Clickonthefollowingpagestolearnmoreaboutsomeofthehigh-riskstressinjuriesyoumightseeinfootballplayers.Theseinjuriesgenerallyrequiremorecarefulmanagement.Inmanycases,specificradiologicalstudiesortreatmentprotocolsarerequired.
單擊以下頁面,以了解有關您可能在足球運動員中看到的一些高風險壓力傷害的更多信息。這些傷害通常需要更仔細的處理。在許多情況下,需要進行特定的放射學研究或治療方案。
High-riskstressfractures
Anavicularstressfractureisagoodexampleofahigh-riskinjury.Targetedimagingstudiesandtreatmentareadvised.
高危應力性骨折
舟狀骨應力性骨折是高危傷害的一個很好的例子。建議進行有針對性的影像學研究和治療。
Navicular
Stressfracturesofthetarsal(1)naviculararenotoriouslydifficulttodiagnoseandtreat.Themiddlethirdofthenavicularhastheleastrobustbloodsupply.Asaresult,thisistheregionwheremostnavicularstressfracturesoccur.
舟狀骨
眾所周知,跗骨的應力性骨折很難診斷和治療。舟狀骨中三分之一處的血液供應最少。結果,這是大多數舟狀骨應力性骨折發生的區域。
注:
1:Tarsal跗骨
History
Athletespresentwithagradualonsetofactivity-relateddorsalmid-footpain.Thepaincanbeverydiffuseanddifficulttolocalise.Asaresult,thediagnosisisoftendelayed.
病史
運動員逐漸出現與活動有關的脚背疼痛。疼痛可能非常分散,難以定位。結果,診斷常常被延遲。
Examination
Keyfindingsareoftendernessoverthenavicular,especiallyatthe“N-spot”(dorsalaspectofnavicularbetweenthetibiasanteriorandextensorhallucislongustendon).Riskfactorswhichcanbeidentifiedonexaminationincludedecreasedankledorsiflexion,foothyperpronationandtarsalcoalition.14
檢查
關鍵發現是在整個舟狀骨上有壓痛,尤其是在“N點”處(脛骨前部和拇長伸肌腱之間的脚背處)。可以檢查出的危險因素包括踝背屈下降,足內旋過度和跗骨聯合症狀。14
Investigations
X-raysaregenerallynormalinthiscondition.BonescansandMRIsaresensitiveinthediagnosisofnavicularbonestress.OurpracticeistomaketheinitialdiagnosiswithMRIandtothen