Davis A W, Alexander I J
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Ohio.
Clin Sports Med. 1990 Jan;9(1):163-81.
Foot fractures can significantly compromise an athlete's career. Early recognition and treatment of occult fractures will reduce lay-off time and decrease the likelihood of prolonged impairment of performance. The appropriate treatment of radiographically obvious fractures will have a similar effect. The key to making an early diagnosis is the recognition of characteristic patterns on physical examination and the aggressive investigation of persistent foot pain in the athlete, whether it follows an injury or not. When a fracture is not apparent on routine radiographs, special diagnostic techniques, particularly technetium bone scanning, can effectively screen for bony injury. In the competitive athlete there is no reason to adopt a "wait-and-see" attitude. The approach in treating these injuries in athletes should be similarly definitive. If continued participation will delay healing or resolution of the symptoms, it should not be tolerated.
足部骨折会严重影响运动员的职业生涯。隐匿性骨折的早期识别与治疗将减少休赛时间，并降低长期运动能力受损的可能性。对X线片显示明显的骨折进行恰当治疗也会有类似效果。早期诊断的关键在于认识体格检查中的特征性表现，以及积极调查运动员持续存在的足部疼痛，无论该疼痛是否继发于损伤。当常规X线片未显示骨折时，特殊诊断技术，尤其是锝骨扫描，可有效筛查骨损伤。对于竞技运动员而言，没有理由采取“观望”态度。治疗运动员这些损伤的方法同样应明确。如果继续参赛会延迟损伤愈合或症状缓解，则不应允许。
