Kooner Sahil, Kubik Jeremy, LeBlanc Justin, Martin Ryan
University of Calgary, Calgary, Alberta, Canada.
JBJS Case Connect. 2018 Apr-Jun;8(2):e43. doi: 10.2106/JBJS.CC.17.00255.
We present 2 unique cases of exertional supraspinatus syndrome related to overexertion in 2 young men. In both cases, the diagnosis was delayed because the symptom was nonspecific shoulder pain; however, progressive pain, an elevated creatine kinase (CK) level, and either increased compartmental pressures or findings on magnetic resonance imaging eventually led to the appropriate diagnosis.
The terms "supraspinatus compartment syndrome" and "supraspinatus rhabdomyolysis" are inappropriately used interchangeably. We believe that both conditions are part of a spectrum of pathology called exertional supraspinatus syndrome. It is important to differentiate between these conditions because a patient with supraspinatus compartment syndrome, which is distinguished by elevated compartment pressures, requires an immediate fasciotomy.
我们报告2例与过度劳累相关的青年男性运动性冈上肌综合征的独特病例。在这两例中，由于症状为非特异性肩部疼痛，诊断均被延误；然而，进行性疼痛、肌酸激酶（CK）水平升高，以及间室压力升高或磁共振成像检查结果最终导致了正确的诊断。
“冈上肌间室综合征”和“冈上肌横纹肌溶解症”这两个术语被不恰当地互换使用。我们认为这两种情况都是称为运动性冈上肌综合征的一系列病理变化的一部分。区分这些情况很重要，因为以间室压力升高为特征的冈上肌间室综合征患者需要立即进行筋膜切开术。
