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内收肌管综合征

Adductor canal compression syndrome.

作者信息

Verta M J, Vitello J, Fuller J

出版信息

Arch Surg. 1984 Mar;119(3):345-6. doi: 10.1001/archsurg.1984.01390150075018.

DOI:10.1001/archsurg.1984.01390150075018
PMID:6696630
Abstract

Adductor canal syndrome is an unusual cause of acute arterial occlusion in younger men. It is the result of arterial compression by an abnormal musculotendinous band arising from the adductor magnus muscle and lying adjacent and superior to the adductor tendon. The pathogenetic mechanism of this syndrome resembles that of popliteal fossa entrapment and can become manifest after exercise. Since this syndrome occurs in younger men in whom acute arterial occlusion can lead to limb loss, recognition of the presence of apparent ischemic symptoms after exercise in an otherwise healthy young man is important. The treatment consists of the division of the abnormal band and restoration of arterial continuity by appropriate means. A search for bilateral lesions can help avoid future problems even when the symptoms are unilateral.

摘要

内收肌管综合征是年轻男性急性动脉闭塞的一种罕见病因。它是由大收肌发出的异常肌腱束对动脉进行压迫所致,该肌腱束位于内收肌腱的相邻上方。此综合征的发病机制类似于腘窝受压,运动后可能会显现出来。由于该综合征发生在年轻男性身上,急性动脉闭塞可能导致肢体丧失,因此识别健康年轻男性运动后出现的明显缺血症状很重要。治疗方法包括切断异常束带并通过适当手段恢复动脉连续性。即使症状是单侧的,检查是否存在双侧病变也有助于避免未来出现问题。

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