同侧三角肌和手部间隔综合征：病例报告及文献复习。
Ipsilateral Deltoid and Hand Compartment Syndrome: A Case Report and Review of the Literature.
机构信息
Department of Orthopedic Surgery, University of Calgary, Calgary, Alberta, Canada.
Department of Orthopedic Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
出版信息
JBJS Case Connect. 2020 Jan-Mar;10(1):e0289. doi: 10.2106/JBJS.CC.19.00289.
CASE
We present the unique case of deltoid and hand compartment syndrome in a young man after prolonged syncope because of polysubstance use. The patient was subsequently treated with urgent deltoid and hand compartment fasciotomies which resulted in full recovery of his shoulder function.
CONCLUSIONS
Patients suspected of deltoid compartment syndrome should have a thorough physical examination, followed by repeat examinations. Invasive compartment monitoring should be used in equivocal cases, in patients with decreased level of consciousness, and in patients with distracting injury. Once diagnosed, deltoid compartment syndrome (± other compartments) should be taken for emergent fasciotomy, ensuring adequate decompression of all 3 deltoid compartments.
病例
我们报告了一例年轻男性因多种物质滥用导致长时间晕厥后出现三角肌和手部间隔综合征的独特病例。随后对该患者进行了紧急三角肌和手部间隔筋膜切开术，其肩部功能完全恢复。
结论
疑似三角肌间隔综合征的患者应进行彻底的体格检查，然后进行重复检查。在可疑病例、意识水平降低的患者和伴有明显损伤的患者中应使用侵入性间隔监测。一旦诊断出三角肌间隔综合征（±其他间隔），应立即进行筋膜切开术，确保所有 3 个三角肌间隔充分减压。
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