Myerson M, Manoli A
Department of Orthopaedic Surgery, Union Memorial Hospital, Baltimore, MD 21218.
Clin Orthop Relat Res. 1993 May(290):142-50.
Approximately 10% of calcaneal fractures develop compartment syndromes of the foot, and of these, one half develop clawing of the lesser toes and other foot deformities, including stiffness and neurovascular dysfunction. Tense swelling and severe pain are the hallmarks of an impending compartment syndrome. The diagnosis is confirmed by multistick invasive catheterization, particularly of the calcaneal compartment in the hindfoot. Immediate fasciotomy is recommended to prevent the development of ischemic contracture. It is recommended that open reduction and internal fixation of a calcaneal fracture is performed on a delayed basis, after the fasciotomy wounds are closed.
约10%的跟骨骨折会发展为足部骨筋膜室综合征，其中一半会出现小趾爪形畸形及其他足部畸形，包括僵硬和神经血管功能障碍。紧张性肿胀和剧痛是即将发生骨筋膜室综合征的特征。通过多针侵入性导管插入术确诊，尤其是后足的跟骨骨筋膜室。建议立即行筋膜切开术以防止缺血性挛缩的发生。建议在筋膜切开术伤口闭合后延迟进行跟骨骨折的切开复位内固定术。
