Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Queensland, Australia.
Br J Sports Med. 2009 Apr;43(4):252-8. doi: 10.1136/bjsm.2008.052738. Epub 2008 Dec 2.
Tennis elbow or lateral epicondylalgia is a diagnosis familiar to many within the general community and presents with an uncomplicated clinical picture in most cases. However, the underlying pathophysiology presents a more complex state and its management has not been conclusively determined. Research on this topic extends across anatomical, biomechanical and clinical literature; however, integration of findings is lacking. We propose that the current understanding of the underlying pathophysiology of lateral epicondylalgia can be conceptualised as encompassing three interrelated components: (i) the local tendon pathology, (ii) changes in the pain system, and (iii) motor system impairments. This paper presents a model that integrates these components on the basis of a literature review with the express aim of assisting in the targeting of specific treatments or combinations thereof to individual patients.
网球肘或外上髁炎是一个在普通人群中广为人知的诊断，在大多数情况下表现为简单的临床症状。然而，其潜在的病理生理学呈现出更为复杂的状态，其治疗方法尚未确定。关于这个主题的研究涵盖了解剖学、生物力学和临床文献；然而，研究结果缺乏整合。我们认为，目前对外上髁炎潜在病理生理学的理解可以被概念化为包含三个相互关联的组成部分：（i）局部肌腱病变，（ii）疼痛系统的变化，以及（iii）运动系统障碍。本文提出了一个基于文献综述的模型，旨在将这些组成部分整合在一起，以帮助针对特定患者的具体治疗或联合治疗。
