Peters C L, Scott S M
Division of Orthopedic Surgery, University of Utah School of Medicine, Salt Lake City 84132, USA.
J Bone Joint Surg Am. 1995 Jul;77(7):1070-4. doi: 10.2106/00004623-199507000-00014.
A volar compartment syndrome of the forearm was identified following a minimally displaced or angulated fracture of the radial head or neck in three children. The fractures were due to a fall from a bed or from a standing height on an outstretched hand. All three patients had symptoms and signs that were consistent with elevated intracompartmental pressure in the forearm when they were first examined, twelve to twenty-four hours after the injury, and all were managed with an emergency fasciotomy of the forearm. The radial fracture was treated without reduction in the first patient, with manipulative closed reduction in the second patient, and with open reduction and stabilization with Kirschner wires in the third patient. All three patients had a full functional recovery.
三名儿童在桡骨头或桡骨颈发生轻微移位或成角骨折后，出现了前臂掌侧骨筋膜室综合征。骨折是由于从床上跌落或从站立高度伸出手着地所致。所有三名患者在受伤后12至24小时首次检查时，均出现了与前臂骨筋膜室内压力升高相符的症状和体征，且均接受了前臂紧急筋膜切开术治疗。第一名患者的桡骨骨折未进行复位，第二名患者进行了手法闭合复位，第三名患者进行了切开复位并用克氏针固定。所有三名患者均实现了完全功能恢复。
