Stack C
Clin Orthop Relat Res. 1987 Jul(220):233-6.
A 15-year-old boy was struck twice in the calf, developing what appeared initially to be phlebitis and deep venous compromise. Careful clinical examination and compartment pressure measurement revealed the presence of an isolated superficial posterior compartment syndrome. Fasciotomy provided prompt relief. Findings at surgery showed ischemic changes but no necrosis. Venous patency was demonstrated on a subsequent venogram. Recovery was complete. This is the first reported case of isolated traumatic superficial posterior compartment syndrome. It adds to numerous other reports and provides further evidence that compartment syndrome can occur in any myofascial compartment. The concurrent deep venous compromise, although physiologically expected because of pressure differentials, was graphically demonstrated for the first time as well. Its clinical significance is not clear.
一名15岁男孩小腿被击打两次，最初出现了疑似静脉炎和深部静脉受压的症状。仔细的临床检查和骨筋膜室压力测量显示存在孤立的浅后骨筋膜室综合征。筋膜切开术迅速缓解了症状。手术发现有缺血改变但无坏死。随后的静脉造影显示静脉通畅。恢复完全。这是首例报告的孤立性创伤性浅后骨筋膜室综合征病例。它补充了许多其他报告，并进一步证明骨筋膜室综合征可发生于任何肌筋膜室。同时出现的深部静脉受压，尽管由于压力差在生理上是可以预期的，但也是首次得到直观显示。其临床意义尚不清楚。
