressure measurements can help confirm the diagnosis when symptoms are consistent and imaging evaluation negative for other causes. Non-operative treatment is a viable option for hindfoot runners and patients with anterior compartment syndrome of the leg. Limited-incision fasciotomy has been shown to be the most effective treatment and remains the gold standard for treatment. Minimal-incision open fasciotomy and endoscopic fasciotomy have surgical outcomes similar to wide-open fasciotomy. Military patients treated with fasciotomy have higher failure rates compared to civilians. Pediatric patients have similar outcomes compared to adults.
慢性运动性骨筋膜室综合征（CECS）是一种罕见疾病，通常影响长跑运动员和其他跑步运动员。其特征是在进行重复性体力活动时，一个或多个肌肉骨筋膜室内出现疼痛和压力。停止活动后疼痛通常会减轻。CECS的评估包括全面了解患者症状病史并排除其他症状原因。当症状一致且影像学评估排除其他病因时，运动后压力测量有助于确诊。对于后足跑步者和小腿前骨筋膜室综合征患者，非手术治疗是一种可行选择。有限切口筋膜切开术已被证明是最有效的治疗方法，仍然是治疗的金标准。微创开放筋膜切开术和内镜下筋膜切开术的手术效果与广泛开放筋膜切开术相似。与平民相比，接受筋膜切开术治疗的军人患者失败率更高。与成年人相比，儿科患者的治疗结果相似。
