Styf J R, Körner L M
J Bone Joint Surg Am. 1986 Dec;68(9):1338-47.
Thirty legs in nineteen patients, eleven with bilateral and eight with unilateral chronic anterior-compartment syndrome, were treated by fasciotomy. In addition, five of these patients (six legs) had compression of the superficial peroneal nerve: two before and three after fasciotomy. One patient also had lateral compartment syndrome in one leg. The patients who had compression of the superficial peroneal nerve were relieved by partial fasciectomy and fasciotomy of the lateral compartment. In one of these patients, with bilateral nerve compression, both superficial peroneal nerves were anomalous. The patient who had lateral compartment syndrome was relieved by fasciotomy of this compartment. Two patients required a second fasciotomy due to recurrence of the chronic compartment syndrome. At an average length of follow-up of twenty-five months after fasciotomy for anterior compartment syndrome, functional capacity was unlimited or increased in eighteen patients (twenty-eight legs) and was unchanged in one patient (two legs) who had had compression of the superficial peroneal nerve. The intramuscular pressures in the anterior compartment were normal at rest as well as during and after exercise eight months after the original fasciotomy in twenty-eight legs and eight months after the second fasciotomy in two legs.
19例患者共30条腿患有慢性前间隔综合征，其中11例为双侧患病，8例为单侧患病，均接受了筋膜切开术治疗。此外，这些患者中有5例（6条腿）存在腓浅神经受压情况：2例在筋膜切开术前，3例在筋膜切开术后。1例患者的一条腿还患有外侧间隔综合征。患有腓浅神经受压的患者通过部分筋膜切除术和外侧间隔筋膜切开术得到缓解。在这些患者中，有1例双侧神经受压，其双侧腓浅神经均异常。患有外侧间隔综合征的患者通过该间隔的筋膜切开术得到缓解。2例患者因慢性间隔综合征复发需要进行二次筋膜切开术。在前间隔综合征筋膜切开术后平均25个月的随访中，18例患者（28条腿）的功能能力不受限或有所提高，1例患有腓浅神经受压的患者（2条腿）功能能力未改变。在28条腿初次筋膜切开术后8个月以及2条腿二次筋膜切开术后8个月，前间隔的静息肌内压力、运动期间及运动后的肌内压力均正常。
