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投掷运动员的内侧肘部损伤

Medial Elbow Injuries in the Throwing Athlete.

作者信息

Daruwalla Jimmy H, Daly Charles A, Seiler John G

机构信息

Department of Orthopaedic Surgery, Emory University School of Medicine, 59 Executive Park South, Atlanta, GA 30329, USA.

Georgia Hand, Shoulder & Elbow, 2061 Peachtree Road, Northeast, Suite 500, Atlanta, GA 30309, USA.

出版信息

Hand Clin. 2017 Feb;33(1):47-62. doi: 10.1016/j.hcl.2016.08.013.

Abstract

Medial elbow injuries in the throwing athlete are common and increasing in frequency. They occur due to repetitive supraphysiologic forces acting on the elbow during the overhead throw. Overuse and inadequate rest are salient risk factors for injury. Most athletes improve substantially with rest and nonoperative treatment, although some athletes may require surgical intervention to return to play. Because of advances in conservative and surgical treatments, outcomes after medial elbow injury have improved over time. Currently, most athletes are able to return to a high level of play after ulnar collateral ligament reconstruction and experience a low rate of complications.

摘要

投掷运动员的内侧肘部损伤很常见,且发生率呈上升趋势。它们是由于在过顶投掷过程中作用于肘部的重复性超生理力所致。过度使用和休息不足是导致损伤的显著风险因素。大多数运动员通过休息和非手术治疗会有显著改善,尽管有些运动员可能需要手术干预才能重返赛场。由于保守治疗和手术治疗的进展,内侧肘部损伤后的治疗效果随着时间推移有所改善。目前,大多数运动员在尺侧副韧带重建后能够恢复到高水平比赛,且并发症发生率较低。

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