高尔夫球运动中的上肢损伤。

Upper extremity injuries in golf.

机构信息

Saint Louis University School of Medicine, Belleville, IL 62220, USA.

出版信息

Phys Sportsmed. 2009 Apr;37(1):92-6. doi: 10.3810/psm.2009.04.1687.

Abstract

Golf is an asymmetric sport with unique patterns of injury depending upon the skill level. Higher handicap players typically experience injuries that result from swing mechanics, whereas lower handicap and professional players have overuse as the major cause of their injuries. The majority of shoulder injuries affecting golfers occur in the nondominant shoulder. Common shoulder injuries include subacromial impingement, rotator cuff pathology, glenohumeral instability, and arthritis involving the acromioclavicular and/or glenohumeral joints. Lead arm elbow pain resulting from lateral epicondylosis (tennis elbow) is the leading upper extremity injury in amateur golfers. Tendon injury is the most common problem seen in the wrist and forearm of the golfer. Rehabilitation emphasizing improvement in core muscle streng is important in the treatment of golf injury. Emerging treatments for tendinopathy include topical nitrates, ultrasound-guided injection of therapeutic substances, and eccentric rehabilitation. There is evidence supporting physiotherapy, and swing modification directed by a teaching professional, for treatment of upper extremity golf injuries. This article focuses on upper extremity injuries in golf, including a discussion of the epidemiology, causes, diagnosis, treatment, and prevention of injuries occurring in the shoulder, elbow, wrist, and hand.

摘要

高尔夫是一项具有独特损伤模式的非对称运动,这取决于其技术水平。高差点球员通常会因挥杆力学而受伤,而低差点和职业球员的损伤主要是过度使用造成的。影响高尔夫球手的大多数肩部损伤发生在非优势肩部。常见的肩部损伤包括肩峰下撞击、肩袖病变、盂肱关节不稳定和涉及肩锁关节和/或盂肱关节的关节炎。由于外侧上髁炎(网球肘)导致的主导手臂肘部疼痛是业余高尔夫球手的主要上肢损伤。肌腱损伤是高尔夫球手中腕部和前臂最常见的问题。强调核心肌肉力量改善的康复在高尔夫损伤的治疗中很重要。新兴的治疗方法包括局部硝酸酯类药物、超声引导下治疗物质注射和离心康复。有证据支持理疗和由教学专业人员指导的挥杆修正,用于治疗上肢高尔夫球损伤。本文重点介绍高尔夫球中的上肢损伤,包括讨论肩部、肘部、腕部和手部损伤的流行病学、原因、诊断、治疗和预防。

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