Raether P M, Lutter L D
Am J Sports Med. 1982 Jan-Feb;10(1):40-3. doi: 10.1177/036354658201000110.
Recurrent compartment syndromes of the lower extremity, which usually occur in conjunction with intense use of muscle groups, can be briefly defined as an uncomfortable circulatory disturbance associated with a pathologic increase in total intramuscular pressure. This syndrome has been reported in each of the four compartments of the leg but not in the thigh. Characteristic features of clinical presentation and physical examination are reviewed in this report. We have found that an intracompartmental pressure test (Whitesides Jr, TE, Haney TC, Morimoto K, et al: Tissue pressure measurements as a determinant for the need of fasciotomy. Clin Orthop 113: 43-51, 1975) is an invaluable diagnostic aid. A case involving the medial hamstring groups, with characteristic historical presentation, intracompartmental pressure elevation, and excellent response to fasciotomy, is presented and discussed. The only effective treatment in this case was fasciotomy.
下肢复发性骨筋膜室综合征通常与肌肉群的高强度使用有关，可简要定义为一种与肌内总压力病理性升高相关的不适性循环障碍。该综合征在小腿的四个骨筋膜室均有报道，但在大腿未见报道。本报告回顾了其临床表现和体格检查的特征。我们发现骨筋膜室内压力测试（小怀特赛兹，TE，哈尼TC，森本K等：组织压力测量作为决定是否需要进行筋膜切开术的因素。《临床骨科》113:43 - 51，1975）是一种非常有价值的诊断辅助手段。本文介绍并讨论了一例涉及腘绳肌内侧群的病例，该病例具有典型的病史表现、骨筋膜室内压力升高以及对筋膜切开术的良好反应。该病例唯一有效的治疗方法是筋膜切开术。
