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在部脊椎受伤后重返比赛

Gregory S Kazarian¹, Sheeraz Qureshi

¹Department of Spine Surgery, Hospital for Special Surgery, New York City, NY.

Clinical spine surgery

|October 7, 2024

概括

在宫脊椎受伤后重返比赛需要运动员没有症状,全部可移动. 临床医生必须使用判断力,因为各种类型的伤害和关于回归游戏 (RTP) 准则的有限共识.

科学领域:

运动医学运动医学
整形外科手术整形外科手术
神经学神经学

背景情况:

对于精英运动员来说,在创伤性椎脊椎损伤后重返比赛 (RTP) 非常重要.
将早期RTP激励与患者安全相平衡,需要充分的临床理解.
椎损伤在体育医学中带来了独特的挑战.

研究的目的:

审查接触体育运动中常见的椎脊柱损伤.
总结当前关于椎损伤后RTP的指导方针.
为了突出RTP临床决策的变化.

主要方法:

关于与运动相关的椎脊椎损伤的文献综述.
对现有的RTP指南和建议进行分析.
讨论影响RTP决策的因素.

主要成果:

在接触运动中发现了常见的椎脊柱损伤.
一般的RTP标准包括无症状,神经系统完好,并具有完整的运动范围.
诸如伤害严重程度,病史和持续症状等因素会显著改变RTP建议.

结论:

尽管有可用的指导方针,但医生之间对于椎损伤后的RTP缺乏共识.
临床判断对于做出保守的决定和确保运动员安全至关重要.
个体化评估对于安全返回游戏协议至关重要.

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