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孤立性拇长伸肌肌间室综合征：一例报告

Isolated Extensor Hallucis Longus Compartment Syndrome: A Case Report.

作者信息

McKenna Daniel P, McCarthy Cathal, Higgins Tony

机构信息

Surgery, Royal College of Surgeons in Ireland, Dublin, IRL.

Trauma and Orthopaedics, University Hospital Kerry, Tralee, IRL.

出版信息

Cureus. 2024 Jan 6;16(1):e51772. doi: 10.7759/cureus.51772. eCollection 2024 Jan.

DOI:10.7759/cureus.51772
PMID:38192525
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10772309/
Abstract

We present the case of an isolated extensor hallucis longus compartment syndrome following a diaphyseal fibular fracture. Our subject underwent syndesmotic fixation and experienced ongoing pain post-procedure. This was associated with an isolated loss of power in extension of the hallux. A diagnosis of an isolated extensor hallucis longus compartment syndrome followed. Our case highlights the vulnerability of this muscle belly to ischemia and reiterates the value of complete clinical examination in the postoperative patient.

摘要

我们报告一例胫骨干腓骨骨折后孤立性拇长伸肌肌间室综合征的病例。我们的患者接受了下胫腓联合固定，术后持续疼痛。这与拇趾背伸力量的孤立性丧失有关。随后诊断为孤立性拇长伸肌肌间室综合征。我们的病例突出了该肌腹对缺血的易感性，并再次强调了对术后患者进行全面临床检查的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/84c4e8081130/cureus-0016-00000051772-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/3a5d848d901c/cureus-0016-00000051772-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/381a6a20cf9e/cureus-0016-00000051772-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/977d1c4c2f1f/cureus-0016-00000051772-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/d771afc8c6ce/cureus-0016-00000051772-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/9ada7d330aef/cureus-0016-00000051772-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/50c8428f7ff1/cureus-0016-00000051772-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/31819b325248/cureus-0016-00000051772-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/84c4e8081130/cureus-0016-00000051772-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/3a5d848d901c/cureus-0016-00000051772-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/381a6a20cf9e/cureus-0016-00000051772-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/977d1c4c2f1f/cureus-0016-00000051772-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/d771afc8c6ce/cureus-0016-00000051772-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/9ada7d330aef/cureus-0016-00000051772-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/50c8428f7ff1/cureus-0016-00000051772-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/31819b325248/cureus-0016-00000051772-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a6/10772309/84c4e8081130/cureus-0016-00000051772-i08.jpg

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本文引用的文献

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J Orthop Surg Res. 2023 Feb 13;18(1):98. doi: 10.1186/s13018-023-03589-9.
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Single incision fasciotomy for acute compartment syndrome of the leg: A systematic review of the literature.单切口筋膜切开术治疗小腿急性骨筋膜室综合征：文献系统综述
J Orthop. 2022 Apr 30;31:134-139. doi: 10.1016/j.jor.2022.04.014. eCollection 2022 May-Jun.
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Extensor hallucis longus muscle contracture after distal tibial physeal injury: A report of two cases.
胫骨远端骨骺损伤后出现的拇长伸肌挛缩：两例报告。
Foot (Edinb). 2021 Jun;47:101802. doi: 10.1016/j.foot.2021.101802. Epub 2021 Apr 15.
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Identifying risk factors for missed compartment syndrome in patients with tibia shaft fractures: An analysis of the national trauma data bank.确定胫骨骨干骨折患者筋膜间室综合征漏诊的风险因素：国家创伤数据库分析。
Injury. 2021 Jun;52(6):1621-1624. doi: 10.1016/j.injury.2021.01.002. Epub 2021 Jan 7.
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Contracture of extensor hallucis longus after fracture of distal tibia and fibula: A case report.胫腓骨远端骨折后拇长伸肌挛缩：一例报告
Trauma Case Rep. 2020 Feb 24;26:100288. doi: 10.1016/j.tcr.2020.100288. eCollection 2020 Apr.
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Compartment syndrome and regional anaesthesia: Critical review.骨筋膜室综合征与区域麻醉：批判性综述
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Acute compartment syndrome.急性骨筋膜室综合征
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