Wallensten R
J Bone Joint Surg Am. 1983 Dec;65(9):1252-5.
I studied the results of fasciotomy of the affected muscle compartment in eight patients with chronic anterior-compartment syndrome (involvement of the anterior tibial compartment) and in nine patients with medial tibial syndrome (involvement of the deep posterior compartment), all of whom had pain with exercise. In the patients with chronic anterior-compartment syndrome, the preoperative intramuscular pressure in the anterior tibial compartment, as measured by the wick-catheter method, was increased ten minutes after exercise to 52 +/- 36 millimeters of mercury. After fasciotomy this pressure was significantly lowered to 4 +/- 6 millimeters of mercury (p less than 0.01). In the patients with medial tibial syndrome, the preoperative intramuscular pressure in the deep posterior compartment was normal ten minutes after exercise (8 +/- 4 millimeters of mercury) and did not significantly change after the fasciotomy (5 +/- 6 millimeters of mercury). The clinical results after fasciotomy were good in both groups of patients. There was complete relief of pain in all of the patients with chronic anterior-compartment syndrome and in five of the nine patients with medial tibial syndrome. The other four patients considered their condition to be improved in spite of some remaining symptoms.
我研究了8例慢性前间隔综合征（胫前间隔受累）患者和9例胫骨内侧综合征（胫后深间隔受累）患者受影响肌间隔筋膜切开术的结果，所有患者均有运动时疼痛。在慢性前间隔综合征患者中，通过灯芯导管法测量，运动后10分钟胫前间隔的术前肌内压力升高至52±36毫米汞柱。筋膜切开术后，该压力显著降低至4±6毫米汞柱（p<0.01）。在胫骨内侧综合征患者中，运动后10分钟胫后深间隔的术前肌内压力正常（8±4毫米汞柱），筋膜切开术后无显著变化（5±6毫米汞柱）。两组患者筋膜切开术后的临床结果均良好。所有慢性前间隔综合征患者以及9例胫骨内侧综合征患者中的5例疼痛完全缓解。其他4例患者尽管仍有一些症状，但认为病情有所改善。
