Arendt Elizabeth, Agel Julie, Heikes Christie, Griffiths Harry
Department of Orthopedics, University of Minnesota, Minneapolis, Minnesota 55455, USA.
Am J Sports Med. 2003 Nov-Dec;31(6):959-68. doi: 10.1177/03635465030310063601.
No comprehensive studies have been published on stress injuries to bone in college athletes.
To review, in a college athlete population, the epidemiologic aspects of stress injuries to bone, and to examine a subset of patients who were treated with a uniform protocol for return to activities, with magnetic resonance imaging as the primary tool for diagnosis.
Retrospective review.
Ten years of medical records from a Division I college institution were reviewed. Location and grade of stress injury to bone and duration of disability were recorded. All injured athletes followed the same treatment program, with the exception of football players, who were excluded from the return to sport analyses.
Seventy-four athletes had lower extremity symptoms consistent with stress injury to bone. Diagnosis was confirmed in 68 of these athletes, 61 via magnetic resonance imaging, 6 via positive radiographs only, and 1 via bone scan only. Distance runners accounted for the most stress injuries to bone for both men and women. The tibia (37%) was the most frequently involved bone; however, as an anatomic region, the foot (44%) was the site of the most stress injuries. There was a significant correlation between grade of injury and time to full return to activity.
The grading system used at this institution is a standardized tool that can be used to predict time to return to sport. A standardized rehabilitation protocol allowed for an appropriate plan to return the athletes to pain-free competition.
尚未发表关于大学生运动员骨骼应力性损伤的全面研究。
在大学生运动员群体中，回顾骨骼应力性损伤的流行病学特征，并检查一组采用统一方案治疗以恢复活动的患者，以磁共振成像作为主要诊断工具。
回顾性研究。
回顾了一所一级大学机构十年的医疗记录。记录骨骼应力性损伤的部位、分级以及残疾持续时间。除足球运动员被排除在恢复运动分析之外，所有受伤运动员均遵循相同的治疗方案。
74名运动员出现与骨骼应力性损伤相符的下肢症状。其中68名运动员确诊，61名通过磁共振成像确诊，6名仅通过X线片阳性确诊，1名仅通过骨扫描确诊。无论男女，长跑运动员的骨骼应力性损伤最多。胫骨（37%）是最常受累的骨骼；然而，作为一个解剖区域，足部（44%）是应力性损伤最多的部位。损伤分级与完全恢复活动的时间之间存在显著相关性。
该机构使用的分级系统是一种标准化工具，可用于预测恢复运动的时间。标准化的康复方案为运动员恢复到无痛比赛提供了适当的计划。
