Peri-epiphyseal and Overuse Injuries in Adolescent Athletes
Peri-epiphyseal and Overuse Injuries in Adolescent Athletes
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DOI：
10.1177/1941738109334214
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发表时间：
2009-05-01
影响因子：
3.3
通讯作者：
Lindenfeld, Thomas N.
中科院分区：
文献类型：
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作者：
Frush, Todd J.;Lindenfeld, Thomas N.
背景：在医学实践中，不成熟运动员肌肉骨骼系统的过度使用损伤是很常见的。证据获取：对2008年发表的青少年骨骺和过度使用损伤的临床、结果和生物力学研究进行了分析，以提高认识并提供治疗建议。结果：青少年运动员可承受身体和骨骼应力性损伤。如果早期诊断出这种损伤并将其固定直到患者无痛，则恢复和恢复比赛的速度会更快，对于骺端和骺端过度使用损伤，通常需要4周。某些骨骺损伤，包括涉及手、肘部和足部骨骼的损伤，其症状延长，治疗延迟。如果这些损伤被忽略，可能会出现长时间的愈合和运动追求的重大限制。结论：这些损伤在所有负重运动中都很常见，因此被广泛认可。有些在体操中很常见，但在其他运动员中很少见到。早期识别和治疗这些疾病可以更快地恢复，因此可以防止赛季结束，甚至职业生涯结束的事件发生。
Context: Overuse injuries of the musculoskeletal system in immature athletes are commonly seen in medical practice.Evidence Acquisition: An analysis of published clinical, outcome, and biomechanical studies of adolescent epiphyseal and overuse injuries was performed through 2008 to increase recognition and provide treatment recommendations.Results: Adolescent athletes can sustain physeal and bony stress injuries. Recovery and return to play occur more swiftly if such injuries are diagnosed early and immobilized until the patient is pain-free, typically about 4 weeks for apophyseal and epiphyseal overuse injuries. Certain epiphyseal injuries have prolonged symptoms with delayed treatment, including those involving the bones in the hand, elbow, and foot. If such injuries are missed, prolonged healing and significant restrictions in athletic pursuits may occur.Conclusion: Some of these injuries are common to all weightbearing sports and are therefore widely recognized. Several are common in gymnastics but are rarely seen in other athletes. Early recognition and treatment of these conditions lead to quicker recovery and so may prevent season-ending, even career-ending, events from occurring.