Guiral J, Acosta J P, De Benito J I
Service d'Orthopédie et Traumatologie, Hôpital Général, Segovia, Espagne.
Rev Chir Orthop Reparatrice Appar Mot. 1995;81(5):449-52.
We describe a case of acute volar compartment syndrome of the forearm occurred after fracture of the diaphyseal-metaphyseal junction of the distal radius and ulna.
A 7-year-old child fell down steps and injured his left forearm.
After reduction, the patient developed clinical signs of volar forearm compartment syndrome. Measurement of intramuscular pressure by the saline injection technique confirmed the diagnosis.
Early decompressive fasciotomy led to uneventful healing with no residual symptoms.
We discuss the mechanism, diagnosis and treatment of this injury.
The development of suspicious clinical signs should be supplemented by compartment pressure measurements to determine the need of surgical decompression.
我们描述了1例发生于桡骨和尺骨远侧骨干-干骺端交界处骨折后的急性掌侧前臂骨筋膜室综合征病例。
一名7岁儿童从楼梯上摔下，致左前臂受伤。
复位后，患者出现掌侧前臂骨筋膜室综合征的临床体征。通过盐水注射技术测量肌内压力确诊。
早期减压性筋膜切开术使患者顺利愈合，无残留症状。
我们讨论了该损伤的机制、诊断和治疗。
出现可疑临床体征时，应补充测量骨筋膜室内压力，以确定是否需要手术减压。
