MBBS (Hons), MD (ANU), MSpExSc, MHEd, FRACGP, FACSEP, SFHEA, Professor of Musculoskeletal, Sport and Exercise Medicine, Faculty of Medicine, College of Health and Medicine, Australian National University, ACT; Visiting Medical Officer, Department of Rheumatology, The Canberra Hospital, ACT.
Aust J Gen Pract. 2023 Nov;52(11):767-770. doi: 10.31128/AJGP-03-23-6767.
Both serious athletes and patients attempting to maintain or improve their health through exercise are at risk of a number of conditions that are not frequently mentioned during medical training. Most of these are related to overuse.
The aim of this article is to improve general practitioners' knowledge of a specific group of exercise-related conditions that occur in the anterior aspect of the lower limb below the knee, commonly referred to as the shin region.
Many having been previously grouped under the relatively meaningless term 'shin splints', these conditions include, among others, bone stress reactions and fractures and chronic exertional compartment syndromes. Some resolve with rest and a gradual return to activity, whereas others are difficult to treat conservatively and might benefit from early referral.
无论是职业运动员还是试图通过运动保持或改善健康的患者,都面临着许多在医学培训中不常提及的疾病风险。其中大多数与过度使用有关。
本文的目的是提高全科医生对一组特定的下肢前侧、膝关节以下、通常称为胫骨区域与运动相关疾病的认识。
许多以前被归为相对无意义的术语“胫骨夹板”的疾病包括骨应力反应和骨折以及慢性运动性间隔综合征等。有些疾病通过休息和逐渐恢复活动可以得到缓解,而有些疾病则很难通过保守治疗来治疗,可能需要早期转介。