Cleveland Clinic Lerner College of Medicine, EC-10 Cleveland Clinic, Cleveland, Ohio.
Cleveland Clinic, Sports Medicine Center, Garfield Hts, Ohio.
JBJS Case Connect. 2024 May 17;14(2). doi: 10.2106/JBJS.CC.23.00688. eCollection 2024 Apr 1.
This report describes the case of quadriceps contusion progressing to acute compartment syndrome (ACS) of the thigh. A 17-year-old football player presented the morning after a direct impact injury to the anterior thigh in intractable pain and pain with short arc motion. He was diagnosed with ACS and underwent successful fasciotomy, ultimately returning to play at 4 months.
ACS is rare but potential catastrophic progression of quadriceps contusion. Accurate and timely diagnosis followed by appropriate rehabilitation is necessary for optimal outcomes.
本报告描述了一例股四头肌挫伤进展为大腿急性筋膜间室综合征(ACS)的病例。一名 17 岁足球运动员在直接撞击前大腿后,出现顽固性疼痛和短弧运动疼痛,于次日就诊。他被诊断为 ACS,并成功接受了筋膜切开术,最终在 4 个月后重返赛场。
ACS 虽罕见,但却是股四头肌挫伤潜在的灾难性进展。准确及时的诊断,辅以适当的康复,是获得最佳结果的必要条件。