Tibialis anterior syndrome
| Classification according to ICD-10 | |
|---|---|
| T79.6 | Traumatic muscle ischemia |
| ICD-10 online (WHO version 2019) | |
The tibialis anterior syndrome is a typical compartment syndrome , which by increasing the tissue pressure in the extensor at the lower leg is characterized. The tibialis anterior , extensor hallucis longus and extensor digitorum longus muscles are located in this muscle box . The tibialis anterior syndrome is triggered by traumatic causes, such as a lower leg fracture, or an exceptional overload of the muscles, e. B. for long hikes or long-distance running for inexperienced people.
The rise in pressure in the muscle box compresses the anterior tibial artery and the resulting reduced blood flow ( ischemia ) to the muscles leads to muscle swelling, which leads to a further obstruction of the blood flow - a vicious circle is created . The final stage is muscle necrosis as well as compression of the deep peroneal nerve .
Clinically, the anterior tibial syndrome manifests itself with severe pain, swelling of the anterior and lateral lower leg muscles and reddening of the affected skin area. The pulse of the arteria dorsalis pedis may have gone out, compression of the common peroneal nerve can lead to tingling ( paresthesia ) and numbness ( hypesthesia ) on the back of the foot. Over time, paralysis of the foot or individual toes and toe deformations can also occur. An early diagnosis is indicated if an anterior tibial syndrome is suspected.
A splitting of the muscle fascia is necessary immediately.
See also
literature
- Tibialis anterior syndrome. In: Heinz-Walter Delank, Walter Gehlen: Neurology . Georg Thieme Verlag, 2006, ISBN 9783131297716 , p. 113.
Individual evidence
- ↑ Alphabetical directory for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 74
