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舞者的足部和踝关节骨折

Foot and ankle fractures in dancers.

作者信息

Goulart Megan, O'Malley Martin J, Hodgkins Christopher W, Charlton Timothy P

机构信息

Weill Medical College of Cornell University, 523 East 72nd Street, New York, NY 10021, USA.

出版信息

Clin Sports Med. 2008 Apr;27(2):295-304. doi: 10.1016/j.csm.2008.01.002.

Abstract

Fractures in the dance population are common. Radiography, CT, MRI, and bone scan should be used as necessary to arrive at the correct diagnosis after meticulous physical examination. Treatment should address the fracture itself and any surrounding problems such as nutritional/hormonal issues and training/performance techniques and regimens. Compliance issues in this population are a concern, so treatment strategies should be tailored accordingly. Stress fractures in particular can present difficulties to the treating physician and may require prolonged treatment periods. This article addresses stress fractures of the fibula, calcaneus, navicular, and second metatarsal; fractures of the fifth metatarsal, sesamoids, and phalanges; and dislocation of toes.

摘要

舞蹈人群中的骨折很常见。在进行细致的体格检查后,应根据需要使用X线摄影、CT、MRI和骨扫描以做出正确诊断。治疗应针对骨折本身以及任何周围问题,如营养/激素问题以及训练/表演技巧和方案。该人群的依从性问题值得关注,因此治疗策略应相应调整。特别是应力性骨折可能给治疗医生带来困难,可能需要较长的治疗时间。本文讨论腓骨、跟骨、舟骨和第二跖骨的应力性骨折;第五跖骨、籽骨和趾骨的骨折;以及脚趾脱位。

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