anterior tibial syndrome

脛骨前筋症候群

関

anterior compartment syndrome

WordNet

1. of or near the head end or toward the front plane of a body
2. earlier in time (同)prior
3. a pattern of symptoms indicative of some disease
4. a complex of concurrent things; "every word has a syndrome of meanings"
5. the inner and thicker of the two bones of the human leg between the knee and ankle (同)shinbone, shin_bone, shin
6. relating to or located near a tibia

PrepTutorEJDIC

1. (場所などが)前の,前部の;(…より)前に位置する《+『to』+『名』》 / (時・事件などが)以前の,先の;(…より)前の《+『to』+『名』》
2. (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
3. 脛骨

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2018/02/11 16:37:45」(JST)

wiki en

[Wiki en表示]

Anterior compartment syndrome of the lower leg
Classification and external resources
Specialty	rheumatology
MeSH	D000868

A compartment syndrome is an increased pressure within a muscular compartment that compromises the circulation to the muscles.

Symptoms

Diffuse tightness and tenderness over the entire belly of the tibialis anterior that does not respond to elevation or pain medication can be early warning signs and suggestive of Anterior Compartment Syndrome. Other common symptoms include excessive swelling that causes the skin to become hot, stretched and glossy. Pain, paresthesias, and tenderness in both the ischemic muscles and the region supplied by the deep common fibular nerve are exhibited by patients suffering from this condition. Sensitivity to passive stretch and active contraction are common, and tend to increase the symptoms.

.

Pathology

A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles. The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.

This term is often mistakenly used to describe various related/proximal conditions, including Anterior Shin Splints. It is important to distinguish between the two, as shin splints rarely causes serious health problems, while Anterior Compartment Syndrome can lead to irreversible damage.

The true compartment syndrome arises due to increased pressure within the unyielding anterior compartment of the leg. The pressure obstructs venous outflow, which causes further swelling and increased pressure. The resultant ischemia leads to necrosis (death of tissue) of the muscles and nerves. The process can begin with swelling of the tibialis anterior, extensor hallucis longus, extensor digitorum longus, and/or the peroneus tertius muscles in response to strong eccentric contractions sufficient to produce postexercise soreness.

Diagnosis

If these symptoms are observed/experienced it is important to contact a physician specializing in sports medicine (MD/DO), a doctor of podiatric medicine (DPM), or other qualified health care professional immediately so as to get the appropriate advice/treatment before serious damage occurs.

The 5 Ps of Anterior Compartment Syndrome:

1. Pain
2. Pallor
3. Paresthesia
4. Pulselessness
5. Paralysis (If not treated)

References

• ADAM Health Illustrated Encyclopedia Article, 8/3/2004

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 下肢ランニング障害の概要 overview of running injuries of the lower extremity
• 2. 脛骨および腓骨のストレス骨折 stress fractures of the tibia and fibula
• 3. Approach to eye injuries in the emergency department
• 4. Ankle pain in the active child or skeletally immature adolescent: Overview of causes
• 5. 小児における脛骨骨折の概要 overview of tibial fractures in children

English Journal

• The use of the ponseti method to treat clubfeet associated with congenital annular band syndrome.

• Zionts LE, Habell B.SourceUCLA / Orthopaedic Hospital, Department of Orthopaedics, David Geffen School of Medicine at the University of California, Los Angeles, CA.
• Journal of pediatric orthopedics.J Pediatr Orthop.2013 Jul-Aug;33(5):563-8. doi: 10.1097/BPO.0b013e31829178fd.
• BACKGROUND: : A clubfoot deformity may be associated with congenital annular band syndrome (CABS), and has, until recently, been thought to be resistant to nonoperative management. The purpose of this report was to describe the use of the Ponseti method in the treatment of 5 patients whose clubfeet
• PMID 23752157

• The primary vascular dysregulation syndrome: implications for eye diseases.

• Flammer J, Konieczka K, Flammer AJ.AbstractVascular dysregulation refers to the regulation of blood flow that is not adapted to the needs of the respective tissue. We distinguish primary vascular dysregulation (PVD, formerly called vasospastic syndrome) and secondary vascular dysregulation (SVD). Subjects with PVD tend to have cold extremities, low blood pressure, reduced feeling of thirst, altered drug sensitivity, increased pain sensitivity, prolonged sleep onset time, altered gene expression in the lymphocytes, signs of oxidative stress, slightly increased endothelin-1 plasma level, low body mass index and often diffuse and fluctuating visual field defects. Coldness, emotional or mechanical stress and starving can provoke symptoms. Virtually all organs, particularly the eye, can be involved. In subjects with PVD, retinal vessels are stiffer and more irregular, and both neurovascular coupling and autoregulation capacity are reduced while retinal venous pressure is often increased. Subjects with PVD have increased risk for normal-tension glaucoma, optic nerve compartment syndrome, central serous choroidopathy, Susac syndrome, retinal artery and vein occlusions and anterior ischaemic neuropathy without atherosclerosis. Further characteristics are their weaker blood--brain and blood-retinal barriers and the higher prevalence of optic disc haemorrhages and activated astrocytes. Subjects with PVD tend to suffer more often from tinnitus, muscle cramps, migraine with aura and silent myocardial ischaemic and are at greater risk for altitude sickness. While the main cause of vascular dysregulation is vascular endotheliopathy, dysfunction of the autonomic nerve system is also involved. In contrast, SVD occurs in the context of other diseases such as multiple sclerosis, retrobulbar neuritis, rheumatoid arthritis, fibromyalgia and giant cell arteritis. Taking into consideration the high prevalence of PVD in the population and potentially linked pathologies, in the current article, the authors provide recommendations on how to effectively promote the field in order to create innovative diagnostic tools to predict the pathology and develop more efficient treatment approaches tailored to the person.
• The EPMA journal.EPMA J.2013 Jun 7;4(1):14. [Epub ahead of print]
• Vascular dysregulation refers to the regulation of blood flow that is not adapted to the needs of the respective tissue. We distinguish primary vascular dysregulation (PVD, formerly called vasospastic syndrome) and secondary vascular dysregulation (SVD). Subjects with PVD tend to have cold extremiti
• PMID 23742177

• Dynamic pressure testing for chronic exertional compartment syndrome in the UK military population.

• Dharm-Datta S, Minden DF, Rosell PA, Hill PF, Mistlin A, Etherington J.SourceMedical Division, Defence Medical Rehabilitation Centre (DMRC) Headley Court, UK.
• Journal of the Royal Army Medical Corps.J R Army Med Corps.2013 Jun;159(2):114-8. doi: 10.1136/jramc-2013-000033. Epub 2013 Mar 14.
• OBJECTIVES: Chronic exertional compartment syndrome is one of the main causes of exertional leg pain. Diagnosis is based on the history and intracompartmental muscle pressure testing during exercise prior to consideration of fasciotomy for treatment. We present the data gathered at Defence Medical R
• PMID 23720594

Japanese Journal

• 拡大胸腺摘出術後に微小変化型ネフローゼを発症した浸潤性胸腺腫の1例

• 長阪 智,喜納 五月,市原 智史,横手 芙美,桑田 裕美,伊藤 秀幸
• 日本呼吸器外科学会雑誌 = The journal of the Japanese Association for Chest Surgery 27(7), 882-887, 2013-11-15
• 症例は73歳，男性．胸部CT検査にて前～中縦隔右側に腫瘍を認め，左右腕頭静脈・心嚢にも浸潤を疑わせた．浸潤性胸腺腫の疑いにて手術を行なった．手術は胸骨正中切開に右第4肋間前側方切開を加え行なった．腫瘍の一部を術中迅速病理に提出，胸腺腫の診断を得た．心嚢切開後，右房浸潤を認め，人工心肺を確立，右房合併切除術を行い，その後拡大胸腺摘出術，上大静脈再建術を行なった．術後経過は良好で，胸部CTにてグラフト …
• NAID 10031203515

• MRIで前根にガドリニウム増強効果がみとめられステロイドパルス療法で神経根痛が著減した軸索型ギラン・バレー症候群の1成人例

• 遠藤 邦幸,安井 敬三,長谷川 康博,柳 務
• 臨床神経学 53(7), 543-550, 2013
• 症例は軸索型ギラン・バレー症候群の37歳男性である．下痢に続いて激烈な疼痛が右大腿に生じ，腰部・両下肢に拡大した．表在感覚は正常であったが，遠位筋優位の四肢筋力低下が進行し，腱反射の消失，ラゼーグ徴候陽性を呈した．電気生理学的検査で下肢の複合運動活動電位の低下，F波消失，髄液検査で蛋白細胞解離，血清IgG抗GM1抗体の陽性をみとめた．腰部・下肢痛の性質は深部痛で神経根痛と考えられた．MRIではガド …
• NAID 130004505532

• Nail-Patella 症候群による習慣性膝蓋骨脱臼-MPFL再建術と脛骨粗面内方移動術を同時に施行した1例とその家族症例

• 大川 新吾,出家 正隆,安達 伸生,中前 敦雄,中佐 智幸,越智 光夫
• JOSKAS 37(1), 150-151, 2012-03-25
• NAID 10030548081

Related Links

• Anterior compartment syndrome; Anterior Tibial Syndrome

Anterior compartment syndrome; Anterior Tibial Syndrome. On-line free medical diagnosis assistant. Ranked list of possible diseases from either several symptoms or a full patient history. A similarity measure between symptoms and ...

• chronic anterior tibial compartment syndrome - definition of ...

anterior compartment syndrome anterior compartment syndrome A condition that typically arises in the anterior compartment of the lower leg, characterised by cramping, pain and tightness, often with numbness and tingling in the foot.

---

★リンクテーブル★

リンク元	「脛骨前筋症候群」「anterior compartment syndrome」
関連記事	「anterior」「tibial」「syndrome」

「脛骨前筋症候群」

　　[★]

英

anterior tibial syndrome

関

前脛骨区画症候群

「anterior compartment syndrome」

　　[★]

前脛骨区画症候群

関

anterior tibial syndrome

「anterior」

　　[★]

• adj.

• 前側の、前の

関

anterioris、anteriorly、before、fore、former、pre、prior

　 　 　

「tibial」

　　[★]

• 脛骨の

関

shank、shin bone、tibia、tibiae、tibialis

　

「syndrome」

　　[★]

• n.

• 症候群