Renwick S E, Naraghi F F, Worrell R V, Spaeth J
Department of Orthopaedics and Rehabilitation, University of New Mexico School of Medicine, Albuquerque.
J Orthop Trauma. 1994 Oct;8(5):440-4. doi: 10.1097/00005131-199410000-00014.
Cystic degeneration and calcification of the leg are uncommon late sequelae of compartment syndrome. Previously reported cases have all involved the anterior compartment of the leg. We present a 68-year-old man with a mass in the superficial posterior compartment of the leg who presented 37 years after the initial trauma and ischemic myonecrosis. MRI was useful in establishing the diagnosis and early surgical intervention. The mass was excised and closed primarily over a drain. Patient was followed up for 29 months, and there were no secondary infections, chronic sinus formation, or recurrences. Based on our experience and the available literature review, we recommend considering either excision and primary closure, or repeated needle aspiration of the mass. Packing the wound and delayed closure may lead to secondary infection, chronic sinus formation, and lower limb amputation as potential complications.
小腿的囊性退变和钙化是骨筋膜室综合征罕见的晚期后遗症。既往报道的病例均累及小腿前侧骨筋膜室。我们报告1例68岁男性，其小腿浅后侧骨筋膜室出现肿块，该肿块在初次创伤和缺血性肌坏死37年后出现。磁共振成像（MRI）有助于明确诊断并进行早期手术干预。切除肿块并在引流管留置的情况下一期缝合。对患者随访29个月，未出现继发感染、慢性窦道形成或复发。根据我们的经验及现有文献回顾，我们建议考虑切除肿块并一期缝合，或反复对肿块进行针吸。伤口填塞及延迟缝合可能导致继发感染、慢性窦道形成以及下肢截肢等潜在并发症。
