Đang chuẩn bị liên kết để tải về tài liệu:
Hội chứng mãn tính ngăn Exertional

Hội chứng mãn tính ngăn Exertional thường bị bỏ qua là An gây ra đau đớn và không phổ biến trong các chi của cá nhân Ai tham gia vào các hoạt động thể chất lặp đi lặp lại. Một lịch sử kỹ lưỡng, cẩn thận kiểm tra thể chất, và thử nghiệm áp lực là rất cần thiết để ngăn việc thành lập chẩn đoán | Chronic Exertional Compartment Syndrome Michael J. Fraipont MD and Gregory J. Adamson MD Abstract Chronic exertional compartment syndrome is an often overlooked and uncommon cause of pain in the extremities of individuals who engage in repetitive physical activity. A thorough history a careful physical examination and compartment pressure testing are essential to establish the diagnosis. Catheter measurements can provide useful information on baseline resting compartment pressures as well as compartment pressures after exercise or trauma. Patients with chronic exertional compartment syndrome usually do not respond to nonsurgical therapy other than completely ceasing the activities that cause the symptoms. Surgical intervention entails fasciotomies of the involved compartments. Although obtaining accurate compartment pressure measurements can be difficult and fascial releases must be done carefully patients typically have satisfactory functional results and are able to return to their usual physical activities after fasciotomy. J Am Acad Orthop Surg 2003 11 268-276 Compartment syndrome is defined as increased pressure within a closed fibro-osseous space causing reduced blood flow and tissue perfusion in that space leading to ischemic pain and possible damage to the tissues of the compartment. Compartment syndrome may be either chronic or acute. Chronic compartment syndrome is often recurrent and is associated with repetitive exertion. It is typically seen in athletes whose exercise level elevates the intramuscular pressure to a point that the tissues within the affected compartment become tight and painful thus preventing further activity. The pain disappears quickly after rest and there are usually no permanent sequelae in the affected tissue. In 1962 French and Price1 documented elevated compartment pressures as the cause of chronic exertional compartment syndrome CECS of the tibia. Previously in 1956 Mavor2 had successfully treated a CECS by widening the fascia .