Short J W, Pedowitz R A, Strong J A, Speer K P
Primary Care Sports Medicine Section, Duke University Medical Center, Durham, North Carolina, USA.
Sports Med. 1995 Dec;20(6):422-8. doi: 10.2165/00007256-199520060-00006.
The differential diagnosis of pelvic pain and possible injury in the female athlete is quite broad and must include gastrointestinal and genitourinary aetiologies, as well as musculoskeletal injuries. These considerations reflect the anatomical complexity of the female pelvis. The pelvic bones house the lower gastrointestinal and genitourinary viscera and transmit stress from the lower extremities to the upper body. The innervation of the pelvic structures also complicates evaluation and diagnosis when somatic and visceral afferent information affects the athlete's interpretation of pain. An algorithmic approach can facilitate evaluation and rehabilitation of pelvic injuries in the female athlete in the contest of previously described mechanisms of musculoskeletal injury.
女性运动员盆腔疼痛及可能损伤的鉴别诊断范围很广，必须包括胃肠道和泌尿生殖系统病因以及肌肉骨骼损伤。这些考量反映了女性骨盆的解剖复杂性。盆腔骨骼容纳下胃肠道和泌尿生殖内脏，并将下肢的应力传递到上半身。当躯体和内脏传入信息影响运动员对疼痛的解读时，盆腔结构的神经支配也会使评估和诊断变得复杂。在先前描述的肌肉骨骼损伤机制的背景下，采用一种算法式方法有助于对女性运动员的盆腔损伤进行评估和康复。
