Gösele-Koppenburg Andreas
Swiss Olympic Medical Center, Crossklinik, Basel.
Sportverletz Sportschaden. 2018 Mar;32(1):47-54. doi: 10.1055/s-0044-100849. Epub 2018 Mar 20.
Chronic compartment syndromes are a rare, but frequently overlooked cause of pain in the locomotor system. Their aetiology is still not fully elucidated. There is an imbalance of muscle volume and space in the compartment. Thickening of the fascia and decreased elasticity lead to a pathological increase in pressure in the compartment under load. Chronic compartment syndromes are found in the foot, lower leg, thigh, forearm, hand, and even the spine. Bilateral compartment syndromes are very common (80 %). The main symptoms are pain in the compartment under physical activity. Compartment pressure measurement is the gold standard examination. Other diagnostic procedures are near-infrared spectroscopy, MRI and ultrasound. As conse rvative treatment often fails, surgical treatment becomes necessary. Different techniques are described in the literature. We prefer an endoscopy-assisted minimally-invasive approach.
慢性骨筋膜室综合征是运动系统中一种罕见但常被忽视的疼痛原因。其病因仍未完全阐明。骨筋膜室内肌肉体积与空间失衡。筋膜增厚和弹性降低导致负荷下骨筋膜室内压力病理性升高。慢性骨筋膜室综合征可见于足部、小腿、大腿、前臂、手部，甚至脊柱。双侧骨筋膜室综合征非常常见（80%）。主要症状是运动时骨筋膜室内疼痛。骨筋膜室压力测量是金标准检查。其他诊断方法包括近红外光谱、磁共振成像和超声检查。由于保守治疗往往失败，手术治疗成为必要。文献中描述了不同的技术。我们更倾向于内镜辅助微创方法。
