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年轻体操运动员桡骨远端骨骺的应力变化。21例报告及文献复习。

Stress changes of the distal radial epiphysis in young gymnasts. A report of twenty-one cases and a review of the literature.

作者信息

Roy S, Caine D, Singer K M

出版信息

Am J Sports Med. 1985 Sep-Oct;13(5):301-8. doi: 10.1177/036354658501300503.

DOI:10.1177/036354658501300503
PMID:4051086
Abstract

Between 1980 and 1983, 21 young, high-performance gymnasts with stress changes related to the distal radial epiphysis, were treated and followed for a mean of 24 months (range, 6 to 42 months). Eleven of the gymnasts presented with roentgenographic changes of the distal radial epiphysis, and in these recovery took at least 3 months. This group was compared to a group of ten gymnasts who had similar symptoms but no roentgenographic changes, and who recovered within an average of 4 weeks. The roentgenographic changes, which are described in detail, are considered to represent stress changes, possibly stress fractures, of the distal radial epiphysis. No residual growth-related problems have been observed. Possible etiologic factors are discussed, and the literature as it pertains to stress-related adaptation and injury in the growing athlete is reviewed.

摘要

1980年至1983年间,对21名患有与桡骨远端骨骺相关应力改变的年轻优秀体操运动员进行了治疗,并平均随访24个月(范围6至42个月)。其中11名体操运动员出现了桡骨远端骨骺的X线改变,这些运动员的恢复至少需要3个月。将该组与10名有类似症状但无X线改变且平均在4周内康复的体操运动员进行了比较。详细描述的X线改变被认为代表了桡骨远端骨骺的应力改变,可能是应力性骨折。未观察到与生长相关的残留问题。讨论了可能的病因,并回顾了与成长中运动员的应力相关适应和损伤有关的文献。

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