Simpson N S, Jupiter J B
Orthopaedic Trauma Service, Massachusetts General Hospital, Boston 02114, USA.
J Orthop Trauma. 1995;9(5):411-8. doi: 10.1097/00005131-199505000-00009.
The signs and symptoms of elevated intracompartmental pressure in the volar forearm compartment developed on a delayed basis (range 18-54 h) in the absence of constricting casts or dressings in eight limbs after high-energy intraarticular fractures of the distal end of the radius. Intracompartment pressures averaged 80 mm Hg in the six limbs tested. Despite urgent decompression and fracture fixation with delayed wound closure, final functional outcomes were compromised in seven cases, reflecting the severity of the articular injuries, and poor in one case, in which a wrist fusion was later required. If potentially serious complications are to be prevented, careful observation of these patients, often for periods of 48 h, is important. Selective recording of forearm intracompartmental pressures may be advised in at-risk patients.
在桡骨远端高能关节内骨折后，8例患者的掌侧前臂间室出现间室内压力升高的体征和症状，出现时间较晚（18 - 54小时），且不存在压迫性石膏或敷料。6例接受测试的患者间室压力平均为80毫米汞柱。尽管进行了紧急减压和骨折固定并延迟伤口闭合，但7例患者的最终功能结局受到影响，这反映了关节损伤的严重程度，1例患者结局较差，后来需要进行腕关节融合术。若要预防可能出现的严重并发症，对这些患者进行仔细观察（通常观察48小时）很重要。对于有风险的患者，建议选择性记录前臂间室压力。
