照顾跨性别运动员时的运动医学考量
Sports Medicine Considerations When Caring for the Transgender Athlete.
作者信息
McGovern Madeline M, Lowenstein Natalie A, Matzkin Elizabeth G
机构信息
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
出版信息
Arthrosc Sports Med Rehabil. 2023 May 24;5(4):100736. doi: 10.1016/j.asmr.2023.04.019. eCollection 2023 Aug.
Abstract
Orthopaedic surgeons and other orthopaedic care providers have expressed a desire to care for transgender patients but have a self-perceived knowledge deficit. Transgender athletes experience many psychosocial barriers to sport that are useful for clinicians to understand. Medical and surgical gender-affirming care can impact musculoskeletal physiology and pathophysiology. Transgender women (TW) have demonstrated an increased risk of insufficiency fractures and thromboembolism in patients receiving exogenous estrogen therapy. The impact of gender-affirming care on sex-based differences in athletic injuries is less well studied.
摘要
骨科医生和其他骨科护理人员表示希望为跨性别患者提供护理，但他们自认为存在知识欠缺。跨性别运动员在参与体育运动时面临许多心理社会障碍，临床医生了解这些障碍很有帮助。医学和外科性别确认护理会影响肌肉骨骼的生理和病理生理。跨性别女性（TW）在接受外源性雌激素治疗的患者中，出现骨质疏松性骨折和血栓栓塞的风险增加。性别确认护理对运动损伤中基于性别的差异的影响研究较少。
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