Ciccotti Michael G, Ramani Mohnish N
Department of Orthopaedic Surgery Thomas Jefferson University Philadelphia, Pennsylvania, USA.
Tech Hand Up Extrem Surg. 2003 Dec;7(4):190-6. doi: 10.1097/00130911-200312000-00010.
Medial epicondylitis of the elbow involves pathologic alteration in the musculotendinous origins at the medial epicondyle. Although commonly referred to as "golfer's elbow", the condition may in fact be caused by a variety of sports and occupational activities. Accurate diagnosis requires a thorough understanding of the anatomic, epidemiologic, and pathophysiologic factors. Nonoperative treatment involves rest, ice, nonsteroidal anti-inflammatory agents, and possibly corticosteroid injection followed by guided rehabilitation and return to sport. Operative treatment is indicated for debilitating pain after exclusion of other pathologic causes that persists in spite of a well-managed nonoperative regimen spanning a minimum of 6 months. The surgical technique involves excision of the pathologic portion of the tendon, repair of the resulting defect, and reattachment of the origin of the flexor pronator muscle group to the medial epicondyle. Surgical treatment results in a high degree of subjective relief, although objective strength deficits may persist.
肘部内侧上髁炎涉及内侧上髁处肌腱起点的病理改变。尽管通常被称为“高尔夫球肘”，但实际上这种病症可能由多种运动和职业活动引起。准确的诊断需要全面了解解剖学、流行病学和病理生理学因素。非手术治疗包括休息、冰敷、使用非甾体类抗炎药，可能还需要注射皮质类固醇，随后进行有指导的康复训练并恢复运动。对于在排除其他病理原因后，尽管经过至少6个月精心管理的非手术治疗方案仍持续存在的使人衰弱的疼痛，需进行手术治疗。手术技术包括切除肌腱的病理部分、修复由此产生的缺损，以及将旋前屈肌肌群的起点重新附着于内侧上髁。手术治疗可带来高度的主观缓解，尽管客观的力量缺陷可能仍然存在。
