American Sports Medicine Institute, 2660 10th Avenue South, Suite 505, Birmingham, AL 35205, USA.
Clin Sports Med. 2010 Oct;29(4):645-54. doi: 10.1016/j.csm.2010.07.001.
Valgus extension overload (VEO) is a constellation of symptoms and pathology commonly seen in the overhead athlete. Athletes in many sports may experience VEO and other common pathologies related to the high repetitive stresses generated by the overhead throwing motion. VEO is characterized by reproducible pain that is elicited by repeatedly forcing the elbow into terminal extension while applying a valgus stress to the elbow. Pain at the posteromedial tip of the olecranon process is pathognomonic of the condition. Olecranon stress fractures are rare, but can cause significant discomfort and, if unrecognized or untreated, can lead to significant pain and dysfunction. Both of these conditions are treated initially with rest from throwing, followed by gradual return to throwing through an interval throwing program. When conservative measures fail, minimally invasive or arthroscopic surgical procedures can be used to address the problem. Successful return to competitive overhead sports is expected at all levels of competition with these conditions.
外翻延伸过载(VEO)是一种常见于上肢运动员的症状和病理组合。许多运动项目的运动员都可能经历过 VEO 以及与上肢投掷运动产生的高重复应力相关的其他常见病理。VEO 的特征是可重现的疼痛,当反复用力将肘部伸展至末端并向肘部施加外翻力时,会引起疼痛。鹰嘴突后内侧尖端的疼痛是该疾病的特征性表现。鹰嘴突应力性骨折很少见,但会引起明显的不适,如果未被识别或未得到治疗,可能会导致严重的疼痛和功能障碍。这两种情况最初都需要停止投掷来休息,然后通过间隔投掷计划逐渐恢复投掷。当保守治疗失败时,可以使用微创或关节镜手术来解决问题。在这些情况下,预计各级比赛的运动员都能成功重返竞技性上肢运动。