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儿童和青少年的肌肉骨骼问题:常见的儿童肌肉骨骼损伤。

Musculoskeletal Issues in Children and Adolescents: Common Childhood Musculoskeletal Injuries.

机构信息

National Capital Consortium Military Primary Care Sports Medicine Fellowship, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

USUHS University Family Health Center, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

出版信息

FP Essent. 2024 Sep;544:24-35.

Abstract

Active children and adolescents have unique risk factors for musculoskeletal injuries compared with adults. Physes and developing bones are at higher risk of injury than tendons and ligaments. Children's bone remodeling is robust, allowing most clavicle fractures and torus fractures of the forearm to be managed conservatively. Radial head subluxation is managed with reduction. Apophyseal injuries are traction or overuse injuries that typically can be managed nonoperatively. Osteochondritis dissecans and other osteochondroses require frequent monitoring and occasionally surgical intervention.

摘要

与成年人相比,活跃的儿童和青少年有独特的肌肉骨骼损伤风险因素。骺和发育中的骨骼比肌腱和韧带更容易受伤。儿童的骨重塑能力较强,大多数锁骨骨折和前臂舟状骨骨折都可以保守治疗。桡骨头半脱位需要复位。骺板损伤是牵引或过度使用损伤,通常可以非手术治疗。剥脱性骨软骨炎和其他骨软骨病需要经常监测,偶尔需要手术干预。

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