在运动员中诊断和管理胸部出口综合征
Andrea T Fisher1, Jason T Lee1
1Division of Vascular Surgery, Stanford University School of Medicine, 780 Welch Road CJ350, Palo Alto, 94304, CA.
Seminars in vascular surgery
|May 4, 2024
概括
运动员面临着来自体育运动的胸部出口综合征 (TOS) 的高风险. 第一个肋骨切除手术为血管TOS提供了好处,并可能有助于选择神经性TOS患者重返游戏.
科学领域:
- 运动医学 运动医学
- 整形外科 整形外科 整形外科
- 血管外科 血管外科
背景情况:
- 体育运动中重复的身体需求增加了胸部外出综合征 (TOS) 的风险.
- 头部运动员特别容易患TOS,原因是受伤影响了下关节血管和手臂.
- 常见的TOS表现包括静脉应力血栓,动脉封闭和手臂病,神经性TOS (nTOS) 主要存在.
研究的目的:
- 审查运动员TOS的诊断和管理.
- 为了评估第一肋切除对不同TOS类型的疗效.
- 为了确定nTOS患者手术成功的预测因素.
主要方法:
- 文献综述侧重于运动群体中的TOS.
- 对nTOS的诊断方法的分析,包括物理治疗和注射.
- 在血管和神经性TOS中对第一肋切除的治疗结果的评估.
主要成果:
- 第一个肋骨切除是年轻运动员血管TOS的标准.
- 对nTOS的手术益处不太确定,尽管通过物理治疗进行非手术治疗至关重要.
- 像肉毒毒素和利多卡因这样的注射可以预测对nTOS手术的反应.
- 运动员经常报告手术后的满意度,尽管罕见的并发症风险.
结论:
- 区分TOS与其他上肢疾病对于准确诊断至关重要.
- 包括物理治疗在内的非手术治疗是nTOS治疗的关键组成部分.
- 第一个肋骨切除可以促进TOS运动员恢复体育活动,并仔细考虑风险和益处.
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