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膝关节钝性创伤后创伤性腘动脉血栓形成及小腿骨筋膜室综合征:治疗与并发症探讨

Traumatic popliteal artery thrombosis and compartment syndrome of the leg following blunt trauma to the knee: a discussion of treatment and complications.

作者信息

Seybold E A, Busconi B D

机构信息

Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical Center, North Worcester, USA.

出版信息

J Orthop Trauma. 1996;10(2):138-41. doi: 10.1097/00005131-199602000-00013.

Abstract

Blunt trauma to the knee has been associated with both musculoskeletal and neurovascular injury to the leg. Popliteal artery thromboses secondary to such trauma can be complicated by a compartment syndrome. The loss of distal pulses in the leg following blunt knee trauma should always be attributed to a suspected vascular lesion and not to the presence of the compartment hypertension. We present a case in which the diagnosis of a popliteal artery thrombosis was delayed because the loss of distal pulses was initially attributed to the compartment syndrome.

摘要

膝关节钝性创伤与腿部的肌肉骨骼和神经血管损伤有关。此类创伤继发的腘动脉血栓形成可能并发骨筋膜室综合征。膝关节钝性创伤后腿部远端脉搏消失应始终归因于疑似血管病变,而非骨筋膜室高压的存在。我们报告一例腘动脉血栓形成的诊断被延迟的病例,因为最初远端脉搏消失被归因于骨筋膜室综合征。

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