Hanandeh Adel, Mani Vishnu R, Bauer Paul, Ramcharan Alexius, Donaldson Brian
General Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center, New York, USA.
Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center, New York, USA.
Cureus. 2019 Oct 8;11(10):e5862. doi: 10.7759/cureus.5862.
Extremity muscles are grouped and divided by strong fascial membranes into compartments. Multiple pathological processes can result in an increase in the pressure within a muscle compartment. An increase in the compartment pressure beyond the adequate perfusion pressure has the potential to cause extremity compartment syndrome. There are multiple sites where compartment syndrome can occur. In this article, an arm and forearm compartment syndrome ensued secondary to a minor crushing injury that lead to supracondylar and medial epicondylar non-displaced fractures. A pure motor radial and ulnar nerve deficits noted on presentation, worsened with progression of the compartment syndrome. Ultimately, a surgical fasciotomy was carried out to release all compartments of the right upper arm and forearm.
四肢肌肉被强大的筋膜膜分成不同的肌群和肌间隔。多种病理过程可导致肌间隔内压力升高。当间隔压力升高超过足够的灌注压时，就有可能导致肢体骨筋膜室综合征。骨筋膜室综合征可发生在多个部位。在本文中，一名患者因轻微挤压伤继发上肢和前臂骨筋膜室综合征，该损伤导致肱骨髁上和内上髁无移位骨折。就诊时发现单纯的桡神经和尺神经运动功能缺损，随着骨筋膜室综合征的进展而加重。最终，进行了手术筋膜切开术以松解右上臂和前臂的所有肌间隔。
