Fehlandt A, Micheli L
Division of Sports Medicine, Children's Hospital of Boston, MA.
Med Sci Sports Exerc. 1995 Jan;27(1):3-7.
Acute compartment syndromes usually occur as a complication of major trauma. While the chronic exertional anterior tibial compartment syndrome is well described in the sports medicine literature, reports of acute tibial compartment syndromes due to physical exertion, or repetitive microtrauma, are rare. The case of an adolescent female who developed an acute anterior compartment syndrome from running in a soccer game is described in this report. Failure to recognize the onset of an acute exertional compartment syndrome may lead to treatment delay and serious complications. Whereas the chronic exertional anterior compartment syndrome is characterized by pain that diminishes with the cessation of exercise, the onset of the acute exertional anterior compartment syndrome is heralded by pain that continues, or increases, after exercise has stopped. Compartment pressure measurement confirms the clinical diagnosis and helps guide treatment. True compartment syndromes require urgent fasciotomy.
急性骨筋膜室综合征通常作为重大创伤的并发症出现。虽然慢性运动性胫前骨筋膜室综合征在运动医学文献中有详尽描述，但因体力活动或重复性微创伤导致急性胫骨骨筋膜室综合征的报道却很罕见。本报告描述了一名青少年女性在足球比赛中跑步后发生急性前骨筋膜室综合征的病例。未能识别急性运动性骨筋膜室综合征的发病可能导致治疗延误及严重并发症。慢性运动性前骨筋膜室综合征的特征是疼痛在运动停止后减轻，而急性运动性前骨筋膜室综合征的发病则以运动停止后疼痛持续或加重为先兆。骨筋膜室压力测量可证实临床诊断并有助于指导治疗。真正的骨筋膜室综合征需要紧急行筋膜切开术。
