非局部肌肉骨骼疼痛鉴别诊断临床指南——肌肉骨骼医学入门。

Elisha Krasin, Yaniv Warschawski, Amal Khoury
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引用次数: 0

摘要

骨科医生可能会遇到患者的肌肉骨骼疾病,不局限于特定的关节或解剖区域。可能引起骨骼、肌肉、筋膜和关节(包括肌腱、韧带和滑囊等周围组织)全身性疼痛的诊断清单是巨大的;以流感或纤维肌痛开始,以真菌病和极其罕见的身体疾病结束。需要一种系统的多学科方法。许多此类患者需要转介到风湿病科、内分泌科或其他专科,但至少需要对鉴别诊断有基本的了解。本综述的目的是全面检查各种广泛性肌肉骨骼疼痛的临床表现,并建立一个精神框架,以帮助诊断医生以有序和有效的方式实现正确的诊断。
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The Clinician's Guide to Differential Diagnosis of Non-Localized Musculoskeletal Pain A Primer on Musculoskeletal Medicine.

Orthopedic surgeons may encounter patients with musculo- skeletal complaints that are not localized to a specific joint or anatomical area. The list of diagnoses that may cause generalized pain originating from bones, muscles, fasciae, and joints, including surrounding tissues like tendons, ligaments, and bursae, is vast; starting with influenza or fibromyalgia and ending with mycetism and ultra-rare he- reditary disorders. A systematic multidisciplinary approach is required. Many of these patients require referral to rheu- matology, endocrinology, or other specialties but at least a basic understanding of differential diagnosis is needed. The purpose of this review is to comprehensively examine the clinical presentation of various causes of generalized musculoskeletal pain and create a mental framework to aid the diagnostician in achieving the correct diagnosis in an orderly and efficient manner.

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