跗舟骨应力性骨折。
Tarsal navicular stress fractures.
作者信息
Shakked Rachel J, Walters Emily E, O'Malley Martin J
机构信息
Rothman Institute, 3300 Tillman Drive, 2nd Floor, Bensalem, PA, 19020-2071, USA.
University of Texas McGovern Medical School, Houston, TX, USA.
出版信息
Curr Rev Musculoskelet Med. 2017 Mar;10(1):122-130. doi: 10.1007/s12178-017-9392-9.
Abstract
PURPOSE OF REVIEW
Navicular stress fractures are common in athletes and management is debated. This article will review the evaluation and management of navicular stress fractures.
RECENT FINDINGS
Various operative and non-operative adjunctive treatment modalities are reviewed including the relevance of vitamin D levels, use of shock wave therapy and bone marrow aspirate concentrate (BMAC), and administration of teriparatide. Surgical treatment may be associated with earlier return to sports. The author's preferred treatment algorithm with corresponding images is presented which allows for safe and rapid return to activities in the athletic patient. Future research is needed in evaluating the preventative effects of vitamin D and use of other adjunctive treatments to increase the healing rates of this fracture.
摘要
综述目的
舟骨应力性骨折在运动员中很常见，其治疗方法存在争议。本文将综述舟骨应力性骨折的评估与治疗。
最新发现
回顾了各种手术和非手术辅助治疗方式，包括维生素D水平的相关性、冲击波疗法和骨髓抽吸浓缩物（BMAC）的应用以及特立帕肽的给药。手术治疗可能与更早恢复运动有关。文中展示了作者推荐的治疗方案及相应图像，有助于运动患者安全、快速恢复活动。未来需要开展研究评估维生素D的预防作用以及其他辅助治疗方法对提高该骨折愈合率的效果。
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J Clin Transl Endocrinol. 2016 May 30;5:7-14. doi: 10.1016/j.jcte.2016.05.004. eCollection 2016 Sep.
2
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3
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