Acute exertional compartment syndrome is the result of muscle ischemia within a tight fascial compartment. We report a 22- year-old boxer, with recent int ake of anabolic steroids, who developed acute exertional compa...Acute exertional compartment syndrome is the result of muscle ischemia within a tight fascial compartment. We report a 22- year-old boxer, with recent int ake of anabolic steroids, who developed acute exertional compartment syndrome of the lower legs following an assault from which he had to run away. He presented with bilateral footdrop. Nerve conduction studies (NCS) and electromyography (E MG) were consistent with bilateral deep and superficial peroneal neuropathies, b ut magnetic resonance imaging (MRI) demonstrated hemorrhagic necrosis of the pre tibial muscles. This case illustrates that the differential diagnosis for footdr op includes not only central and peripheral nervous system and muscle causes, bu t also compartment syndromes.展开更多
1案例资料1.1简要案情男童,6岁,某年8月19日晨,因感冒于村卫生室肌注林可霉素0.3g,利巴韦林0.05g,地塞米松1 mg。当日中午,患儿右臀部注射区疼痛、肿胀并蔓延至右大腿全部。次日晨送市中心医院。查体:体温36.6℃,脉搏88次/min,呼吸18次...1案例资料1.1简要案情男童,6岁,某年8月19日晨,因感冒于村卫生室肌注林可霉素0.3g,利巴韦林0.05g,地塞米松1 mg。当日中午,患儿右臀部注射区疼痛、肿胀并蔓延至右大腿全部。次日晨送市中心医院。查体:体温36.6℃,脉搏88次/min,呼吸18次/min,血压13.1/8.0 k Pa(100/60 mm Hg)。右臀部见皮下瘀斑,展开更多
文摘Acute exertional compartment syndrome is the result of muscle ischemia within a tight fascial compartment. We report a 22- year-old boxer, with recent int ake of anabolic steroids, who developed acute exertional compartment syndrome of the lower legs following an assault from which he had to run away. He presented with bilateral footdrop. Nerve conduction studies (NCS) and electromyography (E MG) were consistent with bilateral deep and superficial peroneal neuropathies, b ut magnetic resonance imaging (MRI) demonstrated hemorrhagic necrosis of the pre tibial muscles. This case illustrates that the differential diagnosis for footdr op includes not only central and peripheral nervous system and muscle causes, bu t also compartment syndromes.
文摘1案例资料1.1简要案情男童,6岁,某年8月19日晨,因感冒于村卫生室肌注林可霉素0.3g,利巴韦林0.05g,地塞米松1 mg。当日中午,患儿右臀部注射区疼痛、肿胀并蔓延至右大腿全部。次日晨送市中心医院。查体:体温36.6℃,脉搏88次/min,呼吸18次/min,血压13.1/8.0 k Pa(100/60 mm Hg)。右臀部见皮下瘀斑,