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一篇关于格斗运动损伤的叙述性综述,特别关注颈椎损伤。

A Narrative Review of Combat Sports Injuries With a Particular Focus on Cervical Spine Injuries.

作者信息

Bakirtzis Dimitrios, Gkiafi Zoi, Sioutis Spyridon, Tolis Ioannis Panagiotis, Zikopoulos Alexandros, Lykoudis Panagis M, Kontogeorgakos Vasileios A, Mavrogenis Andreas, Koulalis Dimitrios

机构信息

Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, GRC.

Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, GRC.

出版信息

Cureus. 2024 Dec 2;16(12):e74980. doi: 10.7759/cureus.74980. eCollection 2024 Dec.

DOI:10.7759/cureus.74980
PMID:39744301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11692408/
Abstract

Combat sports encompass a wide range of disciplines, each associated with distinct injury patterns and mechanisms. From karate to wrestling, athletes face varying degrees of injury risks, with common clinical presentations including head injuries, strains, sprains, fractures, and concussions. These injuries often result from dynamic movements, physical contact, and high-impact collisions inherent to combat sports. Diagnostic approaches such as plain radiographs, computed tomography (CT), and magnetic resonance imaging (MRI) play vital roles in assessing injuries, guiding treatment decisions, and ensuring optimal outcomes for athletes. Despite advancements in imaging technology, challenges such as false-positive results underscore the importance of clinical re-evaluation to avoid unnecessary interventions and minimize the risk of long-term complications. Following injury diagnosis, the focus shifts to treatment, recovery, and prevention strategies aimed at enhancing athlete well-being and mitigating injury risks. Prompt and appropriate emergency care, including stabilization techniques and wound management, lays the groundwork for subsequent interventions. Recovery and rehabilitation processes are tailored to the specific needs of each athlete, addressing factors such as injury severity, demographics, and sport-specific demands. Quality of life considerations underscore the profound impact of severe sports injuries on physical health and psychological well-being, emphasizing the importance of holistic support and resources for athletes. Preventive measures, including rule modifications, equipment design enhancements, and concussion prevention initiatives, are vital for creating safer sporting environments and minimizing the incidence and severity of injuries. By addressing the complexities of injury management, recovery, and prevention in combat sports, stakeholders can promote athlete safety, well-being, and long-term participation in sports.

摘要

格斗运动涵盖了广泛的项目,每个项目都有其独特的损伤模式和机制。从空手道到摔跤,运动员面临不同程度的受伤风险,常见的临床表现包括头部损伤、拉伤、扭伤、骨折和脑震荡。这些损伤通常源于格斗运动中固有的动态动作、身体接触和高强度碰撞。X线平片、计算机断层扫描(CT)和磁共振成像(MRI)等诊断方法在评估损伤、指导治疗决策以及确保运动员获得最佳治疗效果方面发挥着至关重要的作用。尽管成像技术有所进步,但假阳性结果等挑战凸显了临床重新评估的重要性,以避免不必要的干预并将长期并发症的风险降至最低。在损伤诊断之后,重点转向治疗、康复和预防策略,旨在提高运动员的健康水平并降低受伤风险。及时且恰当的急救,包括稳定技术和伤口处理,为后续干预奠定基础。康复过程是根据每位运动员的具体需求量身定制的,要考虑损伤严重程度、人口统计学特征以及特定运动项目的要求等因素。生活质量方面的考量凸显了严重运动损伤对身体健康和心理健康的深远影响,强调了为运动员提供全面支持和资源的重要性。预防措施,包括规则修改、装备设计改进和脑震荡预防举措,对于创造更安全的运动环境以及将损伤的发生率和严重程度降至最低至关重要。通过应对格斗运动中损伤管理、康复和预防的复杂性,相关利益方可以促进运动员的安全、健康以及长期参与体育运动。

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