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脊髓溶解:病因学,诊断和管理的叙述性审查
Vanessa Madden1, Adam Ayoub2, Jonathan Thomas1
1Thomas Sports and Regenerative Orthopedics (TSARO), Battle Creek, MI 49014, USA.
脊椎解剖,年轻运动员的压力骨折,经常错过. 早期诊断和像物理疗法这样的保守治疗是关键,尽管支架的有效性需要更多的研究. 未来的研究应该探索新的诊断和治疗方法.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 放射学 放射学是指放射学
背景情况:
- 脊椎解剖涉及帕斯关节间压力骨折,在青少年运动员中由于重复的脊柱负荷而普遍存在.
- 诊断不足是常见的,特别是非骨科专家,延迟了关键护理.
研究的目的:
- 审查当前有关脊髓解剖病因,诊断和治疗儿科和青少年群体的知识.
- 为了确定未来对运动脊柱损伤的研究研究的研究缺口.
主要方法:
- 我们对PubMed进行了系统的文献搜索,重点是青少年脊髓溶解和相关疾病.
- 研究根据年龄 (≤18岁),语言和出版日期进行过,并补充了基础研究,共计50篇论文.
主要成果:
- 脊椎解剖主要影响L5脊椎,男性运动员的发病率更高.
- 保守的治疗方法 (理疗,支架) 显示出有效性,特别是在早期启动时;支架的有效性受到争议.
- CT和MRI是标准的诊断,超声波作为一个有希望的非电离替代品.
结论:
- 早期诊断和干预至关重要,以防止脊髓质疏松症的进展.
- 需要进一步研究支架,药理疗法,长期结果和成本有效的诊断.
- 多学科的方法是最优的管理与脊髓解剖的年轻运动员必不可少的.
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