女性运动员应力性骨折的最新研究进展：流行病学、治疗和预防。
Update on stress fractures in female athletes: epidemiology, treatment, and prevention.
机构信息
Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Stanford University, 450 Broadway Street, Pavilion A, 2nd Floor MC 6120, Redwood City, CA, 94063, USA.
出版信息
Curr Rev Musculoskelet Med. 2013 Jun;6(2):173-81. doi: 10.1007/s12178-013-9167-x.
Abstract
Stress fractures are a common type of overuse injury in athletes. Females have unique risk factors such as the female athlete triad that contribute to stress fracture injuries. We review the current literature on risk factors for stress fractures, including the role of sports participation and nutrition factors. Discussion of the management of stress fractures is focused on radiographic criteria and anatomic location and how these contribute to return to play guidelines. We outline the current recommendations for evaluating and treatment of female athlete triad. Technologies that may aid in recovery from a stress fracture including use of anti-gravity treadmills are discussed. Prevention strategies may include early screening of female athlete triad, promoting early participation in activities that improve bone health, nutritional strategies, gait modification, and orthotics.
摘要
应力性骨折是运动员中常见的一种过度使用损伤。女性有一些独特的危险因素，如女性运动员三联征，这些因素会导致应力性骨折损伤。我们回顾了关于应力性骨折危险因素的现有文献，包括运动参与和营养因素的作用。对应力性骨折的管理讨论侧重于影像学标准和解剖位置，以及这些因素如何有助于重返比赛的准则。我们概述了目前评估和治疗女性运动员三联征的建议。还讨论了可能有助于从应力性骨折中恢复的技术，包括使用反重力跑步机。预防策略可能包括早期筛查女性运动员三联征，促进早期参与有助于骨骼健康的活动、营养策略、步态修正和矫形器。
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