Stubbs M J, Field L D, Savoie F H
Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, USA.
Clin Sports Med. 2001 Jan;20(1):1-9. doi: 10.1016/s0278-5919(05)70243-x.
Osteochondritis dissecans of the elbow remains a difficult problem to manage in the young athlete. Though the etiology is unclear, a definite association between overuse with repetitive microtraumatic insult and OCD has been established. Early detection and appropriate treatment can provide the best chance for preventing an unfavorable outcome. In many cases, conservative treatment regimens will provide complete resolution of symptoms, return of function, and full recovery, including return to sports participation. Surgical indications should be recognized, however, and surgical management carried out when warranted. Most authors treat unstable lesions primarily by excision of the fragment, accompanied by drilling or burring of the base of the lesion. Symptoms usually improve significantly, but approximately half of all patients will continue to experience chronic pain or limitation of elbow motion, highlighting the significance and severity of OCD of the elbow.
肘部剥脱性骨软骨炎对于年轻运动员来说仍是一个难以处理的问题。尽管病因尚不清楚，但过度使用与重复性微创伤损伤和剥脱性骨软骨炎之间已确定存在明确关联。早期发现和适当治疗可为预防不良后果提供最佳机会。在许多情况下，保守治疗方案可使症状完全缓解、功能恢复且完全康复，包括恢复运动参与。然而，应认识到手术指征，并在必要时进行手术治疗。大多数作者主要通过切除碎片来治疗不稳定病变，并对病变底部进行钻孔或打磨。症状通常会显著改善，但大约一半的患者仍会持续经历慢性疼痛或肘部活动受限，这凸显了肘部剥脱性骨软骨炎的重要性和严重性。
