下肢应力性骨折相关风险因素及未来的研究方向  

Risk factors for stress fracture of lower limbs and future research direction

作　　者：赵燕旭 张钊 罗东 李芒来 汪靖 方杰 蒋雯 冯勇 彭江[2] 许文静[2] 王玉[2] 汪爱媛[2] 张民泽[1] Zhao Yanxu;Zhang Zhao;Luo Dong;Li Manglai;Wang Jing;Fang Jie;Jiang Wen;Feng Yong;Peng Jiang;Xu Wenjing;Wang Yu;Wang Aiyuan;Zhang Minze(Department of Trauma and Repair Surgery,Affiliated Hospital of Yan*an University,Yan'an 716000,Shaanxi Provinee,China;Orthopedics Institute of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]延安大学附属医院创伤修复外科,陕西省延安市716000 [2]中国人民解放军总医院骨科研究所,北京市100853

出　　处：《中国组织工程研究》2020年第9期1422-1429,共8页Chinese Journal of Tissue Engineering Research

基　　金：军事训练伤应力性骨折预警评估体系及综合预防措施研究(16CXZ044),项目负责人:汪爱媛;肢体重要组织战创伤组织工程再生医学关键技术系列研究(BWS11J025),项目参与人:汪爱媛;军事训练应力性骨折诊断标准及防治原则(BWS17B053),项目参与人:汪爱媛~~

摘　　要：背景:下肢应力性骨折在新兵和运动员中很常见,不同程度的影响着新兵、运动员的训练。目的:总结下肢应力性骨折发生发展的风险因素,提高人们对下肢应力性骨折的认识并为其预防提供思路。方法:第一作者应用计算机检索2009年1月至2019年7月PubMed数据库、万方及CNKI数据库的相关文章,英文检索词"stress fracture,fatigue fracture,overuse injury,risk factors,recruits";中文检索词"应力性骨折,疲劳骨折,过度使用性损伤,风险因素,新兵"。共检索到786篇相关文献,76篇文献符合纳入标准。结果与结论:①性别和既往应力性骨折病史已被确定为应力性骨折的风险因素,未来的研究应该倾向于确定其他风险因素在应力性骨折发生发展中的具体作用;②此外,生物力学风险因素可能影响新兵下肢应力性骨折的发生;③因此可以通过改善新兵训练时下肢异常的生物力学参数,更好地预防下肢应力性骨折,以期通过适当管理降低应力性骨折的发生率。BACKGROUND:Stress fractures of lower limbs are common for recruits and athletes,and affect their training to different extent.OBJECTIVE:To summarize the risk factors for the occurrence and development of stress fracture of lower extremity,then to raise the awareness of stress fracture of lower extremity and provide ideas for its prevention.METHODS:A computer-based search was conducted in PubMed,WanFang and CNKI databases from January 2009 to July 2019 with the keywords of "stress fracture,fatigue fracture,overuse injury,risk factors,recruits" in English and Chinese,respectively.A total of 786 relevant articles were retrieved,and 76 articles were eligible for the inclusion criteria.RESULTS AND CONCLUSION:(1) Sex and history of stress fracture have been identified as risk factors for stress fracture.Future studies should be inclined to identify the specific roles of other risk factors in the development of stress fracture.(2) In addition,biomechanical factors are likely to affect the occurrence of stress fracture of the lower limbs of recruits.(3) Therefore,improving the abnormal biomechanical parameters of the lower extremity during the training of recruits can develop a method to prevent the stress fracture of the lower limbs,and reduce the incidence of stress fracture through appropriate management.

关 键 词：应力性骨折 新兵 运动员 军事训练 生物力学 足底压力 风险因素 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学]