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肘关节后外侧旋转不稳定

Posterolateral rotatory instability of the elbow.

作者信息

Smith J P, Savoie F H, Field L D

机构信息

Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, USA.

出版信息

Clin Sports Med. 2001 Jan;20(1):47-58. doi: 10.1016/s0278-5919(05)70246-5.

DOI:10.1016/s0278-5919(05)70246-5
PMID:11227708
Abstract

Since its original description by O'Driscoll in 1991, PLRI is becoming increasingly recognized as a significant cause of elbow pathology. It is well documented that this problem results from an insufficiency of the radial ulnohumeral ligament and its related lateral structures, and that this insufficiency is usually the result of elbow trauma. Diagnosis has improved with the introduction of the PLRI test to identify the instability and advancing MR imaging capabilities of illustrating the injury. Whereas open reconstruction was previously the only definitive treatment, improving arthroscopic techniques provide a satisfactory alternative in stabilizing the elbow.

摘要

自1991年奥德里斯科尔首次描述以来,桡尺远侧关节撞击综合征(PLRI)越来越被认为是肘部病变的一个重要原因。有充分的文献记载,这个问题是由桡尺肱韧带及其相关外侧结构的功能不全引起的,而这种功能不全通常是肘部创伤的结果。随着用于识别不稳定的PLRI试验的引入以及能显示损伤的磁共振成像(MR)技术的进步,诊断方法得到了改进。以前开放重建是唯一的确定性治疗方法,而不断改进的关节镜技术为稳定肘部提供了令人满意的替代方案。

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