大西洋轴性骨关节炎:一个被忽视的疾病
1From the Department of Orthopedic Surgery, University of Montreal Health Center, Montreal, Quebec, Canada (Wang), the Department of Surgery, Montreal University, Montreal, Quebec, Canada (Wang), the Division of Orthopaedic Surgery, Dr. Georges-L-Dumont University Hospital Center, Moncton, New-Brunswick, Canada (Rizkallah), and University of Sherbrooke, Moncton, New-Brunswick, Canada (Rizkallah).
The Journal of the American Academy of Orthopaedic Surgeons
|December 5, 2024
概括
大西洋轴性关节炎 (AAOA) 导致部疼痛和有限的旋转,往往被误诊. 早期识别和保守的治疗,包括物理治疗和注射,有利于大多数老年人患有这种常见疾病的患者.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
背景情况:
- 大西洋轴性骨关节炎 (AAOA) 呈现为腰部疼痛和宫旋转受限制.
- 临床认可往往不充分,导致误诊和低于最佳的管理.
- 发病率随着年龄的增长而增加,在90多岁的个人中,高达18%的人受到影响.
研究的目的:
- 综合有关AAOA的当前数据.
- 为了提高对骨科社区内AAOA的诊断和管理的理解.
主要方法:
- 对有关大西洋轴性骨关节炎的现有文献的综述.
- 诊断成像技术的分析,包括开口口腔视图,MRI和CT扫描.
- 对保守和外科手术治疗策略的评估.
主要成果:
- 危险因素包括老年,女性性别和职业部压力.
- 疼痛源于C1-C2关节退化,可能通过大尾神经传递.
- 保守治疗 (理疗,药物,注射) 在多达三分之二的患者中产生改善.
结论:
- 开口口腔视图对于诊断AAOA至关重要,尽管MRI和CT扫描有助于确认.
- 最初的治疗应该是保守的,手术是为难以治疗的疼痛而保留的.
- 手术的成功取决于解剖学知识和先进的C1-C2融合技术.
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