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Pregnancy, the Postpartum Period, and Menopause “怀孕、产后和更年期”
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.otsm.2023.151027
Jeremy J. Loescher , Emily L. Kellogg , Caitlin A. Nicholson

Our article focuses on the specific orthopaedic considerations that arise during 3 important phases in a female athlete's life: pregnancy, postpartum, and menopause. These life events bring about hormonal, physiological, and biomechanical changes that can significantly impact musculoskeletal health. Understanding and managing these considerations are crucial for healthcare providers, as they play a pivotal role in promoting optimal outcomes for women. This article explores the etiology, clinical presentation, and management strategies for the most common orthopaedic-related conditions, emphasizing the importance of a multifaceted approach. By providing a comprehensive overview of orthopaedic considerations during pregnancy, the postpartum period, and menopause, this article equips healthcare providers with the knowledge necessary to address the unique orthopaedic-related challenges faced by women at these stages of life.

我们的文章关注的是在女性运动员生命中的三个重要阶段:怀孕、产后和更年期中出现的具体骨科问题。这些生活事件带来荷尔蒙、生理和生物力学的变化,可以显著影响肌肉骨骼健康。了解和管理这些考虑因素对医疗保健提供者至关重要,因为它们在促进妇女获得最佳结果方面发挥着关键作用。本文探讨了最常见的骨科相关疾病的病因、临床表现和管理策略,强调了多方面治疗的重要性。通过提供怀孕、产后和绝经期间骨科考虑的全面概述,本章为医疗保健提供者提供必要的知识,以解决妇女在这些生命阶段面临的独特骨科相关挑战。
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引用次数: 0
Shoulder Injuries and Instability in the Female Athlete 女运动员肩部损伤和不稳定性
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.otsm.2023.151021
Miranda G. Manfre, Daniel J. Stokes, Lisa A. Malyak, Rachel M. Frank

Female participation in sports, particularly contact sports, increases on a yearly basis, and injuries have become more prevalent with this trend. Despite this, there is a lack of research surrounding interrelated sex-based differences. Societal influences, fewer regulations, varying perceptions, and anatomic and physiological components contribute to an increased susceptibility to injury and potentially worse outcomes compared to male athletes. This chapter highlights various sex-based considerations and describes the most common shoulder injuries in female athletes.

女性参与体育运动,特别是身体接触运动,每年都在增加,受伤也随之变得更加普遍。尽管如此,关于性别差异的相关研究仍然缺乏。与男性运动员相比,社会影响、较少的法规、不同的观念以及解剖和生理因素都增加了对损伤的易感性,并可能导致更糟糕的结果。本章强调了各种基于性别的考虑,并描述了女运动员最常见的肩部损伤。
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引用次数: 0
Pelvic Floor Dysfunction 盆底功能障碍
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.otsm.2023.151024
Alethea J. Appavu, Sol Abreu-Sosa, Sheila A. Dugan

The purpose of this chapter is to introduce pelvic floor dysfunction and treatment in female athletes. Pelvic floor dysfunction (PFD) is a composed of a variety of disorders that involve some level of impairment of the pelvic floor musculature. Pelvic floor dysfunction can affect both sports performance and quality of life in female athletes. PFD during elite performance years can increase the likelihood of PFD symptoms later in life as well. This chapter delves into the anatomy, exam, and potential treatments of PFD to be aware of. There is crucial importance in early recognition and multi-disciplinary treatment plan tailored to these specific dysfunctions and compensatory muscle behaviors, postural imbalances, and psychosocial manifestations. This chapter provides a comprehensive guide for healthcare professionals and athletes to foster a holistic approach to female athlete well-being.

本章的目的是介绍骨盆底功能障碍和治疗的女运动员。盆底功能障碍(PFD)是一种由多种疾病组成的疾病,涉及盆底肌肉组织的某种程度的损害。骨盆底功能障碍会影响女性运动员的运动表现和生活质量。在优秀表现时期的PFD也会增加以后生活中出现PFD症状的可能性。本章深入探讨了PFD的解剖、检查和潜在的治疗方法。针对这些特殊的功能障碍、代偿性肌肉行为、姿势失衡和社会心理表现,早期识别和多学科治疗方案至关重要。本章为医疗保健专业人员和运动员提供了一个全面的指南,以促进女性运动员健康的整体方法。
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引用次数: 0
Editorial Board (pick up from previous issue) 编辑委员会(接上一期)
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-09-01 DOI: 10.1053/S1060-1872(23)00072-2
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引用次数: 0
Table of Contents (pick up from previous issue w/updates) 目录(接上一期/更新内容)
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-09-01 DOI: 10.1053/S1060-1872(23)00071-0
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引用次数: 0
Ankle Injuries in Female Athletes 女运动员的踝关节损伤
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.otsm.2023.151023
Taylor Wingo , Arianna L. Gianakos , Mary K. Mulcahey

Female participation in sports has steadily increased over the past several decades, and so has the prevalence of injuries in the female athletic population. However, there has not been a concomitant increase in the literature discussing the specific injury patterns more common in this population. In particular, the incidence in ankle injuries is higher in female athletes compared to their male counterparts, specifically acute ligament, syndesmotic sprains, and chronic instability. This chapter aims to describe these ankle injuries with focus on the female athlete. We offer sex-specific treatment and rehabilitation strategies with the goal of providing improved care for the female athlete who sustains ankle injury.

在过去的几十年里,女性参与体育运动的人数稳步增加,因此,女性运动人群中受伤的发生率也在上升。然而,在讨论这一人群中更常见的特定损伤模式的文献中,并没有相应的增加。特别是,女性运动员踝关节损伤的发生率高于男性运动员,特别是急性韧带、韧带联合扭伤和慢性不稳定。本章旨在描述这些踝关节损伤,重点是女性运动员。我们提供针对性别的治疗和康复策略,目标是为踝关节受伤的女运动员提供更好的护理。
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引用次数: 0
Unstable Osteochondritis Dissecans (OCD) Lesion Fixation with Sutures or Bridge Fixation 不稳定型椎间盘炎(OCD)病变缝线或桥接固定
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-08-01 DOI: 10.1016/j.otsm.2023.151004
H. Ellis, Benjamin L. Johnson, Charles W. Wyatt, P. Wilson
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引用次数: 0
Table of Contents (pick up from previous issue w/updates) 目录(选自上一期的内容和更新)
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-06-01 DOI: 10.1053/S1060-1872(23)00038-2
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引用次数: 0
Editorial Board (pick up from previous issue) 编辑委员会(选自上一期)
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-06-01 DOI: 10.1053/S1060-1872(23)00039-4
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引用次数: 0
ACI & MACI for the Management of Osteochondritis Dissecans ACI和MACI治疗夹层性骨软骨炎
IF 0.3 4区 医学 Q4 Medicine Pub Date : 2023-06-01 DOI: 10.1016/j.otsm.2023.151008
Thomas Johnstone , Kevin Shea

Osteochondritis dissecans (OCD) is defined as a focal idiopathic alteration of subchondral bone and/or its precursor with risk for instability and disruption of adjacent articular cartilage that may result in premature osteoarthritis. A robust treatment for unstable and unsalvageable OCD lesions, as well as those failing other treatments, is autologous chondrocyte implantation (ACI). In ACI procedures, a sample of healthy chondrocytes are biopsied and expanded ex vivo for subsequent insertion into the OCD lesion. When a biological matrix is used for chondrocyte seeding and placement rather than a periosteal flap or collagen membrane, the procedure is termed matrix-associated autologous chondrocyte implantation (MACI). This chapter aims to define the algorithm for the use of ACI and MACI in the treatment of OCD, to review available products used in ACI and MACI procedures, to discuss relevant operative techniques to implement these technologies, and to describe the reports of these methods to bolster the orthopedic surgeon's armamentarium in the fight against OCD lesions.

夹层性骨软骨炎(OCD)被定义为软骨下骨和/或其前体的局灶性特发性改变,具有相邻关节软骨不稳定和破坏的风险,可能导致过早的骨关节炎。自体软骨细胞植入(ACI)是一种治疗不稳定和不可挽回的强迫症病变以及其他治疗失败的有效方法。在ACI过程中,健康软骨细胞样本被活检,并在体外扩增,随后插入强迫症病变。当使用生物基质而不是骨膜瓣或胶原膜进行软骨细胞播种和放置时,该过程称为基质相关自体软骨细胞植入(MACI)。本章旨在定义ACI和MACI在强迫症治疗中使用的算法,回顾ACI和MACI手术中使用的现有产品,讨论实施这些技术的相关手术技术,并描述这些方法的报告,以加强骨科医生在对抗强迫症病变方面的装备。
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引用次数: 0
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Operative Techniques in Sports Medicine
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