强直性脊柱炎与创伤：法医学意义。非特异性背痛患者的比较研究。
Ankylosing spondylitis and trauma: the medicolegal implications. A comparative study of patients with non-specific back pain.
作者信息
Jacoby R K, Newell R L, Hickling P
出版信息
Ann Rheum Dis. 1985 May;44(5):307-11. doi: 10.1136/ard.44.5.307.
Abstract
Ankylosing spondylitis (AS) arising as a result of injury was reported by five of 113 hospital patients who completed questionnaires on the historical and symptomatic features of their disease. Identical questionnaires were given to a group of 51 patients with non-specific back pain (NSBP) attending an orthopaedic clinic. Five of these patients developed their first symptoms after trauma. A further four patients with ankylosing spondylitis believed that their disease was initiated by injury, however, x-ray photographs showed that they had already developed AS at the time of their injuries. It is suggested that injury does not cause AS but brings it to the patient's attention, possibly through immobilisation, in 7% of hospital cases.
摘要
在113名填写了关于自身疾病病史和症状特征问卷的住院患者中，有5人报告称强直性脊柱炎（AS）是由损伤引起的。同样的问卷被发给了一组在骨科门诊就诊的51名非特异性背痛（NSBP）患者。其中5名患者在创伤后出现了最初症状。另外4名强直性脊柱炎患者认为他们的疾病是由损伤引发的，然而，X光照片显示他们在受伤时就已经患上了AS。研究表明，在7%的住院病例中，损伤不会引发AS，但可能通过制动使患者注意到该病。
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