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胫骨内侧应力综合征:一篇综述文章。

Medial Tibial Stress Syndrome: A Review Article.

作者信息

Deshmukh Nikita S, Phansopkar Pratik

机构信息

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Jul 7;14(7):e26641. doi: 10.7759/cureus.26641. eCollection 2022 Jul.

Abstract

Leg pain caused by recurrent stressors is known as shin pain, also known as the medial tibial stress syndrome (MTSS). Athletes, particularly runners, are more vulnerable. As a result, runners devote little time to practice and avoid exercises completely. The precise cause is yet to be identified. Microdamage caused by recurrent stressors has been proposed as the fundamental mechanism in other investigations. Gender, navicular bone loss, higher body mass index, activities of high intensity, and increased range in external hip rotation in males are all risk factors. A common complaint is a bilateral pain in the distal leg, primarily on the anterior and medial sides. Pain is exacerbated by activity and eased by relaxation. Particularly, pain and swelling in the posterior and medial aspects of the tibia, as well as other causative symptoms, may be discovered during the examination. To rule out alternate origins of the same symptoms, imaging modalities such as computed tomography, radiography, bone scintigraphy, and magnetic resonance imaging might be used. Preventative measures include shock-absorbing insoles, repetitive stress avoidance, and effective treatment of repetitive stress disorder and anatomical abnormalities. Rest, ice, and pain medications are the most common treatments.

摘要

由反复应激源引起的腿部疼痛被称为胫骨疼痛,也称为内侧胫骨应力综合征(MTSS)。运动员,尤其是跑步者,更容易受到影响。因此,跑步者很少花时间练习,甚至完全避免运动。确切原因尚待确定。在其他研究中,反复应激源造成的微损伤被认为是其根本机制。性别、舟状骨丢失、较高的体重指数、高强度活动以及男性髋关节外旋范围增加都是风险因素。常见症状是小腿远端双侧疼痛,主要集中在小腿前侧和内侧。活动会加重疼痛,休息则会缓解。特别是,在检查过程中可能会发现胫骨后侧和内侧的疼痛与肿胀以及其他相关症状。为排除相同症状的其他病因,可使用计算机断层扫描、X线摄影、骨闪烁显像和磁共振成像等影像学检查手段。预防措施包括使用减震鞋垫、避免反复应激以及有效治疗反复应激障碍和解剖学异常。休息、冰敷和止痛药物是最常见的治疗方法。

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