部疼痛综合征意大利共识会议更新2023年
Gian N Bisciotti1, Raul Zini2, Matteo Aluigi3
1Kinemove Rehabilitation Centers, Pontremoli, La Spezia, Italy - bisciotti@libero.it.
The Journal of sports medicine and physical fitness
|December 21, 2023
概括
2023年意大利共识会议更新了沟疼痛综合征 (GPS) 的定义和病因. 专家们就体育定义达成一致,并确认了4种新的GPS病因,扩大了分类范围.
科学领域:
- 运动医学 运动医学
- 整形外科 整形外科 整形外科
- 运动训练 运动训练
背景情况:
- 部疼痛综合征 (GPS) 是体育医学中一个复杂而有争议的问题.
- 2016年意大利共识会议 (CC) 建立了GPS病因的初步分类.
- 需要进行更新,以完善定义并纳入新的临床发现.
研究的目的:
- 更新术语,临床评估和运动员关节疼痛的成像评估.
- 根据目前的证据,修订沟疼痛综合征的病因分类.
- 建立关于体育的定义和诊断的共识.
主要方法:
- 一个连续的,两轮的Delphi在线调查,涉及55名专家.
- 亲自召开最后的共识会议,讨论调查结果并达成协议.
- 审查和讨论涵盖体育的文件和潜在的新GPS原因.
主要成果:
- 在体育的新临床和成像定义上达成共识.
- 更新了GPS的病因分类,扩展到12个类别和67个病理 (从11个类别和63个病理).
- 五个提出的新临床情况中有四个被认为是GPS的原因;一个缺乏足够的共识证据.
结论:
- 2023年更新提供了对体育的精细定义和GPS的扩展病因框架.
- 这种共识改善了运动员沟疼痛的诊断和临床方法.
- 对于缺乏足够证据的病理,需要进一步研究.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Gastritis III: Clinical Manifestations and Management
271
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
271
Inflammatory Bowel Disease V: Surgical Management
148
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
148
Appendicitis-I: Introduction
167
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
167
Chronic Pancreatitis II: Collaborative Care
92
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
92
Acute Pancreatitis II: Clinical Manifestations and Management
125
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
125


