第三种类型的脊柱动脉陷综合征与同时出现的慢性劳动分区综合征:一个病例报告
Chenée Armando1, Paul Sherbondy2, Eugene Simoni3
1Penn State College of Medicine, University Park, Pennsylvania.
JBJS case connector
|February 29, 2024
概括
一名年轻的运动员在经历慢性劳力区综合征 (CECS) 手术后患有持续的小腿疼痛,被诊断出患有形动脉陷综合征 (PAES). 手术减压缓解了她的症状,强调了考虑PAES与CECS一起的重要性.
科学领域:
- 血管外科 血管外科
- 运动医学 运动医学
- 整形外科手术 整形外科手术
背景情况:
- 慢性炼区综合征 (CECS) 是运动员炼腿部疼痛的常见原因.
- 脊柱动脉被困综合征 (PAES) 可以模仿CECS的症状.
- CECS和PAES的共存是可能的,但经常被忽视.
研究的目的:
- 报告一个 Division I 的田径运动员在经过 CECS 手术后出现持续症状的病例.
- 突出诊断和成功的手术治疗共存的PAES.
- 强调在运动员中考虑耐火性炼性腿部疼痛的PAES的重要性.
主要方法:
- 一名21岁的女运动员为CECS进行了双边筋切割.
- 持续的症状导致转诊为血管外科手术.
- 对PAES的诊断得到了证实,这是在尾动脉上的压缩纤维带.
- 进行了双边尾动脉减压.
主要成果:
- 患者经历了波动脉减压后的症状缓解.
- 手术后没有出现麻木,虚弱或疼痛的复发.
- 在运动员中与PAES共存的管理中取得了成功的结果.
结论:
- 结构PAES可以与CECS共存.
- 脊柱动脉的手术减压对于PAES是有效的.
- 在运动员中,尽管接受了CECS治疗,但脚部持续疼痛的运动员中,对PAES的高度怀疑指数是合理的.
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