Mesh : Humans Wrist Injuries / therapy surgery diagnosis diagnostic imaging Athletic Injuries / therapy diagnosis surgery Hand Injuries / therapy surgery diagnosis Arthroscopy / methods Cartilage, Articular / injuries surgery Return to Sport Physical Examination

来  源:   DOI:10.1097/JSA.0000000000000400

Abstract:
Cartilage injuries of the hand and wrist can be debilitating in the athlete. Diagnosis is difficult given the broad spectrum of presenting symptomatology. History and physical examination is crucial to achieve the correct diagnosis, and advanced imaging can offer helpful assistance to the clinician as well. TFCC injuries and ulnar impaction syndrome are among the most common conditions in athletes with hand and wrist pain. Treatment of these injuries is initially nonoperative, but elite athletes may elect to bypass nonoperative treatment in favor of earlier return to sport. Surgical treatment varies but can include open and arthroscopic methods. The clinician should tailor treatment plans to each athlete based on level of competition, type of sport, and individual preferences and goals.
摘要:
手和手腕的软骨损伤可能会使运动员衰弱。鉴于存在广泛的症状学,诊断很困难。病史和体格检查对于实现正确诊断至关重要,先进的成像也可以为临床医生提供有益的帮助。TFCC损伤和尺骨嵌塞综合征是手和腕疼痛运动员中最常见的疾病。这些损伤的治疗最初是非手术的,但是精英运动员可能会选择绕过非手术治疗,以更早地恢复运动。手术治疗各不相同,但可以包括开放和关节镜方法。临床医生应根据比赛水平为每个运动员制定治疗计划,运动类型,个人偏好和目标。
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