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原发性肘关节退行性关节炎。尺肱关节成形术治疗。

Primary degenerative arthritis of the elbow. Treatment by ulnohumeral arthroplasty.

作者信息

Morrey B F

机构信息

Department of Orthopaedics, Mayo Clinic, Rochester, Minnesota 55905.

出版信息

J Bone Joint Surg Br. 1992 May;74(3):409-13. doi: 10.1302/0301-620X.74B3.1587890.

Abstract

Degenerative arthritis of the elbow is a poorly recognised condition, usually seen in a middle-aged man with an occupation or activity which involves the repetitive use of his dominant arm. Flexion contracture and pain at terminal extension are common presenting features. Fifteen patients were reviewed at a mean of 33 months after debridement by ulnohumeral arthroplasty. Fourteen had good relief of pain, elbow extension had improved by an average of 11 degrees and elbow flexion by 10 degrees. On an objective scale 12 of the 15 patients had good or excellent results and 13 (87%) felt that they were improved by the operation.

摘要

肘部退行性关节炎是一种认识不足的病症,通常见于从事涉及反复使用优势手臂的职业或活动的中年男性。屈曲挛缩和终末伸展时疼痛是常见的临床表现。对15例患者在尺肱关节置换清创术后平均33个月进行了复查。14例患者疼痛得到明显缓解,肘部伸展平均改善了11度,肘部屈曲改善了10度。客观评估显示,15例患者中有12例结果良好或优秀,13例(87%)认为手术使他们的病情得到了改善。

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