Cohen Mark S, Romeo Anthony A
Section of Hand and Elbow Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, 1725 West Harrison Street, Suite 1063, Chicago, IL 60612, USA.
Hand Clin. 2009 Aug;25(3):331-8. doi: 10.1016/j.hcl.2009.05.003.
Lateral epicondylitis is the most common condition affecting the adult elbow. It occurs in middleaged individuals and is self-limiting in most cases. Based on clinical, histologic, and imaging data, the tendinous origin of the extensor carpi radialis brevis is the most likely site of pathology. When conservative measures fail, surgical management may be indicated. This can be accomplished by traditional open methods or by arthroscopic release. This article reviews the relevant anatomy of the common extensor tendon origin at the elbow and provides guidelines for surgical management of recalcitrant epicondylitis. Special emphasis is placed on arthroscopic techniques, which, when required, may allow for a more rapid return of the athlete to sport.
外侧上髁炎是影响成人肘部最常见的病症。它发生于中年个体，多数情况下是自限性的。根据临床、组织学和影像学数据，桡侧腕短伸肌的肌腱起点是最可能的病变部位。当保守治疗无效时，可能需要手术治疗。这可以通过传统的开放手术方法或关节镜下松解来完成。本文回顾了肘部常见伸肌肌腱起点的相关解剖结构，并为顽固性外侧上髁炎的手术治疗提供指导。特别强调关节镜技术，在需要时，它可能使运动员更快重返运动。
