Fouasson-Chailloux Alban, Menu Pierre, Dauty Marc
University Hospital of Nantes, France Physical Medicine and Rehabilitation Department.
Ortop Traumatol Rehabil. 2017 Aug 31;19(4):379-382. doi: 10.5604/01.3001.0010.4647.
Acute compartment syndrome of the thigh is an underestimated serious pathology which can cause long term morbidities. The management, recovery and follow-up of the case of a 20-year-old Caucasian man, who presented an acute compartment syndrome of the thigh, are described. After femoral fracture reduction and fixation by nail, intramuscular pressure measurements confirmed the diagnosis before treatment by fasciotomies. 12-months' follow-up showed the presence of neurological femoral complications and physical impairment in spite of rehabilitation care. Because compartment syndrome of the thigh after a trauma is rare but potentially devastating, prompt diagnosis is required for performing early fasciotomies.
大腿急性骨筋膜室综合征是一种未得到充分重视的严重病症,可导致长期病残。本文描述了一名20岁白种男性大腿急性骨筋膜室综合征病例的治疗、康复及随访情况。在股骨骨折闭合复位髓内钉固定术后,通过测量肌内压力在进行筋膜切开术治疗前确诊。尽管进行了康复治疗,但12个月的随访显示仍存在股神经并发症和身体功能障碍。由于创伤后大腿骨筋膜室综合征虽罕见但可能具有毁灭性,因此需要及时诊断以便尽早实施筋膜切开术。