肘部肌腱病
Elbow tendinopathy.
作者信息
Pitzer Michael E, Seidenberg Peter H, Bader Dov A
机构信息
Penn State Sports Medicine, Penn State University, State College, 1850 East Park Avenue, Suite 112, State College, PA 16803, USA.
Penn State Sports Medicine, Penn State University, State College, 1850 East Park Avenue, Suite 112, State College, PA 16803, USA.
出版信息
Med Clin North Am. 2014 Jul;98(4):833-49, xiii. doi: 10.1016/j.mcna.2014.04.002.
Overuse injuries of the lateral and medial elbow are common in sport, recreational activities, and occupational endeavors. They are commonly diagnosed as lateral and medial epicondylitis; however, the pathophysiology of these disorders demonstrates a lack of inflammation. Instead, angiofibroblastic degeneration is present, referred to as tendinosis. As such, a more appropriate terminology for these conditions is epicondylosis. This is a clinical diagnosis, and further investigations are only performed to rule out other clinical entities after conventional therapy has failed. Yet, most patients respond to conservative measures with physical therapy and counterforce bracing. Corticosteroid injections are effective for short-term pain control but have not demonstrated long-term benefit.
外侧和内侧肘部的过度使用损伤在体育、娱乐活动及职业活动中很常见。它们通常被诊断为外侧和内侧上髁炎;然而,这些病症的病理生理学显示并无炎症。相反,存在血管成纤维细胞变性,即肌腱病。因此,这些病症更合适的术语是上髁病。这是一种临床诊断,只有在传统治疗失败后才进行进一步检查以排除其他临床病症。然而,大多数患者对物理治疗和反作用力支具等保守措施有反应。皮质类固醇注射对短期疼痛控制有效,但未显示出长期益处。