Shaffer B, Bradley J P, Bogumill G P
Department of Orthopaedics, Georgetown University, Washington, DC, USA.
Clin Sports Med. 1996 Apr;15(2):425-38.
Early in their medical training physicians often are told, "When you hear hoofbeats, don't think of zebras." Such sage advice is helpful when facing the formidable challenges of information acquisition early on. Later, however, we must be familiar and consider these uncommon conditions when entrusted with the responsibility of properly caring for our patient athletes. This is particularly true in the athlete presenting with symptoms or findings disproportionate to his or her injury, or when symptoms persist despite seemingly appropriate treatment. A high index of suspicion and attention to radiographs and further appropriate work-ups result in detection of most occult unexpected lesions.
在医学培训初期，医生们常常被告知：“当你听到马蹄声时，别想到斑马。”在早期面对信息获取这一艰巨挑战时，这样明智的建议很有帮助。然而，后来当我们肩负起妥善照顾患者运动员的责任时，就必须熟悉并考虑这些不常见的病症。对于那些出现的症状或检查结果与其损伤程度不相称的运动员，或者那些尽管接受了看似恰当的治疗但症状仍持续的情况，尤其如此。高度的怀疑指数以及对X光片和进一步适当检查的关注，能使大多数隐匿的意外损伤得以发现。
