风险因素,病变,诊断和治疗选择COVID相关的骨硬化:一个系统性审查
Sean B Sequeira1, Lynne P Jones2, Stuart B Goodman3
1Department of Orthopedic Surgery, Medstar Union Memorial Hospital, Baltimore, Maryland.
The Journal of arthroplasty
|June 9, 2025
概括
经COVID-19感染后的骨质死结是罕见的,但需要注意. 这篇评论详细介绍了其呈现,原因,诊断和治疗的骨科外科医生.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 病理生理学 病理生理学
背景情况:
- 与COVID-19相关的骨 necrosis是一种罕见但重要的临床实体.
- 关于患有这种疾病的患者特征的数据有限.
- 鉴于其在大流行期间的发病率,了解这种情况至关重要.
研究的目的:
- 系统地审查和描述COVID-19相关的骨髓缩.
- 确定临床表现和流行病学.
- 阐明病理生理学,诊断方式和治疗指南.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在三个数据库中搜索相关文献.
- 包括10篇关于临床方面,病理生理学,诊断和治疗的文章.
主要成果:
- 在COVID-19感染和骨硬化发作之间的可变时间.
- 症状包括关节疼痛和承重疼痛,类似于标准骨髓缩.
- 皮质类固醇使用被确定为关键风险因素.
- 用于诊断的放射和核磁共振成像.
- 治疗范围从保守管理到手术干预,如关节置换.
结论:
- 整形外科医生必须在查COVID-19相关骨髓缩时保持警.
- 了解临床表现,病理生理学,诊断和治疗对于患者管理至关重要.
- 对于有COVID-19病史的患者来说,适当的查和管理策略至关重要.
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