Korsh Jeremy, Matijakovich Douglas, Gatt Charles
Pediatr Ann. 2017 Jan 1;46(1):e29-e32. doi: 10.3928/19382359-20161209-01.
Shin pain is a common complaint in adolescent athletes. The term "shin splints" has historically been applied to these patients. Shin splints, more often than not, refers to a stress reaction of the tibia from overuse. Overuse injuries occur when repetitive microtrauma to the bone exceeds the biologic healing potential. Diagnosis is based on typical history and physical examination findings. Plain radiographs and advanced imaging are rarely necessary but can provide valuable prognostic information. Treatment consists of adequate rest and exercise modification. Time to return to sport depends on injury location and severity. Stress fractures have long-term implications on bone health, so modifiable risk factors should be addressed. It is important for primary care physicians to understand the significance of these injuries. [Pediatr Ann. 2017;46(1):e29-e32.].
胫骨疼痛是青少年运动员常见的主诉。“胫骨夹板”一词历来适用于这些患者。胫骨夹板通常指胫骨因过度使用而产生的应力反应。当骨骼反复受到的微创伤超过其生物愈合潜能时，就会发生过度使用损伤。诊断基于典型的病史和体格检查结果。普通X线片和先进的影像学检查很少有必要，但可以提供有价值的预后信息。治疗包括充分休息和调整运动方式。恢复运动的时间取决于损伤的部位和严重程度。应力性骨折对骨骼健康有长期影响，因此应处理可改变的风险因素。初级保健医生了解这些损伤的重要性很重要。[《儿科年鉴》。2017年；46(1):e29 - e32。]
