de Bruijn Johan, Winkes Michiel, van Eerten Percy, Scheltinga Marc
Máxima Medical Center, De Run 4600, P.O. Box 7777, 5500 MB, Veldhoven, The Netherlands.
Unfallchirurg. 2020 Jan;123(Suppl 1):8-14. doi: 10.1007/s00113-019-0641-9.
Exercise-induced leg pain (ELP) and tightness may be caused by a chronic exertional compartment syndrome (CECS). Although CECS can develop in any muscle compartment, most individuals suffer from an anterior tibial muscle CECS (ant-CECS). Typically, a patient with ant-CECS experiences discomfort toward the end of sports activity or in the hours thereafter. Physical examination may reveal tenderness upon palpation of the anterior tibial muscle belly. The gold standard diagnostic tool is a dynamic intracompartmental pressure (ICP) measurement demonstrating elevated muscle tissue pressures. Duplex analysis and imaging may be indicated for exclusion of concomitant entities such as entrapment of the popliteal artery or nerves. Conservative treatments including modification of the patient's running technique can be successful. A fasciotomy must be considered in recalcitrant cases. Residual or recurrent disease may necessitate partial removal of the fascia. The aim of this overview is to discuss the management of CECS in the anterolateral portion of the leg.
运动诱发的腿部疼痛（ELP）和紧绷感可能由慢性运动性骨筋膜室综合征（CECS）引起。尽管CECS可发生于任何肌肉骨筋膜室，但大多数患者患有胫前肌CECS（ant-CECS）。通常，ant-CECS患者在运动活动接近尾声时或之后数小时会感到不适。体格检查可能会发现触诊胫前肌肌腹时有压痛。金标准诊断工具是动态骨筋膜室内压力（ICP）测量，显示肌肉组织压力升高。可能需要进行双功超声分析和成像检查，以排除诸如腘动脉或神经受压等合并症。包括改变患者跑步技术在内的保守治疗可能会取得成功。对于难治性病例，必须考虑进行筋膜切开术。残留或复发性疾病可能需要部分切除筋膜。本综述的目的是讨论小腿前外侧CECS的治疗。
