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首页> 外文期刊>International journal of sports medicine >Fasciotomy for Lateral Lower-leg Chronic Exertional Compartment Syndrome
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Fasciotomy for Lateral Lower-leg Chronic Exertional Compartment Syndrome

机译:侧卧小腿慢性慢性综合综合征的粉丝

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摘要

Exercise-induced lower leg pain may be caused by chronic exertional compartment syndrome (CECS). Anterior or deep posterior compartments are usually affected. Knowledge about CECS of the lateral compartment (lat-CECS) is limited and outcome after fasciotomy is unknown. The purpose of this study is to report on success rates of fasciotomy in patients with lat-CECS. Surgical success rates in patients with lat-CECS diagnosed with a dynamic intracompartmental pressure (ICP) measurement were studied using a questionnaire (success: excellent or good as judged by the patient; unsuccessful: moderate, fair or poor). We conducted ICP measurements in 247 patients for suspected lat-CECS, of whom 78 were positively diagnosed. Following exclusion (n = 11), 30 of the eligible 67 patients completed the questionnaire. Bilateral (70 %, n = 21/30) exertional pain (97 %, n = 29) and a feeling of tightness (93 %, n = 28) were the most frequently reported symptoms. Four years after fasciotomy, severity and frequency of symptoms had dropped significantly. Long-term surgical success was reported by 33 % (n = 10; excellent n = 4, good n = 6). Seventy-three percent (n = 22) had resumed sports activities (9 same level, 13 lower level). In conclusion, a fasciotomy for lat-CECS was successful in the long term in just one of three operated patients in this retrospective study.
机译:运动诱导的小腿疼痛可能是由慢性抵抗室综合征(CEC)引起的。前舱或深层隔室通常受到影响。关于横向隔间的CEC(LAT-CECs)的知识是有限的,并且在粉丝异形术未知后的结果是有限的。本研究的目的是报告LAT-CEC患者患者的Fasciofy成功率。使用问卷(成功:患者判断的患有动态植入压力(ICP)测量的LAT-CECs患者的手术成功率(ICP)测量;不成功:不成功:中等,公平或穷人)。我们在247名疑似Lat-cecs患者中进行了ICP测量,其中78名被肯定的诊断。在排除(n = 11)之后,符合条件的67名患者的30名完成问卷。双侧(70%,n = 21/30)抵抗疼痛(97%,n = 29)和紧绷的感觉(93%,n = 28)是最常见的报告症状。粉丝四年后,症状的严重程度和症状频率显着下降。报告了长期手术成功33%(n = 10;优异的n = 4,好n = 6)。七十三个(n = 22)恢复了体育活动(9级,13级)。总之,在这项回顾性研究中仅仅在三名经营患者中的三个经营患者中的一项长期成功了LAT-CEC的Fascofyy。

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