van Zantvoort Aniek, Setz Maikel, Hoogeveen Adwin, van Eerten Percy, Scheltinga Marc
Departments of Surgery, Neurology and Sports Medicine, Maxima Medical Center, De Run 4600, 7777, 5500 MB, Veldhoven, The Netherlands.
Unfallchirurg. 2020 Jan;123(Suppl 1):20-24. doi: 10.1007/s00113-019-0645-5.
Young individuals with chronic exercise-induced lower leg pain (ELP) who have normal compartmental muscle pressures and normal imaging occasionally suffer from a nerve entrapment syndrome. These patients have consistently undergone a variety of diagnostic tests and often futile therapies prior to arriving at the correct diagnosis. Awareness among traumatologists regarding these nerve entities is low. A lower leg discomfort that is frequently present at night but worsens during exercise combined with altered foot skin sensations suggests an entrapment of the common peroneal or tibial nerve. If conservative therapies fail, neurolysis is advised.
患有慢性运动引起的小腿疼痛（ELP）的年轻人，其肌间隔压力正常且影像学检查正常，但偶尔会患有神经卡压综合征。这些患者在得出正确诊断之前，一直接受各种诊断测试，且常常接受无效的治疗。创伤科医生对这些神经实体的认识较低。夜间经常出现但在运动时加重的小腿不适，再加上足部皮肤感觉改变，提示腓总神经或胫神经受压。如果保守治疗失败，建议进行神经松解术。
