Ashe Maureen C, McCauley Tracey, Khan Karim M
University of British Columbia, Westside Physiotherapy and Hand Clinic, Vancouver, British Columbia, Canada.
J Hand Ther. 2004 Jul-Sep;17(3):329-34. doi: 10.1197/j.jht.2004.04.002.
Epicondylitis and de Quervain's tenosynovitis are two common diagnoses seen by hand therapists in clinical practice. Traditionally, these conditions have been viewed as being due to an inflammatory process and treated as such. New research shows that tendons exhibit areas of degeneration and a distinct lack of inflammatory cells. Tendinosis is degeneration of the collagen tissue due to aging, microtrauma, or vascular compromise. This article reviews key literature related to tendinopathies in the lower extremity and comments on the dearth of similar articles for the elbow and forearm. Hand therapists are encouraged to embrace this new terminology and to engage in research in this difficult area to improve treatment regimens and outcome measures.
肱骨外上髁炎和桡骨茎突狭窄性腱鞘炎是手部治疗师在临床实践中常见的两种诊断。传统上，这些病症被认为是由炎症过程引起的，并据此进行治疗。新的研究表明，肌腱存在退变区域且明显缺乏炎症细胞。肌腱病是由于衰老、微创伤或血管受损导致的胶原组织退变。本文回顾了与下肢肌腱病相关的关键文献，并对肘部和前臂类似文献的匮乏发表评论。鼓励手部治疗师接受这一新术语，并在这一困难领域开展研究，以改进治疗方案和疗效评估方法。
