运动员里斯弗朗克伤害的诊断评估和非手术管理
Scott D Semelsberger1, Vanessa J Boggiano2,3, Kassidy Webber4
1Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA.
概括
精英运动员的Lisfranc伤害具有挑战性,但新的指导方针提供了明确的诊断和非手术治疗途径. 稳定,不移位的带损伤可以在非手术情况下进行管理,这有助于安全地恢复运动.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 利斯弗朗克伤害带来了重大的诊断和治疗挑战,特别是对于精英运动员来说.
- 国际脚运动共识 (IFASC) 旨在应对这些挑战.
研究的目的:
- 建立基于证据的指导方针,用于识别,分类和非手术管理高性能运动员的Lisfranc伤害.
- 为诊断和治疗提供一个标准化的框架.
主要方法:
- 一个经过修改的Delphi过程,涉及32名国际骨科足外科医生.
- 为了达成共识,进行了四轮代调查.
- 一个同时系统的临床研究的临床研究对运动Lisfranc伤害的综述.
主要成果:
- 在诊断标准上达成共识,包括伤害机制,体检结果和成像.
- 稳定,不移位的损伤与MRI上完好无损的带可能会被非手术治疗.
- 带损伤显示,与骨损伤 (4.5个月) 相比,在2.8个月内体育恢复率 (96.8%) 较高.
结论:
- 精英运动员的Lisfranc伤害需要仔细的诊断和管理,因为回归游戏的需求.
- 指导方针强调基于机制的怀疑,体检和成像.
- 非手术治疗适用于稳定,不移位的带损伤,大多数运动员在6-10周内恢复运动.
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