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肘部急慢性肌腱病

Acute and chronic tendinopathies at the elbow.

作者信息

Gabel G T

机构信息

Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.

出版信息

Curr Opin Rheumatol. 1999 Mar;11(2):138-43. doi: 10.1097/00002281-199903000-00010.

DOI:10.1097/00002281-199903000-00010
PMID:10319218
Abstract

Chronic elbow tendinitis (medial or lateral epicondylitis and triceps tendinitis) are common disorders that, overall, have a good prognosis but, even with optimum management, require a minimum of 3 to 6 months to resolve. Patient education, activity modification, splinting, and corticosteroid injections each serve a role in symptom resolution; surgery is required in less than 10% of cases and has a similarly long period (3 to 6 months) of recovery. Acute tendon injuries (biceps and triceps ruptures) require early (< 4 weeks) surgical repair but may be misdiagnosed, thus delaying management and requiring more involved surgical reconstruction. With appropriate treatment, the prognosis for each of these disorders is very good.

摘要

慢性肘部肌腱炎(内侧或外侧上髁炎以及肱三头肌腱炎)是常见病症,总体而言预后良好,但即便采用最佳治疗方法,也至少需要3至6个月才能痊愈。患者教育、调整活动方式、使用夹板以及注射皮质类固醇均有助于缓解症状;不到10%的病例需要手术治疗,且恢复期同样较长(3至6个月)。急性肌腱损伤(肱二头肌和肱三头肌断裂)需要早期(<4周)进行手术修复,但可能会被误诊,从而延误治疗并需要更复杂的手术重建。通过适当治疗,这些病症的预后都非常好。

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