Gershuni D H, Yaru N C, Hargens A R, Lieber R L, O'Hara R C, Akeson W H
J Bone Joint Surg Am. 1984 Dec;66(9):1415-20.
The objective of this study was to examine the effect of position of the knee and ankle on intracompartmental pressures in the leg. Slit catheters were introduced bilaterally into all four muscle compartments of the lower extremities of six healthy volunteers. Intracompartmental pressures were monitored with the catheters while the ankle joint was passively held in full dorsiflexion, full plantar flexion, or neutral with the knee flexed 90 or 10 degrees or fully extended. Statistical analysis revealed that intracompartmental pressure increased significantly in all four compartments when the ankle was passively dorsiflexed. Pressure in the superficial posterior and lateral compartments was dependent on knee position and in the deep posterior and anterior compartments it was independent of knee position. In addition, pressure in the deep posterior compartment decreased significantly when the ankle was placed in full plantar flexion, and that finding was independent of knee position. Anterior compartment pressure was not significantly elevated by full passive plantar flexion of the ankle.
本研究的目的是探讨膝关节和踝关节位置对小腿肌间隔内压力的影响。在6名健康志愿者的双下肢所有四个肌肉间隔中双侧插入细缝导管。当踝关节被动保持在全背屈、全跖屈或中立位，膝关节屈曲90或10度或完全伸直时，用导管监测肌间隔内压力。统计分析显示，当踝关节被动背屈时，所有四个间隔的肌间隔内压力均显著升高。浅后间隔和外侧间隔的压力取决于膝关节位置，而深后间隔和前间隔的压力与膝关节位置无关。此外，当踝关节处于全跖屈位时，深后间隔的压力显著降低，这一发现与膝关节位置无关。踝关节完全被动跖屈不会使前间隔压力显著升高。
