骨压力骨折:一个系统的审查
Rodrigo Encinas1, John Sharpe2, Yianni Bakaes1
1School of Medicine Columbia, University of South Carolina, Columbia, South Carolina.
Foot & ankle specialist
|July 26, 2023
概括
骨压力骨折发生在8.6%的病例中,通常在非手术治疗下愈合良好. 运动员和新兵可以在9周内恢复活动.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 骨压力骨折在运动员和军人中很常见.
- 对于治疗,只有有限的大型研究存在.
- 本综述综合了当前的文献,以基于证据的恢复预期.
研究的目的:
- 评估和介绍有关骨应力骨折的文献.
- 为恢复活动建立基于证据的目标.
- 对受伤患者设置现实的期望.
主要方法:
- 在3个数据库 (2010-2022) 中进行系统的文献搜索.
- 遵守PRISMA协议和Cochrane手册的指导方针.
- 纳入标准侧重于骨应力骨折,不包括儿科,非英语和不完整数据的研究.
主要成果:
- 分析了3项涉及10,987名受试者的研究.
- 在521例总压力骨折中,发现了45例 (8.6%) 骨压力骨折.
- 所有骨应力骨折均在平均7周内非手术愈合,在9周后恢复活动;没有报告的非联合或延迟联合.
结论:
- 骨压力骨折在所有压力骨折中发生率中等 (高达8.6%).
- 非手术管理与活动修改导致成功的愈合.
- 患者可以预计9周内恢复基线活动,有助于设定现实的恢复目标.
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