精英运动员肩袖损伤的管理
Management of Rotator Cuff Injuries in the Elite Athlete.
作者信息
Weiss Leigh J, Wang Dean, Hendel Michael, Buzzerio Philip, Rodeo Scott A
机构信息
New York Football Giants, East Rutherford, NJ, USA.
Hospital for Special Surgery, New York, NY, USA.
出版信息
Curr Rev Musculoskelet Med. 2018 Mar;11(1):102-112. doi: 10.1007/s12178-018-9464-5.
Abstract
PURPOSE OF REVIEW
Rotator cuff injuries are a common cause of pain and dysfunction for the elite athlete and can result in time loss from participation. This review highlights the current management of these injuries.
RECENT FINDINGS
Conservative management of rotator cuff injuries continues to be the "gold standard" in the elite athlete. This includes a comprehensive rehabilitation program, anti-inflammatories, and corticosteroid injections. Newer treatment techniques such as intramuscular dry needling and the use of biologics such as platelet-rich plasma and stem cells demonstrate early promising results; however, these modalities require further investigation to determine their effectiveness. Rotator cuff injuries can range from contusions and tendinopathy to full-thickness tears. A comprehensive evaluation is needed to determine the extent of injury and appropriate plan of care. Management strategies can range from rehabilitation to operative intervention and are guided by the size of the tear, time of season, sport, performance limitations, and presence of concomitant pathology.
摘要
综述目的
肩袖损伤是精英运动员疼痛和功能障碍的常见原因，可能导致其无法参赛。本综述重点介绍这些损伤的当前治疗方法。
最新发现
肩袖损伤的保守治疗仍是精英运动员的“金标准”。这包括全面的康复计划、抗炎药和皮质类固醇注射。诸如肌内干针疗法以及使用富含血小板血浆和干细胞等生物制剂等较新的治疗技术显示出早期的良好效果；然而，这些方法需要进一步研究以确定其有效性。肩袖损伤范围从挫伤、肌腱病到全层撕裂。需要进行全面评估以确定损伤程度和适当的护理计划。治疗策略可从康复到手术干预，具体取决于撕裂大小、赛季时间、运动项目、表现限制以及是否存在合并病变。
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