Nissen Carl W
Elite Sports Medicine, 399 Farmington Ave, Farmington, CT 06032, USA; Department of Orthopaedics, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030, USA.
Clin Sports Med. 2014 Apr;33(2):251-65. doi: 10.1016/j.csm.2013.11.002. Epub 2014 Jan 10.
Osteochondritis dissecans affects the elbow of many young, skeletally immature athletes. The incidence of OCD in the elbow is second to its occurrence in the knee and similar to the incidence in the ankle. Young, athletically active individuals are at increased risk for developing this problem. There is a predilection for those involved in overhead-dominant sports and sports that require the arm to be a weight-bearing limb. The diagnosis is occurring earlier because of an increased awareness of the entity and the increased use of advanced imaging techniques, primarily magnetic resonance imaging. This earlier diagnosis has led to an increase in treatment ideas and modalities and ultimately improved care and outcomes.
剥脱性骨软骨炎影响许多骨骼未成熟的年轻运动员的肘部。肘部剥脱性骨软骨炎的发病率仅次于膝部,与踝部的发病率相似。年轻、从事体育活动的个体患此问题的风险增加。从事上肢主导运动以及需要手臂作为负重肢体的运动的人更容易患病。由于对该疾病的认识提高以及先进成像技术(主要是磁共振成像)的使用增加,诊断出现得更早。这种更早的诊断导致了治疗思路和方式的增加,最终改善了护理和治疗效果。