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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >The incidence of idiopathic musculoskeletal pain in children with upper extremity injuries
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The incidence of idiopathic musculoskeletal pain in children with upper extremity injuries

机译：上肢损伤患儿特发性肌肉骨骼疼痛的发生率

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Introduction Children with upper extremity injuries may report persistent pain beyond the period of acute injury. In the published literature, it is unclear whether these children develop idiopathic musculoskeletal pain (IMP) such as complex regional pain syndrome (CRPS). The purpose of this study was to determine the incidence rate of IMP after upper extremity injury in school-aged children over a 5-year period and to describe the characteristics of these children. Methods A retrospective case series was conducted of all children aged 8-18 years with an upper extremity injury who attended the outpatient hand clinic in a tertiary care pediatric hospital. Results A reported incidence rate of IMP was 1.9% over a 5-year period in the 879 children reviewed. Girls were more likely to have IMP. The categorical distribution of the type, etiology and anatomical location of injury was proportionately different for those with IMP compared to those without documentation of IMP. In comparison, a higher percentage of children with IMP reported disproportionate pain and hypersensitivity or neuropathic pain symptoms compared to the children who had pain from a known etiology. Conclusion The incidence rate of IMP after upper extremity injury in school-aged children is low. Some common characteristics of this population that may help clinicians identify these children and make timely referrals for treatment include female gender, disproportionate pain, previously seen by multiple specialists, generalized injury in the hand, unspecific etiology or type of injury and unremarkable x-rays.
机译：简介上肢受伤的儿童可能会在急性受伤后报告持续性疼痛。在已发表的文献中，尚不清楚这些儿童是否患有特发性肌肉骨骼疼痛（IMP），例如复杂的局部疼痛综合征（CRPS）。这项研究的目的是确定5岁以上学龄儿童上肢损伤后IMP的发生率，并描述这些儿童的特征。方法回顾性分析所有在三级儿科医院门诊就诊的上肢损伤的8-18岁儿童的情况。结果所报告的879名儿童在5年内报告的IMP发生率为1.9％。女孩更容易患IMP。与没有IMP记录的患者相比，患有IMP的患者的损伤类型，病因和解剖位置的分类分布成比例地不同。相比之下，与因已知病因引起疼痛的儿童相比，患有IMP的儿童所报告的疼痛和超敏反应或神经性疼痛症状比例更高。结论学龄儿童上肢损伤后IMP的发生率较低。该人群的一些共同特征可以帮助临床医生识别这些孩子并及时转诊以进行治疗，包括女性，不成比例的疼痛（以前由多位专家看到），手部普遍性受伤，病因或损伤类型不明确以及X线检查不明显。

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