スポーツ外傷による長腓骨筋断裂の一例

抄録

Peroneal compartment syndrome secondary to rupture of the peroneus longus muscle is very rare, with only two previously reported cases. We recently experienced a case suffered from peroneal compartment syndrome secondary to rupture of the peroneus longus muscle in the volleyball game.
A twenty-six-year-old male sustained an inversion injury to his left ankle when he was about to jump for spiking in playing volleyball. He complained of severe pain and numbness along the lateral aspect of the left leg, ankle and dorsum of the left foot. The ankle was immobilized with a plaster splint and he was given sedativa, but we saw no effect. An energency operation was done approximately twenty hours after the injury. After the tensed fascia was incised, abundant clot and hemorrhagic debris were evacuated from the lateral compartment. Further inspection revealed complete rupture of the peroneus longus muscle. End to end suture of the muscle was performed.
Eleven months postoperatively the peroneus longus muscle power is rated as fair and his sensation has fully returned. He is again working.