Institute for Medical Research and Occupational Health
Abstract
Na temelju dugogodišnjega kliničkog iskustva autora i podataka iz medicinske literature, i to ponajprije objavljenih radova samog autora u članku se daje kratak pregled sindroma prenaprezanja sustava za kretanje. Nakon općih značajki sindroma prenaprezanja prikazuje se njihova etiopatogeneza, klinička slika i dijagnostika te liječenje. Liječenje, i to osobito neoperativno liječenje sindroma prenaprezanja opisano je nešto detaljnije s obzirom na to da je članak namijenjen ponajprije liječnicima i zdravstvenim djelatnicima čija specijalnost nije strogo vezana uz probleme sustava za kretanje. Upozorava se i na katkad neizbježnu potrebu kirurškog liječenja sindroma prenaprezanja sustava za kretanje. Posebno se naglašava činjenica da se sindromima prenaprezanja ne poklanja dovoljna pozornost u radu liječnika opće medicine i da se u pravilu s liječenjem počinje prekasno, a preventiva se uopće ne provodi.Related either to athletic activities and recreation or to various professional activities, overuse injuries of the musculoskeletal system are common in the life of modern humans. Various studies indicate that approximately 30% to 50% of all sports injuries are caused by overuse. Therefore, it is not surprising that overuse injuries are frequently discussed. The mode of this discussion is usually limited to the analysis of different individual painful syndromes, specific localization of the painful syndrome in the musculoskeletal system, or the specific tissues affected by overuse injuries (tendinitis, bursitis, stress fractures, etc. ). The purpose of this article is to systematically present today\u27s knowledge of overuse injuries which affect the musculoskeletal system as a whole. Regardless of the localisation and the affected tissue, all clinical entities are presented in the same manner: the name and the definition of the syndrome, aetiopathogenesis, clinical picture, diagnostic, non operative, and surgical treatment, and the possibility of prevention. Beside presenting the newest discoveries reported in medical literature, this article also brings a wealth of individual cases and experiences encompassing histopathological examination, x-ray analysis, and the results of both conservative and surgical procedures
