在一名向手术师介绍的青少年女性中识别青少年结性脊柱炎
Robert J Trager1,2, Kelsey L Lewis1, Cliff Tao3
1Chiropractic, Connor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, USA.
Cureus
|February 2, 2026
概括
青少年结性脊柱炎 (JAS) 可以导致青少年的慢性背痛. 治疗师的早期识别和适当的成像对于及时诊断和治疗这种具有挑战性的疾病至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 儿科 儿科 儿科
- 整形外科的治疗方法
背景情况:
- 青少年结性脊柱炎 (JAS) 是轴性脊柱关节炎 (axSpA) 的一个子集,是青少年慢性背痛的罕见原因.
- 青少年 axSpA 诊断由于非特异性症状和正常的初始成像提出了挑战.
研究的目的:
- 突出JAS在青少年中的诊断挑战.
- 强调手术医生在早期识别和axSpA.转诊方面的作用.
主要方法:
- 一个15岁的女性的病例报告,有三年的慢性疼痛病史.
- 最初的腰部MRI是正常的;手术评估促使骨盆MRI.
- 盆腔MRI揭示了神经关节病变,导致转诊.
主要成果:
- 这名患者被诊断患有青少年结性脊柱炎.
- 治疗以安坦塞普特导致临床改善.
- 整形外科的评估对于怀疑和诊断炎症性神经炎至关重要.
结论:
- 整形外科医生可以作为关键的门户临床医生,用于识别青少年中潜在的axSpA病例.
- 及时识别JAS标志,适当的成像和迅速的转诊对于有效的管理至关重要.
- 这一案例强调了在青少年慢性背痛中考虑炎症状况的重要性.
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