Sciascia Aaron, Kibler W Ben
Lexington Clinic Sports Medicine Center, Lexington, Kentucky 40504, USA.
Clin J Sport Med. 2006 Nov;16(6):471-7. doi: 10.1097/01.jsm.0000251182.44206.3b.
The purposes of this article are to examine shoulder and elbow injuries in pediatric athletes, to evaluate the pathophysiology and pathomechanics that may be associated with the pathoanatomy, and to present suggestions for the prevention of those injuries.
This article will review the published sports medicine literature on these topics in baseball and tennis injuries and present a kinetic chain-based perspective on the possible causative factors that are present in the young thrower.
The published literature shows that there are multiple intrinsic and extrinsic factors that contribute to the risk of injury in young throwing athletes. These factors appear to develop over time; if not recognized or addressed early, they have undesirable outcomes.
A multitude of factors, including anatomical, biomechanical, and environmental concerns, can contribute to the dysfunction of the shoulder and elbow in young overhead athletes. Understanding the force-generating and load-absorbing processes of the body will help clinicians, coaches, and others prevent or limit the deleterious effects of such occurrences.
本文旨在研究儿童运动员的肩部和肘部损伤，评估可能与病理解剖学相关的病理生理学和病理力学，并提出预防这些损伤的建议。
本文将回顾已发表的关于棒球和网球运动损伤中这些主题的运动医学文献，并从动力链的角度阐述年轻投掷运动员中可能存在的致病因素。
已发表的文献表明，有多种内在和外在因素会增加年轻投掷运动员受伤的风险。这些因素似乎会随着时间的推移而发展；如果不及早识别或处理，会产生不良后果。
包括解剖学、生物力学和环境因素在内的多种因素，可能导致年轻过头运动运动员的肩部和肘部功能障碍。了解身体产生力量和吸收负荷的过程，将有助于临床医生、教练和其他人员预防或限制此类情况的有害影响。
