Thakkar Radhika, Tran Sydney, Gillie Monica, Anderson Jeffrey
Orthopedic Surgery, St. George's University, School of Medicine, St. George, GRD.
Family Medicine, Stanford Health Care, San Jose, USA.
Cureus. 2022 Jul 27;14(7):e27321. doi: 10.7759/cureus.27321. eCollection 2022 Jul.
Chronic exertional compartment syndrome (CECS) is a commonly missed diagnosis. It is caused by an increase in intramuscular pressure which subsequently impedes local tissue perfusion and function. It disproportionately occurs in young females; however, the diagnosis should not be excluded in other demographics. We present a case of CECS in an otherwise healthy 53-year-old male fire captain. He presented with pain upon exertion and neurological deficits in the anterior compartment of his bilateral legs that impacted his occupation and daily functioning. Following fasciotomy, the patient returned to work with complete resolution of pain and neurological deficits. This review seeks to describe the prevalence, etiology, diagnostic criteria, differential diagnosis, and management of CECS of the lower extremities, as described in the literature.
慢性运动性骨筋膜室综合征（CECS）是一种常被漏诊的疾病。它是由肌内压力升高引起的，随后会阻碍局部组织灌注和功能。这种疾病在年轻女性中更为常见；然而，其他人群也不能排除该诊断。我们报告一例53岁健康男性消防队队长患慢性运动性骨筋膜室综合征的病例。他在运动时出现疼痛，双侧小腿前侧骨筋膜室存在神经功能缺损，这影响了他的工作和日常活动。筋膜切开术后，患者疼痛完全缓解，神经功能缺损消失，重返工作岗位。本综述旨在描述文献中所述的下肢慢性运动性骨筋膜室综合征的患病率、病因、诊断标准、鉴别诊断和治疗方法。
