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肘部外侧上髁炎

LATERAL EPICONDYLITIS OF THE ELBOW.

作者信息

Cohen Marcio, da Rocha Motta Filho Geraldo

机构信息

Physician at the Shoulder and Elbow Surgery Center, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil.

Director-General of the National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil.

出版信息

Rev Bras Ortop. 2015 Dec 8;47(4):414-20. doi: 10.1016/S2255-4971(15)30121-X. eCollection 2012 Jul-Aug.

Abstract

Lateral epicondylitis, also known as tennis elbow, is a common condition that is estimated to affect 1% to 3% of the population. The word epicondylitis suggests inflammation, although histological analysis on the tissue fails to show any inflammatory process. The structure most commonly affected is the origin of the tendon of the extensor carpi radialis brevis and the mechanism of injury is associated with overloading. Nonsurgical treatment is the preferred method, and this includes rest, physiotherapy, cortisone infiltration, platelet-rich plasma injections and use of specific immobilization. Surgical treatment is recommended when functional disability and pain persist. Both the open and the arthroscopic surgical technique with resection of the degenerated tendon tissue present good results in the literature.

摘要

外侧上髁炎,又称网球肘,是一种常见病症,据估计影响着1%至3%的人群。“上髁炎”一词表明存在炎症,尽管对该组织进行的组织学分析未能显示出任何炎症过程。最常受影响的结构是桡侧腕短伸肌肌腱的起点,损伤机制与过度负荷有关。非手术治疗是首选方法,包括休息、物理治疗、皮质类固醇注射、富血小板血浆注射以及使用特定的固定器具。当功能障碍和疼痛持续存在时,建议进行手术治疗。在文献中,开放手术和关节镜手术切除退变的肌腱组织均取得了良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f019/4799438/55182855c999/gr1.jpg

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