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肘部周围神经损伤。

Nerve injuries about the elbow.

机构信息

Sports Medicine, Orthopaedic Surgery, Stanford University, 1169 Trinity Drive, Menlo Park, CA 94025, USA.

出版信息

Clin Sports Med. 2010 Oct;29(4):655-75. doi: 10.1016/j.csm.2010.06.001.

Abstract

The ulnar, radial, median, medial antebrachial cutaneous, and lateral antebrachial cutaneous nerves are subject to traction and compression in athletes who place forceful, repetitive stresses across their elbow joint. Throwing athletes are at greatest risk, and cubital tunnel syndrome (involving the ulnar nerve) is clearly the most common neuropathy about the elbow. The anatomy and innervation pattern of the nerve involved determines the characteristic of the neuropathy syndrome. The most important parts of the work-up are the history and physical examination as electrodiagnostic testing and imaging are often not reliable. In general, active rest is the first line of treatment. Tailoring the surgery and rehabilitation protocol according to the functional requirements of that athlete's sport(s) can help optimize the operative outcomes for recalcitrant cases.

摘要

尺神经、桡神经、正中神经、前臂内侧皮神经和前臂外侧皮神经在用力、反复地使肘关节承受压力的运动员中容易受到牵拉和压迫。投掷运动员的风险最大,肘管综合征(涉及尺神经)显然是最常见的肘部周围神经病。受累神经的解剖结构和神经支配模式决定了神经病变综合征的特征。最重要的检查部分是病史和体格检查,因为电诊断测试和影像学检查通常不可靠。一般来说,主动休息是第一线治疗。根据运动员运动的功能要求定制手术和康复方案,可以帮助优化顽固性病例的手术效果。

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