登山者的手腕受伤 登山者的手腕受伤
Volker Schöffl1,2,3,4, Herb von Schroeder5,6,7,8, Jens Lisse9
1Department of Orthopedic and Trauma Surgery, Klinikum Bamberg, Bamberg, Germany.
The American journal of sports medicine
|October 6, 2023
概括
登运动员经常经历手腕伤害,侧疾病是最常见的. 虽然大多数治疗方法都产生了良好的结果,但持续的不适影响了大约三分之一的患者,这凸显了对准确诊断和及时护理的需求.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 登山医学 登山医学
背景情况:
- 在登运动员中,手腕受伤很常见,但缺乏广泛的评估.
- 分类这些伤害,了解风险因素和评估治疗结果至关重要.
研究的目的:
- 评估登山者手腕受伤的分布,结果和影响因素.
主要方法:
- 一个为期4年的病例系列 (2017-2020年) 分析了69名登山者,其中78名手腕受伤.
- 数据包括登背景,伤害诊断 (UIAA等级) 和治疗结果 (PRWE,QuickDASH,DASH-Sport得分).
- 最少2年的随访评估了疼痛,功能和恢复登.
主要成果:
- 分析了78个手腕受伤,其中69.2%是慢性. 常见的诊断包括突炎,部冲击和骨髓.
- 在61例受伤中使用非手术治疗,17例使用手术治疗. 总体而言,65.4%的患者没有长期问题而康复.
- 在治疗后,疼痛 (VAS),手腕功能 (PRWE) 和运动特异性残疾 (QuickDASH,DASH-Sport) 显著改善 (P < .001).
结论:
- 与登相关的手腕伤害存在多种诊断,侧问题占主导地位.
- 在手术和非手术治疗中观察到有利的结果.
- 大约三分之一的登山者持续感到不适,这强调了需要准确的诊断和专家管理的必要性.
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