内侧上髁炎:评估与管理
Medial epicondylitis: evaluation and management.
作者信息
Amin Nirav H, Kumar Neil S, Schickendantz Mark S
出版信息
J Am Acad Orthop Surg. 2015 Jun;23(6):348-55. doi: 10.5435/JAAOS-D-14-00145.
Medial epicondylitis, often referred to as "golfer's elbow," is a common pathology. Flexor-pronator tendon degeneration occurs with repetitive forced wrist extension and forearm supination during activities involving wrist flexion and forearm pronation. A staged process of pathologic change in the tendon can result in structural breakdown and irreparable fibrosis or calcification. Patients typically report persistent medial-sided elbow pain that is exacerbated by daily activities. Athletes may be particularly symptomatic during the late cocking or early acceleration phases of the throwing motion. Nonsurgical supportive care includes activity modification, NSAIDs, and corticosteroid injections. Once the acute symptomology is alleviated, focus is turned to flexor-pronator mass rehabilitation and injury prevention. Surgical treatment via open techniques is typically reserved for patients with persistent symptoms.
内侧上髁炎,通常被称为“高尔夫球肘”,是一种常见的病症。在涉及腕关节屈曲和前臂旋前的活动中,反复用力伸腕和前臂旋后会导致屈肌 - 旋前肌腱退变。肌腱病理变化的分期过程可导致结构破坏以及不可修复的纤维化或钙化。患者通常报告内侧肘部持续疼痛,日常活动会使其加重。运动员在投掷动作的后期引臂或早期加速阶段可能症状尤为明显。非手术支持性护理包括调整活动、使用非甾体抗炎药(NSAIDs)和注射皮质类固醇。一旦急性症状缓解,重点就转向屈肌 - 旋前肌团的康复和损伤预防。通过开放技术进行的手术治疗通常适用于症状持续的患者。