儿童骨压伤害的增加:在COVID-19大流行期间的一项单中心研究
Amy Behman1, Robert Browne1,2, Leo Donnan1,3,4
1Department of Orthopaedic Surgery, The Royal Children's Hospital, Melbourne, Victoria, Australia.
ANZ journal of surgery
|February 14, 2025
概括
由于COVID-19的封锁,由于身体活动减少,儿科骨压伤 (BSI) 显著增加. 这项研究确定了明显的骨损伤模式,以改善诊断和管理.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科医学 儿科医学
- 运动医学 运动医学
背景情况:
- 墨尔本经历了广泛的COVID-19封锁,导致家庭教育和组织体育的停止.
- 观察到儿科骨压力损伤 (BSI) 的增加,包括骨周炎和压力骨折.
- 这项研究旨在审查BSI流行情况,以深入了解其呈现,诊断和管理.
研究的目的:
- 为了调查COVID-19封锁期间儿科骨压伤的患病率.
- 为了识别BSI呈现和特征中的模式.
- 为儿科BSI的诊断和管理策略提供信息.
主要方法:
- 从2020年4月到2022年3月,对下肢长骨应力损伤的回顾性审查.
- 与2018年至2020年的数据进行比较.
- 对人口统计,骨折特征,调查和治疗的图表审查.
主要成果:
- 在封锁期间,有13名儿科患者符合纳入标准,而在封锁前期间只有4名.
- 平均年龄为11.6岁,平均症状持续时间为7周.
- 确定了三种不同的小腿骨损伤形态;诊断需要平均三次成像研究.
结论:
- 在COVID-19封锁期间,儿科BSI的显著增加发生了,这可能与身体活动减少有关.
- 鉴定三种骨形态可以帮助未来的诊断和减少不必要的调查.
- 调查结果可以在封锁期间为公共卫生策略提供信息,并为儿科BSI建立诊断框架.
更多相关视频
相关概念视频
Bone Disorders
3.4K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.4K
Fractures: Bone Repair
2.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.9K
Growth of Cartilage and Bone Tissue
3.0K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
3.0K
Changes in the Appendicular Skeleton with Age
1.8K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
1.8K
Osteoclasts in Bone Remodeling
2.8K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
2.8K


