双侧小腿急性慢性劳力性外侧肌间隔综合征：一例报告并文献复习
Bilateral acute-on-chronic exertional lateral compartment syndrome of the leg: a case report and review of the literature.
作者信息
Goldfarb S J, Kaeding C C
机构信息
Ohio State University Medical Center, Division of Orthopaedic Surgery, Columbus, USA.
出版信息
Clin J Sport Med. 1997 Jan;7(1):59-61; discussion 62. doi: 10.1097/00042752-199701000-00011.
PURPOSE
We report a previously undescribed case of bilateral acute exertional compartment syndrome of the lateral compartment arising from pre-existing chronic exertional compartment syndromes.
CASE SUMMARY
A 21-year-old football player had a 1-year history of bilateral chronic exertional compartment syndrome. One day after practice his usual symptoms progressed instead of abated and he presented at 3:00 AM with bilateral acute lateral compartment syndromes. His lateral compartment pressures were > 100 mm Hg. Emergency surgical releases were performed and the patient recovered well with full return to competitive football in 4 weeks.
DISCUSSION
No prior case of acute-on-chronic exertional compartment syndrome of the lateral compartment has been reported. In addition, this is a case of bilateral acute exertional compartment syndrome. The literature is reviewed with discussion of differential diagnosis, distribution, pathophysiology, and treatment of exertional compartment syndrome.
RELEVANCE
Failure to recognize and emergently treat progression of a chronic to an acute exertional compartment syndrome can be devastating.
目的
我们报告一例先前未描述过的病例，该病例为双侧外侧间室急性运动性骨筋膜室综合征，由先前存在的慢性运动性骨筋膜室综合征引发。
病例摘要
一名21岁的足球运动员有双侧慢性运动性骨筋膜室综合征病史1年。在一次训练后的一天，他通常的症状不但没有减轻反而加重，凌晨3点时出现双侧外侧间室急性综合征。他的外侧间室压力>100mmHg。进行了急诊手术减压，患者恢复良好，4周后完全恢复并重返有竞争性的足球运动。
讨论
此前尚无外侧间室慢性运动性骨筋膜室综合征转为急性的病例报道。此外，这是一例双侧急性运动性骨筋膜室综合征。本文回顾了相关文献，讨论了运动性骨筋膜室综合征的鉴别诊断、分布、病理生理学及治疗。
相关性
未能识别并紧急治疗慢性运动性骨筋膜室综合征向急性的进展可能会造成严重后果。
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