前臂慢性劳力区综合征的诊断标准:一个系统的审查
Thomas Hirardot1, Germain Pomares2, Pierre Menu3
1Service de Médecine Physique et Réadaptation Locomotrice et Respiratoire, CHU Nantes, Nantes Université, 44093 Nantes, France; Service de Médecine du Sport, CHU Nantes, Nantes Université, 44093 Nantes, France.
Orthopaedics & traumatology, surgery & research : OTSR
|September 23, 2024
概括
诊断前臂的慢性劳动分隔综合征 (CECS) 是一个挑战. 隔间内压力 (ICP) 测量是常见的,但缺乏正式验证,需要进一步研究非侵入性方法.
科学领域:
- 运动医学 运动医学
- 整形外科 整形外科 整形外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 前臂的慢性运动位综合症 (CECS) 涉及活动期间前臂位压力增加.
- 由于缺乏确定的诊断标准,CECS的准确诊断受到阻碍.
研究的目的:
- 综合审查前臂CECS的诊断方法.
- 确定是否可以确定更有效的诊断策略.
主要方法:
- 在PubMed,谷歌学者,科克伦图书馆和科学直营的系统文献搜索.
- 包括前前研究和前臂CECS的案例报告,遵守PRISMA指南.
- 使用GRADE方法对包含的研究进行批判性评估.
主要成果:
- 包括33项涉及590名患者 (平均年龄26.6) 的研究;66%的人参加了摩托车/摩托车赛.
- 室内压力 (ICP) 测量是最常见的 (26项研究),其次是MRI (9项研究).
- 手握应力测试是最常见的方案 (14项研究),运动持续时间从2到60分钟不等.
结论:
- 目前的数据不支持用于前臂CECS诊断的ICP测量的替代方案.
- 由于缺乏正式验证,ICP测量需要谨慎使用.
- 非侵入性方法有希望,但需要进一步调查.
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