骨筋膜室综合征是指骨筋膜层内的组织承受高于正常压力的压力,导致疼痛、苍白、无脉,最终出现感觉异常。骨筋膜室综合征可发生在病态肥胖患者或压伤、严重烧伤和撞击伤后。诊断可以通过压力测量仪器测量筋膜室内的压力来确定,但临床上更多的是靠临床判断来确诊。骨筋膜室压大于或等于30mmhg是骨筋膜室间隔综合征病原学改变。在发展为筋膜室综合征的患者中,常规治疗包括筋膜切开术。紧急筋膜切开术可以在床边进行。筋膜切开术是通过切开压迫筋膜以释放骨筋膜室压力,使肌肉释放,降低压力,恢复血流及神经功能。 足底筋膜病,或足底筋膜炎,是在一般人群中出现的足跟下疼痛的常见的问题。患者可以进行非侵入性治疗,如物理疗法、矫正手法、非甾体抗炎药、照射疗法或冲击波疗法来缓解症状。侵入性治疗包括局部皮质类固醇注射、肉毒素注射、富含血小板血浆注射以及手术。 坏死性筋膜炎是一种罕见的,有时是致命的软组织感染,并成为内科和外科急症。它可导致多层炎症和坏死,包括筋膜、肌肉、皮下脂肪,以及随后的上覆皮肤坏死。坏死组织急诊彻底清创是标准、必要的治疗方法。 Clinical Significance Compartment syndrome is a condition where the tissues within a fascial layer experience higher than normal pressures leading to pain, pallor, loss of pulses, and eventual paresthesias. Compartment syndrome can develop in morbidly obese patients or following crush injuries, severe burns, and impact injuries. Diagnosis can be confirmed by measuring the pressure within a fascial compartment with a pressure device, although clinical judgment is often used to determine the diagnosis. A compartment pressure of thirty mmHg or greater is pathognomonic for compartment syndrome. In patients who develop compartment syndrome, treatment regularly involves a fasciotomy. An urgent fasciotomy can be done at the bedside. A fasciotomy is a procedure where the compressing fascia is cut to relieve compartment pressure and allow the muscle to swell, decrease pressure, and restore blood flow and nerve function. Plantar fasciopathy, or plantar fasciitis, is a common health concern in the general population resulting in inferior heel pain. Patients can receive non-invasive therapies such as physical therapy, orthosis, NSAIDs, radiation therapy, or shockwave therapy to help relieve symptoms. Invasive treatments include local corticosteroid injections, botulinum injection, platelet-rich plasma injection, and surgery. Necrotizing fasciitis is a rare and sometimes fatal soft-tissue infection that is a medical and surgical emergency. It is the resulting condition of inflammation and necrosis at multiple layers including fascia, muscle, subcutaneous fat, and subsequent necrosis of overlying skin. Emergency radical debridement of the necrotic tissues is the standard mandatory procedure.
筋膜炎是一种比较常见的非特异性疾病,在全身的各个不同部位都有可能会发生,会伴有明显的疼痛现象,与此同时它也会有很多的症状,比如说弥漫性疼痛或者是局部压痛等等,所以建议最好是在短时间内接受治疗,否则可能会产生危害。 现在的生活条件逐渐的变好,与此同时,很多人也患有了各种各样的疾病,比如说头疼或者是腿疼等等,要知道在我们人体的众多部位中,双腿也是非常重要的,一旦出现了超负荷的运动,就有可能会出现筋膜炎的情况,但是很多人并不是特别的了解什么是筋膜炎呢? 什么是筋膜炎? 筋膜炎,又称纤维炎,是一种发生在肌肉筋膜的非特异性炎症,它可以发生在身体的所有部位,大部分在腰部和肩胛骨区域。最常见的临床表现是腰背部筋膜炎和臀肌筋膜炎,对于某些腰痛患者,骶骨肌表面或髂嵴肌附着处可触及条纹或纤维结节,伴有疼痛和压痛。
Anatomy, Fascia Layers 介绍: Introduction 筋膜是由皮肤下面的结缔组织构成的。这些组织有着附着,稳定,传导力量,保持血管通畅,分离肌肉,并包围不同的器官的作用。传统上意义上的筋膜一词主要被外科医生用来描述在身体中看到的包裹其他器官、肌肉和骨骼的可解剖的一种组织。近些年来,这个定义被扩展到包括体内所有以胶原为基础的软组织,包括产生和维持细胞外基质的细胞。新定义还包括某些肌腱、韧带、粘液囊、肌内膜、肌束膜和肌外膜。 Fascia is made up of sheets of connective tissue that is found below the skin. These tissues attach, stabilize, impart strength, maintain vessel patency, separate muscles, and enclose different organs. Traditionally, the word fascia was used primarily by surgeons to describe the dissectible tissue seen in the body encasing other organs, muscles, and bones. Recently, the definition has been broadened to include all collagenous based soft tissues in the body, including cells that create and maintain the extracellular matrix. The new definition also includes certain tendons, ligaments, bursae, endomysium, perimysium, and epimysium. 分类系统 Classification System 筋膜可分为浅筋膜、深筋膜、内脏筋膜或壁层筋膜,以及根据解剖位置的进一步分类。 Fascia can be classified as superficial, deep, visceral, or parietal and further classified according to anatomical location.
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