一名业余壁球运动员内侧上髁炎病例的保守治疗
Conservative management of a case of medial epicondylosis in a recreational squash player.
作者信息
Hudes Karen
机构信息
Private practice:168 Sheppard Avenue West, Toronto, Ontario M2N 1M8., E-mail:
出版信息
J Can Chiropr Assoc. 2011 Mar;55(1):26-31.
OBJECTIVE
This case study was conducted to evaluate the treatment and management of a patient presenting with medial elbow pain diagnosed as medial epicondylosis.
CASE
A 35 year old male presented with medial elbow pain of 4-6 weeks duration that worsened after playing squash.
TREATMENT
A COURSE OF FASCIAL STRIPPING TECHNIQUES WAS INITIATED, INCLUDING: cross friction massage, instrument assisted fascial stripping to the medial epicondyle area and over the belly of the pronator teres muscle, ischemic compression of a trigger point in the pronator teres, active assisted compressions to the trigger point noted in the pronator teres, and mobilizations of the carpals, specifically the scaphoid. Instructions were given to the patient regarding icing the elbow and daily eccentric exercises. At a one year follow up, the patient reported complete resolution of symptoms with no recurrence.
CONCLUSION
Conservative management, including eccentric exercises, mobilizations, and fascial stripping appear to be beneficial in the treatment of medial epicondylosis.
目的
本病例研究旨在评估一名被诊断为内侧上髁炎并伴有内侧肘部疼痛患者的治疗与管理情况。
病例
一名35岁男性，内侧肘部疼痛持续4 - 6周，打壁球后疼痛加剧。
治疗
开始采用一系列筋膜剥离技术，包括：交叉摩擦按摩、使用器械辅助对内侧上髁区域及旋前圆肌肌腹进行筋膜剥离、对旋前圆肌触发点进行缺血性按压、对旋前圆肌中发现的触发点进行主动辅助按压以及对腕骨，特别是舟状骨进行松动。向患者说明了肘部冰敷及每日进行离心运动的注意事项。在一年的随访中，患者报告症状完全缓解且未复发。
结论
包括离心运动、松动术和筋膜剥离在内的保守治疗似乎对内侧上髁炎的治疗有益。
Zotero 插件