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儿科和青少年患者的运动损伤:一个日益严重的问题。

Sport injuries in the paediatric and adolescent patient: a growing problem.

作者信息

Kerssemakers Steven P, Fotiadou Anastasia N, de Jonge Milko C, Karantanas Apostolos H, Maas Mario

机构信息

Department of Radiology, Medical Center Alkmaar, Alkmaar, The Netherlands.

出版信息

Pediatr Radiol. 2009 May;39(5):471-84. doi: 10.1007/s00247-009-1191-z. Epub 2009 Mar 11.

Abstract

With an increasing number of paediatric and adolescent athletes presenting with injuries due to overuse, a greater demand is put on clinicians and radiologists to assess the specific type of injury. Repetitive forces applied to the immature skeleton cause a different type of injury than those seen in adults due to the differences in vulnerability of the musculoskeletal system, especially at the site of the growth cartilage. Intrinsic and extrinsic risk factors all play a role in the development of overuse injuries. MRI plays a key role in imaging overuse injuries due to its high potential for depicting cartilaginous and soft-tissue structures. Sport-specific biomechanics are described, since this knowledge is essential for adequate MRI assessment. An overview of several sport-related injuries is presented, based on anatomical location.

摘要

随着越来越多的儿童和青少年运动员因过度使用而受伤,临床医生和放射科医生评估特定损伤类型的需求也越来越大。由于肌肉骨骼系统的脆弱性不同,尤其是在生长软骨部位,施加于未成熟骨骼的重复力会导致与成人不同类型的损伤。内在和外在风险因素在过度使用损伤的发生中都起作用。MRI在过度使用损伤的成像中起着关键作用,因为它在描绘软骨和软组织结构方面具有很高的潜力。文中描述了特定运动的生物力学,因为这些知识对于进行充分的MRI评估至关重要。基于解剖位置,对几种与运动相关的损伤进行了概述。

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