...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>British journal of sports medicine >Functional outcomes following a non-operative treatment algorithm for anterior cruciate ligament injuries in skeletally immature children 12 years and younger. A prospective cohort with 2 years follow-up
【24h】

Functional outcomes following a non-operative treatment algorithm for anterior cruciate ligament injuries in skeletally immature children 12 years and younger. A prospective cohort with 2 years follow-up

机译：在12岁及以下的骨骼未成熟儿童中，采用非手术治疗方法治疗前交叉韧带损伤后的功能结果。前瞻性队列，随访时间为2年

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background The methodological quality of studies on treatment of anterior cruciate ligament (ACL) injuries in skeletally immature children after ACL injury is low, and no prospective studies have evaluated the functional outcomes following a non-operative treatment algorithm. Purpose To report changes in knee function and activity level in skeletally immature children following a non-operative treatment algorithm for a minimum of 2 years after ACL injury. Study design Prospective cohort. Methods 46 skeletally immature children aged 12 years and younger were evaluated at baseline and subsequent yearly follow-ups using patient-reported outcome measurements, isokinetic muscle strength measurements, single-legged hop tests and clinical examinations over a minimum period of 2 years. Participation in physical activities was monitored using a monthly online activity survey, and the main leisure-time sport activity was registered at the yearly follow-ups. Results 36 (78%) of the children did not undergo an ACL reconstruction during the follow-up. Statistically significant changes with questionable clinical relevance were discovered with the patient-reported outcome measurements or hop tests. Leg symmetry indexes were consistently above 90% for muscle strength and single legged hop tests throughout the study, and the isokinetic muscle strength improved significantly in the injured limb. Ninety-one per cent maintained participation in pivoting sports and/or physical education in school, although 38% of the ACL deficient children changed their main activity from a level 1 to a level 2 activity. Conclusions A non-operative treatment algorithm may be appropriate for ACL injured skeletally immature children, although a reduced participation in level 1 activities may be necessary for some children.
机译：背景技术治疗ACL损伤后的骨骼发育不全儿童的前交叉韧带（ACL）损伤的研究方法学质量低下，尚无前瞻性研究评估非手术治疗方法后的功能结局。目的报告在ACL损伤后至少2年接受非手术治疗的骨骼未成熟儿童的膝盖功能和活动水平的变化。研究设计预期队列。方法在基线及随后的年度随访中，使用患者报告的结果测量，等速肌力测量，单腿跳试验和至少两年的临床检查，对46名12岁及以下的骨骼未成熟儿童进行了评估。使用每月的在线活动调查来监视参加体育活动，并在每年的随访中记录主要的休闲时间体育活动。结果随访期间，有36名儿童（78％）未进行ACL重建。通过患者报告的结局测量或跳跃测试发现了具有可疑的临床相关性的统计学显着变化。在整个研究过程中，肌肉力量和单腿跳跃测试的腿部对称指数始终高于90％，受伤肢体的等速肌力显着提高。尽管有38％的ACL缺陷儿童将其主要活动从1级更改为2级，但仍有91％的人继续参与学校的体育运动和/或体育教育。结论ACL损伤的骨骼发育不成熟儿童可以采用非手术治疗方法，尽管对于某些儿童可能需要减少1级活动的参与。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号