一般实践中的骨关节疼痛:发生率和管理
Guido J van Leeuwen1, Evelien I T de Schepper1, Patrick J E Bindels1
1Department of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Family practice
|September 5, 2023
概括
腰部疼痛 (PFP) 影响活跃的青少年,女孩的发病率更高. 管理主要涉及咨询和理疗,与指导方针保持一致,尽管慢性病例需要进一步研究.
科学领域:
- 儿科整形外科 儿科整形外科
- 运动医学 运动医学
- 一般实践研究研究 一般实践研究
背景情况:
- 椎关节疼痛 (PFP) 是身体活跃的青少年常见的非创伤性膝盖疾病.
- 了解其发病率和初级保健中的管理对于这一人口群体至关重要.
研究的目的:
- 在一般实践环境中确定儿童和青少年PFP的发病率.
- 分析在这个群体中使用的PFP管理策略.
主要方法:
- 使用大型区域初级保健电子健康记录数据库 (超过30万名患者) 的回顾性队列研究.
- 患者数据 (2013-2019) 通过ICD-10代码和自由文本搜索提取;管理数据手动验证.
- 对慢性与非慢性PFP病例进行的分分析.
主要成果:
- 平均PFP发病率为每1000人年3.4 (年龄为7-24岁),女孩的发病率比男孩高 (4.6) (2.3).
- 峰值发病率发生在13岁时,无论男女.
- 主要管理包括咨询 (55.1%),物理治疗转诊 (28.2%),止痛药 (10.4%) 和骨科转诊 (8.9%).
结论:
- 荷兰的全科医生按照国家指导方针管理PFP,每年约有1.4例儿童新病例.
- 需要进一步的研究来了解儿童和青少年慢性PFP的特征和治疗方法.
相关概念视频
Bones of the Lower Limb: Femur and Patella
2.6K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.6K
Knee Joint
1.9K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.9K
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Peripheral Artery Disease IV: Nursing Management
12
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
12
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Pericarditis IV: Nursing Management
20
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
20


