Matsen F A, Winquist R A, Krugmire R B
J Bone Joint Surg Am. 1980 Mar;62(2):286-91.
Patients at risk for compartmental syndromes challenge both the diagnostic and the therapeutic abilities of the physician. Suboptimum results may be due to delays in diagnosis and treatment, to incomplete surgical decompression, and to difficulties in the management of the limb after decompression. Although careful clinical assessment permits the diagnosis of a compartmental syndrome in most patients, we have found measurement of tissue pressure and direct nerve stimulation to be helpful for resolving ambiguous or equivocal cases. In our experience, the four-compartment parafibular approach to the leg and the ulnar approach to the volar compartments of the forearm provide efficient and complete decompression of potentially involved compartments. The skeletal stabilization of fractures associated with compartmental syndromes may facilitate management of the limb after surgical decompression.
存在骨筋膜室综合征风险的患者对医生的诊断和治疗能力都是挑战。欠佳的治疗结果可能归因于诊断和治疗的延迟、手术减压不彻底以及减压后肢体管理的困难。尽管仔细的临床评估能够在大多数患者中诊断骨筋膜室综合征，但我们发现测量组织压力和直接神经刺激有助于解决模棱两可或不明确的病例。根据我们的经验，小腿的四间隙腓骨旁入路和前臂掌侧间隙的尺侧入路能对可能受累的间隙进行有效且彻底的减压。与骨筋膜室综合征相关骨折的骨骼固定可能有助于手术减压后肢体的管理。
