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运动员肘部创伤

Elbow Trauma in the Athlete.

作者信息

Redler Lauren H, Dines Joshua S

机构信息

Hospital for Special Surgery, Sports Medicine and Shoulder Service, 535 East 70th Street, New York, NY 10021, USA.

Hospital for Special Surgery, Sports Medicine and Shoulder Service, 535 East 70th Street, New York, NY 10021, USA.

出版信息

Hand Clin. 2015 Nov;31(4):663-81. doi: 10.1016/j.hcl.2015.07.002. Epub 2015 Aug 25.

DOI:10.1016/j.hcl.2015.07.002
PMID:26498554
Abstract

In caring for athletes, the physician must be able to accurately diagnose and appropriately treat all forms of elbow injuries. Traumatic injuries to the elbow are common in the athlete. The late cocking phase of throwing produces tremendous valgus stress on the elbow that can lead to medial epicondyle avulsion fractures in adolescents or rupture of the medial ulnar collateral ligament in skeletally mature overhead throwers, such as baseball pitchers and javelin throwers. Common traumatic elbow injuries suffered by athletes, surgical techniques for operative repair of these injuries, as well as postoperative rehabilitation protocols and the clinical results are presented.

摘要

在照料运动员时,医生必须能够准确诊断并妥善治疗各种形式的肘部损伤。肘部创伤性损伤在运动员中很常见。投掷动作的后期引臂阶段会给肘部带来巨大的外翻应力,这可能导致青少年出现内侧上髁撕脱骨折,或使骨骼发育成熟的过顶投掷运动员(如棒球投手和标枪运动员)的尺侧副韧带内侧断裂。本文介绍了运动员常见的肘部创伤性损伤、这些损伤的手术修复技术、术后康复方案以及临床结果。

相似文献

1
Elbow Trauma in the Athlete.运动员肘部创伤
Hand Clin. 2015 Nov;31(4):663-81. doi: 10.1016/j.hcl.2015.07.002. Epub 2015 Aug 25.
2
Traumatic valgus instability of the elbow: pathoanatomy and results of direct repair. Surgical technique.肘部创伤性外翻不稳定:病理解剖及直接修复结果。手术技术。
J Bone Joint Surg Am. 2009 Oct 1;91 Suppl 2:191-9. doi: 10.2106/JBJS.I.00426.
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Elbow Ulnar Collateral Ligament Injuries in Throwing Athletes: Diagnosis and Management.投掷运动员的肘尺侧副韧带损伤:诊断与治疗。
J Hand Surg Am. 2022 Mar;47(3):266-273. doi: 10.1016/j.jhsa.2021.11.026.
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Medial ulnar collateral ligament reconstruction of the elbow in throwing athletes.投掷运动员肘部尺侧副韧带内侧重建术
Am J Sports Med. 2006 Dec;34(12):1926-32. doi: 10.1177/0363546506290988. Epub 2006 Aug 10.
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Traumatic valgus instability of the elbow: pathoanatomy and results of direct repair.肘部创伤性外翻不稳定:病理解剖及直接修复结果
J Bone Joint Surg Am. 2008 Nov;90(11):2416-22. doi: 10.2106/JBJS.G.01448.
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Ulnar Collateral Ligament Reconstruction in Adolescents: A Systematic Review.青少年尺侧副韧带重建:一项系统评价
Am J Sports Med. 2021 Apr;49(5):1355-1362. doi: 10.1177/0363546520934778. Epub 2020 Aug 13.
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Evaluation of the medial elbow in the throwing athlete.对投掷运动员内侧肘部的评估。
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Primary repair of ulnar collateral ligament injuries of the elbow in young athletes: a case series of injuries to the proximal and distal ends of the ligament.年轻运动员肘部尺侧副韧带损伤的一期修复:韧带近端和远端损伤的病例系列
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Operative management of ulnar collateral ligament insufficiency in adolescent athletes.青少年运动员尺侧副韧带不足的手术治疗。
Am J Sports Med. 2014 Jan;42(1):117-21. doi: 10.1177/0363546513507695. Epub 2013 Oct 21.
10
The thrower's elbow.投掷者肘(病)
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引用本文的文献

1
Arthroscopic Imbrication of the Anterior Bundle of the Elbow Medial Collateral Ligament With a 70° Arthroscope (MI70 Procedure).使用70°关节镜对肘内侧副韧带前束进行关节镜下叠瓦成形术(MI70手术)。
Arthrosc Tech. 2025 Jan 10;14(5):103417. doi: 10.1016/j.eats.2024.103417. eCollection 2025 May.
2
Open Reduction Internal Fixation of Medial Epicondyle Fractures After Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers.职业棒球投手尺侧副韧带重建术后内上髁骨折的切开复位内固定术
Orthop J Sports Med. 2019 Jun 19;7(6):2325967119852896. doi: 10.1177/2325967119852896. eCollection 2019 Jun.
3
On-field Management of Shoulder and Elbow Injuries in Baseball Athletes.
棒球运动员肩部和肘部损伤的场上管理
Curr Rev Musculoskelet Med. 2019 Jun;12(2):67-71. doi: 10.1007/s12178-019-09535-9.
4
Shoulder and Elbow Fractures in Athletes.运动员的肩部和肘部骨折
Curr Rev Musculoskelet Med. 2019 Mar;12(1):13-23. doi: 10.1007/s12178-019-09530-0.