Moskal M J
Shoulder, Elbow, and Sports Service, Kleinert, Kutz, and Associates, Louisville, Kentucky, USA.
Clin Sports Med. 2001 Jan;20(1):11-24. doi: 10.1016/s0278-5919(05)70244-1.
Arthroscopic treatment of posterior impingement of the elbow in athletes consistently can improve comfort and function. Arthroscopic treatment is particularly valuable because of increased intra-articular visualization of the anterior and posterior compartments and diminished soft tissue trauma. Arthroscopic visualization also can help the surgeon assess small pathologic changes in joint congruity seen in subtle forms of ligamentous instability, which are often symptomatic in high-demand athletes. Treatment of these subtle instabilities can be individualized to the athlete. Most athletes are able to return to the same level of their sport after arthroscopic surgery for posterior impingement of the elbow. In certain athletes, however, depending on the position played, reoperation rates are high, and return rates to the same level of competition can be less than in other athletes with posterior impingement of the elbow. Patient selection, technical expertise, and familiarity with open and arthroscopic elbow surgery are all criteria for success.
关节镜治疗运动员肘部后撞击症持续可改善舒适度和功能。关节镜治疗尤为有价值，因为其能增加对前后关节腔的关节内可视化，减少软组织创伤。关节镜可视化还能帮助外科医生评估在细微韧带不稳定形式中所见的关节一致性微小病理变化，这在高要求运动员中常出现症状。这些细微不稳定的治疗可针对运动员进行个体化。大多数运动员在接受关节镜手术治疗肘部后撞击症后能够恢复到之前的运动水平。然而，在某些运动员中，根据其比赛位置，再次手术率较高，恢复到相同比赛水平的比率可能低于其他肘部后撞击症运动员。患者选择、技术专长以及对开放和关节镜肘部手术的熟悉程度都是成功的标准。
