Rettig A C, Sherrill C, Snead D S, Mendler J C, Mieling P
Methodist Sports Medicine Center, Thomas A. Brady Clinic, Indianapolis, Indiana 46280, USA.
Am J Sports Med. 2001 Jan-Feb;29(1):15-7. doi: 10.1177/03635465010290010601.
Ulnar collateral ligament injury of the elbow in throwing athletes is a common occurrence, and either operative or nonoperative treatment is an option. The results of operative repairs and reconstructions have been well documented in the literature; however, little information has been reported on the outcome of nonoperative treatment. From 1994 to 1997, we evaluated 31 throwing athletes with ulnar collateral ligament injuries. The purpose of this study was to determine what percentage of athletes could return to their sport without surgical intervention and to identify factors that would predict return to full competition by an athlete treated nonoperatively. The factors studied included acute versus insidious onset of symptoms, the duration of symptoms before treatment, and age. Nonoperative treatment, which included a minimum of 3 months' rest with rehabilitation exercises, allowed 42% of the athletes in our study (N = 13) to return to their previous level of competition. Those who did return did so at an average of 24.5 weeks after diagnosis. No predictive findings obtained either through the patient's history or physical examination were found that would assist the clinician or athlete in predicting the success of nonoperative treatment.
投掷运动员肘部尺侧副韧带损伤很常见，手术或非手术治疗都是可选方案。手术修复和重建的结果在文献中有充分记载；然而，关于非手术治疗结果的报道却很少。1994年至1997年，我们评估了31名患有尺侧副韧带损伤的投掷运动员。本研究的目的是确定无需手术干预就能恢复运动的运动员比例，并找出能预测非手术治疗的运动员恢复全面比赛的因素。研究的因素包括症状的急性发作与隐匿发作、治疗前症状持续时间以及年龄。非手术治疗包括至少3个月的休息并进行康复锻炼，在我们的研究中，42%的运动员（N = 13）恢复到了之前的比赛水平。恢复的运动员平均在诊断后24.5周恢复。通过患者病史或体格检查未发现任何有助于临床医生或运动员预测非手术治疗成功与否的预测性结果。
