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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >De Novo Cerebral Palsy Diagnosis in 9-Year-Old Soccer Player Presenting With Knee Pain
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De Novo Cerebral Palsy Diagnosis in 9-Year-Old Soccer Player Presenting With Knee Pain

机译：9岁足球运动员膝盖疼痛的De Novo脑瘫诊断

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摘要

A 9-year-old boy presented to our outpatient specialized sport and exercise medicine clinic complaining of a subacute onset of unilateral knee pain, after an increased level of soccer training. His knee examination was unremarkable. However, he demonstrated significant tenderness on palpation of his ipsilateral hip flexor and adductor tendons. Abnormalities in muscle tone and difficulty in relaxing and resisting the examiner properly were noted and lead to a complete neurological examination. It demonstrated multiple abnormalities such as increased tone and deep tendon reflexes, greater in lower than upper extremities, and abnormal patterning. A mild form of spastic diplegia was suspected and the patient was referred to a pediatric neurologist who confirmed our initial diagnosis. This case draws attention to the importance of maintaining a high level of suspicion for milder forms of diseases that can go unnoticed for years.
机译：一名9岁男孩到我们的门诊专门运动和运动医学诊所就诊，抱怨足球训练水平提高后，单侧膝关节疼痛亚急性发作。他的膝盖检查无异常。但是，他在触及同侧髋屈肌和内收肌腱时表现出明显的压痛。注意到肌肉张力异常以及难以放松和抵抗检查者的困难，并导致全面的神经系统检查。它表现出多种异常，例如音调增强和深层肌腱反射，下肢高于上肢，以及异常的构图。怀疑有轻度痉挛型截瘫，该患者被转诊至小儿神经科医生，该儿科医生确认了我们的初步诊断。此案提请注意保持高度怀疑的轻度疾病的重要性，这种疾病多年来可能不会引起注意。

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