Ohno K, Monji J, Sasaki T, Inoue K, Shiono H
Nihon Seikeigeka Gakkai Zasshi. 1986 May;60(5):485-93.
A case of the congenital defect of the anterior compartment of the legs is reported, and is the first one in the literature. This case presented bilateral talipes equinovarus deformity at birth on a sister of identical twins. The abnormalities of the leg muscles were found from lack of active dorsiflexion of the ankle and the toes after initial walking. In the surgical finding, the deep peroneal nerve was normal, but the anterior compartment muscles of the leg were completely replaced by the fatty tissue. Microscopically, the normal muscle fibers were scattered in the fatty tissue with the small vessels and the nerve fibers. The etiology of the congenital muscle defect has been in controversy, but as yet there have been few case reports of lower leg muscle defect. In the treatment of congenital club foot, one should consider the congenital defect of the anterior compartment muscles.
本文报告了一例小腿前侧间室先天性缺陷病例，这是文献中的首例。该病例为一对同卵双胞胎姐妹中的一个，出生时即出现双侧马蹄内翻足畸形。患儿开始行走后，因踝关节和足趾缺乏主动背屈，发现小腿肌肉存在异常。手术发现，腓深神经正常，但小腿前侧间室肌肉完全被脂肪组织替代。显微镜下可见，正常肌纤维散在于脂肪组织中，伴有小血管和神经纤维。先天性肌肉缺陷的病因一直存在争议，但小腿肌肉缺陷的病例报告至今仍很少。在先天性马蹄内翻足的治疗中，应考虑到小腿前侧间室肌肉的先天性缺陷。
