Larroque P, Garcin J M, Dourthe L M, Clement R, Chanudet X, André J L
Service de Médecine Interne et Pathologie Cardiovasculaire, H.I.A. Bégin, Saint-Mandé.
J Mal Vasc. 1995;20(2):85-94.
Among causes of leg pains, a usual disability in athletes, chronic exertional compartment syndrome is far from being uncommon. To the opposite, descriptions concerning the others compartments such as the forearm or thigh are still scarce and poorly documented. A variety of techniques have been described for the measurement of intramuscular pressure. Intramuscular pressure measurement is a valuable and essential tool for diagnosing a compartment syndrome, but it is somewhat controversial when the deep posterior compartment is concerned. Conservative treatment is unsuccessful, whereas surgical decompression yield favorable results; two procedures are performed subcutaneous fasciotomy or open fasciotomy.
在腿部疼痛的原因中,慢性运动性骨筋膜室综合征是运动员常见的致残原因,并不罕见。相反,关于其他部位如前臂或大腿骨筋膜室的描述仍然很少且记录不足。已经描述了多种测量肌内压力的技术。肌内压力测量是诊断骨筋膜室综合征的重要且有价值的工具,但在涉及小腿后深骨筋膜室时存在一定争议。保守治疗往往无效,而手术减压则能取得良好效果;手术方式有两种,即皮下筋膜切开术或开放筋膜切开术。