Pearl A J
Am J Sports Med. 1981 Mar-Apr;9(2):119-20. doi: 10.1177/036354658100900210.
The chronic form of the anterior compartment syndrome can be overlooked if the symptoms of leg pain are attributed to shin splints. Herein is presented a case report which I feel represents an acute exacerbation of the chronic form of anterior compartment syndrome in a long-distance runner secondary to bleeding into the extensor digitorum longus muscle. Chronic anterior compartment syndrome can be a disabling injury which may require a fasciotomy, depending upon the severity and duration of the patient's symptoms and the intracompartmental pressures. The lay term "shin splints" should be separated from medical use, and a more reliable assessment of the etiology of the patient's symptoms should be made. The term shin splints should be utilized only for pain localized to the posterior medial border of the tibia at the origin of the posterior tibialis muscle.
如果将腿痛症状归因于胫骨夹板，那么慢性型前间隔综合征可能会被忽视。本文呈现了一例病例报告，我认为该病例代表了一名长跑运动员因趾长伸肌内出血而导致的慢性型前间隔综合征急性加重。慢性前间隔综合征可能是一种致残性损伤，根据患者症状的严重程度和持续时间以及间隔内压力，可能需要进行筋膜切开术。通俗术语“胫骨夹板”应与医学用途区分开来，并且应该对患者症状的病因进行更可靠的评估。术语“胫骨夹板”仅应用于局限于胫骨后肌起点处胫骨后内侧缘的疼痛。
