运动员足部和踝关节注射
Foot and Ankle Injections in Athletes.
机构信息
Department of Orthopaedic Surgery, University of California-Irvine, Orange, California.
Department of Orthopaedics, Medical University of South Carolina, Charleston, South Carolina.
出版信息
Sports Health. 2022 May-Jun;14(3):311-316. doi: 10.1177/19417381211003619. Epub 2021 Mar 24.
CONTEXT
Injections are commonly used by health care practitioners to treat foot and ankle injuries in athletes despite ongoing questions regarding efficacy and safety.
EVIDENCE ACQUISITION
An extensive literature review was performed through MEDLINE, Google Scholar, and EBSCOhost from database inception to 2021. Keywords searched were , , , , , , and . Search results included articles written in the English language and encompassed reviews, case series, empirical studies, and basic science articles.
STUDY DESIGN
Clinical review.
LEVEL OF EVIDENCE
Level 4.
RESULTS
Corticosteroids, platelet-rich plasma/autologous blood, anesthetic, and placental tissue injections are commonly used in the treatment of foot and ankle injuries. Primary indications for injections in athletes include plantar fasciitis, Achilles tendinosis, isolated syndesmotic injury, and ankle impingement with varying clinical results.
CONCLUSIONS
Despite promising results from limited case series and comparative studies, the data for safety and efficacy of injections for foot and ankle injuries in athletes remain inconclusive.
背景
尽管关于疗效和安全性的问题仍在不断提出，但注射治疗在运动员的足部和踝关节损伤中仍被医疗保健从业者广泛使用。
证据获取
通过 MEDLINE、Google Scholar 和 EBSCOhost 从数据库建立到 2021 年进行了广泛的文献综述。搜索的关键词包括、、、、、和。搜索结果包括用英语撰写的文章，并涵盖了综述、病例系列、实证研究和基础科学文章。
研究设计
临床综述。
证据水平
4 级。
结果
皮质类固醇、富含血小板的血浆/自体血、麻醉和胎盘组织注射常用于治疗足部和踝关节损伤。运动员中注射的主要适应证包括足底筋膜炎、跟腱腱病、单纯的联合损伤和踝关节撞击征，其临床结果各不相同。
结论
尽管有限的病例系列和比较研究结果令人鼓舞，但运动员足部和踝关节损伤注射治疗的安全性和疗效数据仍不确定。
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