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急诊科常见的与运动相关的肌肉骨骼损伤。

Common sports-related musculoskeletal injuries presenting to the emergency department.

作者信息

Browne Gary J, Barnett Peter Lj

机构信息

Children's Hospital Institute of Sports Medicine, The Children's Hospital at Westmead, Sydney Children's Hospitals Network, Sydney, New South Wales.

Department of Paediatrics, MCRI, Royal Children's Hospital, Melbourne, Victoria, Australia.

出版信息

J Paediatr Child Health. 2016 Feb;52(2):231-6. doi: 10.1111/jpc.13101.

Abstract

Young athletes are specialising in sports at a younger age, placing the developing musculoskeletal system under considerable stress. Overuse injuries such as apophysitis are chronic in nature and account for a large proportion of musculoskeletal injuries suffered by young athletes; however, with an increased emphasis on success in sport, tendinopathy and fatigue fractures are now being reported with increasing frequency, in the adolescent population. Correct diagnosis and early protection, rest, ice, compression and elevation therapy is critical, along with supervised rehabilitation an expert in paediatric and adolescent sports medicine. Acute traumatic knee injury and ankle sprain account for most acute injuries. Although most are soft tissue in nature, radiography may be useful in specific situations before early initiation of protection, rest, ice, compression and elevation therapy. These injuries will also require follow-up by an expert in paediatric and adolescent sports medicine to confirm the diagnosis and instigate ongoing rehabilitation and/or orthopaedic referral. Many of these injuries are preventable and due consideration should be given to simple prevention strategies.

摘要

年轻运动员在更小的年龄就开始专门从事某项运动,这使得正在发育的肌肉骨骼系统承受相当大的压力。诸如骨突炎等过度使用造成的损伤本质上是慢性的,在年轻运动员遭受的肌肉骨骼损伤中占很大比例;然而,随着对运动成绩的重视程度不断提高,现在青少年人群中肌腱病和疲劳性骨折的报告频率也在增加。正确的诊断以及早期的保护、休息、冰敷、加压和抬高治疗至关重要,同时还需要在儿科和青少年运动医学专家的监督下进行康复治疗。急性创伤性膝关节损伤和踝关节扭伤占大多数急性损伤。虽然大多数损伤本质上是软组织损伤,但在早期开始保护、休息、冰敷、加压和抬高治疗之前,在特定情况下进行X线检查可能会有帮助。这些损伤还需要儿科和青少年运动医学专家进行随访,以确认诊断并启动持续的康复治疗和/或转介至骨科。其中许多损伤是可以预防的,应该充分考虑简单的预防策略。

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