Burgess R C
Department of Surgery, University of Kentucky, Lexington 40536.
J Ky Med Assoc. 1990 Jul;88(7):349-54.
The term "tennis elbow" has been used in the medical literature for over 100 years to describe a variety of conditions on the lateral aspect of the elbow. Recent writers seem to agree that the two most common causes for this condition, which may be either distinct or coexisting, are lateral epicondylitis and radial tunnel syndrome. Lateral epicondylitis is not limited to tennis players; 95% of the reported cases occur in non-players. The presenting symptoms are pain over the origin of the extensor carpi radialis brevis and weakness in the wrist and digital extensors. The location of maximal tenderness differentiates lateral epicondylitis from other conditions. A variety of treatments has been suggested, but the most successful is conservative treatment with rest, restriction of lifting with the palms down, anti-inflammatories and local applications of ice. Once the acute inflammatory phase has passed, a flexibility and strengthening program is recommended. Steroid injection may be utilized at this stage if the discomfort has not been reduced. In a small percentage of cases, surgery may be required.
“网球肘”一词在医学文献中已使用了100多年，用于描述肘部外侧的多种病症。近期的作者似乎一致认为，导致这种病症的两个最常见原因，可能是单独存在或同时存在的，分别是外侧上髁炎和桡管综合征。外侧上髁炎并不局限于网球运动员；报告病例的95%发生在非运动员身上。出现的症状是桡侧腕短伸肌起点处疼痛以及手腕和指伸肌无力。最大压痛的位置可将外侧上髁炎与其他病症区分开来。已经提出了多种治疗方法，但最成功的是保守治疗，包括休息、限制掌心向下提举、使用抗炎药以及局部冰敷。一旦急性期过去，建议进行灵活性和强化训练计划。如果不适没有减轻，此阶段可使用类固醇注射。在一小部分病例中，可能需要进行手术。
