Bango Jugert, Zhang Evan, Aaron Daniel L, Diwan Amna
Department of Orthopedic Surgery, University of Massachusetts Medical Center, 55 Lake Ave North, Worcester, MA 01655, United States of America.
Trauma Case Rep. 2020 Nov 2;30:100371. doi: 10.1016/j.tcr.2020.100371. eCollection 2020 Dec.
Compartment syndrome is a limb threatening, and sometimes life-threatening medical condition. It usually occurs in high energy lower extremity injuries, commonly in the younger patient with classic signs and symptoms. Pain out of proportion to exam is one of the key elements in diagnosis. A high vigilance for signs and symptoms of this condition should be present on most physicians' radars who treat emergency conditions, as this case report demonstrates, the mechanism and story are not always classic.
Two cases of young, healthy adults who underwent fasciotomy for compartment release for compartment syndrome isolated to the anterolateral compartment, but who did not sustain a high energy trauma, but rather a twisting ankle injury.
Compartment syndrome can occur in young, healthy, active patients with a lower energy twisting injury and without fracture. A high level of suspicion on the clinicians' part will prevent adverse outcomes to the patient.
骨筋膜室综合征是一种威胁肢体甚至有时危及生命的病症。它通常发生于高能量的下肢损伤，多见于具有典型症状和体征的年轻患者。与检查结果不相称的疼痛是诊断的关键要素之一。大多数治疗急症的医生都应高度警惕这种病症的症状和体征，正如本病例报告所示，其发病机制和情况并非总是典型的。
两名年轻健康的成年人因单纯前外侧骨筋膜室综合征接受了筋膜切开减压术，但他们并未遭受高能量创伤，而是踝关节扭伤。
骨筋膜室综合征可发生于年轻、健康、活跃且遭受低能量扭伤且无骨折的患者。临床医生高度怀疑可防止患者出现不良后果。
