Re: [新聞] Rodriguez to Have Hip Surgery on Monday
: 推 ancientsky:http://0rz.tw/k7qGM雖然他的醫生說跟steroid無關..但. 03/09 22:22
: → ancientsky:用a-rod avascular necrosis steroid 當關鍵字就可找到 03/09 22:24
: → ancientsky:國外很多人都在議論紛紛... 03/09 22:24
感謝網址提供,原文如下
Doctors say Alex Rodriguez's hip injury isn't steroid-related
BY Teri Thompson, Tracy Connor and Nathaniel Vinton
DAILY NEWS SPORTS WRITERS
Five doctors interviewed by the Daily News agreed that information
made public about Alex Rodriguez's hip injury makes it unlikely the
cyst that formed there was caused by steroid abuse.
Such questions arose because cysts in muscle are a common side-effect
of intramuscular steroid injections, as is avascular necrosis (loss
of blood supply to the bone) from use of the drugs themselves.
"Because A-Rod kept changing his story about his steroid use," said
Dr. Lewis Maharam, the medical director of the New York Road Runners
Club, "it made us skeptical about his hip issue, thinking it could
be steroid-related. It is not. Avascular necrosis of the femoral head
is linked to steroids and sometimes described by the lay public as a
cyst. This is not what he has."
According to Dr. Struan Coleman, a hip specialist at the Hospital for
Special Surgery who is not treating Rodriguez but is familiar with
his case, fluid from inside A-Rod's hip joint has been pushed through
a tear in the labrum (a rubbery ring of cartilage in the hip) and has
formed a cyst outside it.
Coleman, Maharam and three other doctors contacted by the Daily News
agreed that it is unlikely that Rodriguez's injury has anything to do
with his admitted steroid injections.
Dr. Coleman said Rodriguez's type of injury is caused by the anatomy
of his hip, aggravated by the "rotational" nature of playing baseball.
"When (the labrum) tears, the fluid from inside the hip joint gets
pushed through the tear and a cyst forms outside the labrum," said
Coleman. "This has nothing to do with steroids. This is something he's
had for a long time."
Coleman said the first line of treatment would be a cortisone shot to
get rid of the pain - with eventual surgery, preferably in the offseason,
to correct the impingement.
Dr. Ron Grelsamer, a hip and knee specialist at Mount Sinai Hospital
in New York, said that labral tears are a common finding and that
there were many other treatments that could come before the last resort
of invasive arthroscopic surgery.
"Nearly everybody has a labral tear, and the problem is that becomes a
license to operate when that lands in the wrong doctor's hands," said
Grelsamer.
Grelsamer added that a real labrum tear could be serious.
MLB officials were aware that Rodriguez would be visiting Dr. Marc
Philippon, a hip specialist in Vail, Colo., when they sent investigators
to Florida to interview Rodriguez on Sunday about his admissions of
steroid use.
cysts 是肌肉注射類固醇常見的副作用
大腿骨出現avascular necrosis也常被連結到類固醇的使用
但五個醫生一致認為 A-Rod的情況跟以上無關
是因為髖關節裡的液體從撕裂的地方被推擠出來形成cysts
(看起來像棒球的運動傷害)
順便查了一下avascular necrosis,另一種說法是osteonecrosis
常見的原因包括外傷、感染,等等,當然還有大家最有興趣的類固醇使用
(不過查到的資料是glucocorticoid,俗稱美國仙丹的醣質固醇類
運動員使用的應該偏向男性荷爾蒙)
雖然醫生這麼說,不過這個質疑會跟著他一輩子吧。。。。
--
可惡!簽了CCAJ鐵爺又是單數年,我本來很期待這個球季的
--
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