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Anatomy of foot Compartments: a systematic review.
Annals of Anatomy ( IF 2.2 ) Pub Date : 2020-01-21 , DOI: 10.1016/j.aanat.2020.151465
Daniel Vazquez-Zorrilla 1 , Juan Manuel Millan-Alanis 2 , Neri Alejandro Alvarez-Villalobos 2 , Rodrigo Enrique Elizondo-Omaña 1 , Santos Guzman-Lopez 1 , Jose Felix Vilchez-Cavazos 3 , Bernardo Alfonso Fernandez-Rodarte 1 , Alejandro Quiroga-Garza 1
Affiliation  

INTRODUCTION There are discrepancies regarding the anatomy of the foot which complicate standardizing foot compartment treatment. We synthesized the existing evidence regarding the compartmental anatomy of the foot MATERIALS AND METHODS: A systematic review was performed evaluating the anatomy of the foot compartments in non-pathologic specimens. The search strategy was performed in MEDLINE, Scopus, Web of Science, and EMBASE. Three reviewers worked independently and in duplicate to screen all references via a title/abstract and full-text phase. The risk of bias was assessed with the Anatomical Quality Assurance (AQUA) checklist. RESULTS Ten studies were included. All were performed in cadavers except one. Half of them evaluated the plantar section of the foot and the other half evaluated the whole foot. Methods employed across studies tended to vary: anatomical dissections, dye infusion, imaging studies, or a combination of these. Five studies directly addressed the anatomic limits of each compartment and eight addressed the anatomical structures inside each of them. There seems to be an agreement regarding the number of compartments in the plantar region (three major compartments divided by the medial and lateral intermuscular septum), nevertheless, disagreements across authors tend to arise when describing its dorsal section. Only two studies were ranked with an overall low risk of bias, agreeing on nine compartments. CONCLUSION This review provides the best available anatomical evidence regarding the anatomy of the foot compartments for compartment syndrome management. Future research should focus on settling the discrepancies highlighted to reach a more accurate anatomical description.

中文翻译:

足部解剖:系统评价。

简介关于脚的解剖结构存在差异,这使标准化的足室治疗变得复杂。我们综合了有关足部间隔解剖的现有证据。材料和方法:进行了系统的评价,以评估非病理性标本中足部间隔的解剖。搜索策略是在MEDLINE,Scopus,Web of Science和EMBASE中执行的。三名审阅者独立工作,一式两份,通过标题/摘要和全文阶段筛选所有参考文献。偏倚的风险通过解剖质量保证(AQUA)清单进行评估。结果纳入十项研究。除一只外,其余全部在尸体中进行。他们一半评估脚的足底部分,另一半评估整个脚。研究中使用的方法趋于变化:解剖解剖,染料注入,影像学研究或这些的组合。五项研究直接解决了每个隔室的解剖学局限性,八项研究解决了每个隔室中的解剖学结构。关于足底区域的隔室数量(三个主要的隔室被内侧和外侧的肌肉间隔隔开)似乎已经达成共识,但是,在描述其背侧部分时,作者之间往往会出现分歧。只有两项研究的总体偏倚风险较低,在九个部分中均获同意。结论这篇综述提供了有关足部综合征治疗脚掌解剖的最佳可用解剖学证据。
更新日期:2020-01-21
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