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青少年运动员骺环骨折保守治疗后腘绳肌持续紧张:批判性评估

Persistent tight hamstrings following conservative treatment for apophyseal ring fracture in adolescent athletes: critical appraisal.

作者信息

Miyagi Ryo, Sairyo Koichi, Sakai Toshinori, Tezuka Fumitake, Kitagawa Yasuhiro, Dezawa Akira

机构信息

Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School.

出版信息

J Med Invest. 2014;61(3-4):446-51. doi: 10.2152/jmi.61.446.

Abstract

Apophyseal ring fracture is a unique disease in children and adolescents. Its clinical features include low back pain, sciatica, paravertebral muscle spasm and tenderness, restricted back motion, neurological symptoms, and tight hamstrings. For all athletes, body flexibility is one of the most important factors for better performance. Therefore, persistent tight hamstrings has a negative influence on athletic performance. In this report, we present two adolescent athletes with apophyseal ring fracture treated successfully by conservative treatment for severe low back pain (LBP) and leg pain, despite having persistent tight hamstrings for more than one year. Unlike herniated nucleus pulposus, bony fragments in the spinal canal never disappear. Although conservative treatment can alleviate LBP and leg pain, surgical removal of fragments is considered when symptoms such as tight hamstrings and restricted lumbar motion due to canal stenosis are found, particularly in athletes.

摘要

椎弓根环骨折是儿童和青少年特有的一种疾病。其临床特征包括腰痛、坐骨神经痛、椎旁肌肉痉挛和压痛、背部活动受限、神经症状以及腘绳肌紧张。对于所有运动员来说,身体柔韧性是取得更好成绩的最重要因素之一。因此,持续的腘绳肌紧张会对运动成绩产生负面影响。在本报告中,我们介绍了两名青少年运动员,他们患有椎弓根环骨折,尽管腘绳肌持续紧张超过一年,但通过保守治疗成功缓解了严重的腰痛(LBP)和腿痛。与髓核突出不同,椎管内的骨碎片不会消失。虽然保守治疗可以缓解腰痛和腿痛,但当发现因椎管狭窄导致腘绳肌紧张和腰椎活动受限等症状时,尤其是在运动员中,考虑手术取出碎片。

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