在运动员中治疗症状性骨上骨架的治疗方法
Kazuya Sugimoto1, Shinji Isomoto1, Kimio Miura1
1Nara Prefecture General Medical Center, Narshi, Nara, Japan.
Foot & ankle international
|March 16, 2024
概括
使用自主骨移植的骨质合成有效地治疗运动员的症状性骨上腺瘤 (OSSN). 即使是小的OSSN和 navicular 应力骨折 (NSF) 也成功地与手术干预融合,改善功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 脚和脚手术 脚和脚手术
背景情况:
- 症状性上腺瘤 (OSSN) 主要影响运动员,尽管其总体发病率较低.
- 了解OSSN变异和骨质合成结果对于运动群体至关重要.
研究的目的:
- 为了评估OSSN (OSSN) 的变化.
- 在精英运动员中评估骨质合成对症状性OSSN的疗效.
- 调查OSSN和船应力骨折 (NSF) 之间的关系.
主要方法:
- 研究包括10名精英运动员 (11英尺) 具有症状的OSSN,平均年龄19岁.
- 八英尺同时发生了船应力骨折 (NSF).
- 手术治疗涉及骨质合成与OSSN (7英尺) 和NSF (4英尺) 的自主骨移植; 2例被保守地管理.
主要成果:
- 中位数的OSSN尺寸:宽12.7mm,长5.6mm,高6.6mm.
- 手术骨质合成在7/7治疗的OSSN中取得了成功的融合.
- 手术后的JSSF得分显著改善 (中位数为87至97.7),体育回归率高 (中位数为SAFE-Q 84.8).
结论:
- 用自主骨移植进行骨质合成是对症状性OSSN的有效治疗方法.
- 相关的NSF援助工会的治疗,表明OSSN可能是NSF的一个亚型.
- 手术干预导致了卓越的功能恢复和恢复运动活动.
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