Mehta Varun, Chowdhary Varun, Lin Cheryl, Jbara Marlena, Hanna Shirley
Staten Island University Hospital, Department of Radiology, 475 Seaview Ave, Staten Island, NY 10305, USA.
Radiol Case Rep. 2017 Dec 14;13(1):212-215. doi: 10.1016/j.radcr.2017.11.002. eCollection 2018 Feb.
Elevation of pressure within tightly bound myofascial compartments has detrimental consequences if not treated promptly, leading to a loss of circulation, ischemia, myonecrosis, nerve damage, and limb loss. They are commonly seen in the distal upper and lower extremities; however, compartment syndrome of the hand is rarely encountered and prompt recognition can prevent permanent damage and tissue loss. This case study presents a complicated case of compartment syndrome of the hand and discusses the interrelationship between compartment syndrome and rhabdomyolysis. An emphasis is placed on pathophysiology of this relationship to allow a better understanding of the imaging features as well as early clinical recognition of compartment syndrome. Magnetic resonance imaging findings are specifically discussed as it remains the best imaging tool to evaluate the extent of the damage and surgical planning.
如果不及时治疗,紧密相连的肌筋膜间隔内压力升高会产生有害后果,导致循环丧失、缺血、肌坏死、神经损伤和肢体丧失。它们常见于上肢和下肢远端;然而,手部骨筋膜室综合征很少见,及时识别可防止永久性损伤和组织丢失。本病例研究展示了一例复杂的手部骨筋膜室综合征病例,并讨论了骨筋膜室综合征与横纹肌溶解症之间的相互关系。重点阐述这种关系的病理生理学,以便更好地理解成像特征以及骨筋膜室综合征的早期临床识别。特别讨论了磁共振成像结果,因为它仍然是评估损伤程度和手术规划的最佳成像工具。