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临床检查、诊断成像和运动员腹股沟疼痛的测试:一种有效的管理方法的循证方法。

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management.

出版信息

J Orthop Sports Phys Ther. 2018 Apr;48(4):239-249. doi: 10.2519/jospt.2018.7850. Epub 2018 Mar 6.

DOI:10.2519/jospt.2018.7850
PMID:29510653
Abstract

Synopsis Groin pain is common in athletes who participate in multidirectional sports and has traditionally been considered a difficult problem to understand, diagnose, and manage. This may be due to sparse historical focus on this complex region in sports medicine. Until recently, there has been little agreement regarding terminology, definitions, and classification of groin pain in athletes. This has made clear communication between clinicians difficult, and the results of research difficult to interpret and implement into practice. However, during the past decade, the field has evolved rapidly, and an evidence-based understanding is now emerging. This clinical commentary discusses the clinical examination (subjective history, screening, physical examination); imaging; testing of impairments, function, and performance; and management of athletes with groin pain in an evidence-based framework. J Orthop Sports Phys Ther 2018;48(4):239-249. Epub 6 Mar 2018. doi:10.2519/jospt.2018.7850.

摘要

概要 腹股沟疼痛在参与多向运动的运动员中很常见,传统上被认为是一个难以理解、诊断和管理的问题。这可能是由于体育医学领域对这个复杂区域的历史关注较少。直到最近,对于运动员的腹股沟疼痛的术语、定义和分类还没有达成共识。这使得临床医生之间的沟通变得困难,研究结果也难以解释和应用于实践。然而,在过去的十年中,该领域发展迅速,目前已经出现了基于证据的理解。本临床述评从循证框架出发,讨论了腹股沟疼痛运动员的临床检查(主观病史、筛查、体格检查)、影像学、功能和表现测试以及管理。J Orthop Sports Phys Ther 2018;48(4):239-249. Epub 6 Mar 2018. doi:10.2519/jospt.2018.7850.

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