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运动员的拇指侧副韧带损伤

Thumb collateral ligament injuries in the athlete.

作者信息

Avery Daniel M, Inkellis Elizabeth R, Carlson Michelle G

机构信息

Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, 523 East 72nd Street, 4th Floor, New York, NY, 10021, USA.

出版信息

Curr Rev Musculoskelet Med. 2017 Mar;10(1):28-37. doi: 10.1007/s12178-017-9381-z.

DOI:10.1007/s12178-017-9381-z
PMID:28133709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5344852/
Abstract

PURPOSE OF REVIEW

The purpose of this review is to identify current principles in the diagnosis and treatment of collateral ligament injuries of the thumb in the athlete.

RECENT FINDINGS

Cadaver studies have clearly identified the ulnar and radial collateral ligaments origin and insertion footprints for repair or reconstruction. Ulnar and radial collateral ligament injuries are common in athletics. History and physical examination are paramount in determining partial versus complete tear. When surgical treatment is indicated, placing the repair/reconstruction in the anatomic footprint restores stability while maintaining motion. The senior author's preferred techniques are reported.

摘要

综述目的

本综述旨在确定当前运动员拇指侧副韧带损伤的诊断和治疗原则。

最新发现

尸体研究已明确确定尺侧和桡侧副韧带的起点和止点足迹,用于修复或重建。尺侧和桡侧副韧带损伤在体育运动中很常见。病史和体格检查对于确定部分撕裂与完全撕裂至关重要。当需要手术治疗时,将修复/重建置于解剖足迹处可恢复稳定性,同时保持活动度。报告了资深作者的首选技术。

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Thumb collateral ligament injuries in the athlete.运动员的拇指侧副韧带损伤
Curr Rev Musculoskelet Med. 2017 Mar;10(1):28-37. doi: 10.1007/s12178-017-9381-z.
2
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本文引用的文献

1
Thumb ulnar collateral and radial collateral ligament injuries.拇指尺侧副韧带和桡侧副韧带损伤。
Clin Sports Med. 2015 Jan;34(1):117-26. doi: 10.1016/j.csm.2014.09.004. Epub 2014 Oct 11.
2
Ulnar collateral ligament injuries of the thumb: phalangeal translation during valgus stress in human cadavera.人类尸体标本在外翻应力下拇指尺侧副韧带损伤:指骨平移。
J Bone Joint Surg Am. 2013 May 15;95(10):881-7. doi: 10.2106/JBJS.L.00204.
3
Outcomes after injury to the thumb ulnar collateral ligament--a systematic review.拇指尺侧副韧带损伤的转归——系统评价。
Clin J Sport Med. 2013 Jul;23(4):247-54. doi: 10.1097/JSM.0b013e318289c6ff.
4
Mechanics of an anatomical reconstruction for the thumb metacarpophalangeal collateral ligaments.拇指掌指关节侧副韧带解剖重建的力学原理
J Hand Surg Am. 2013 Jan;38(1):117-23. doi: 10.1016/j.jhsa.2012.09.015. Epub 2012 Nov 28.
5
Management of thumb metacarpophalangeal ulnar collateral ligament injuries.拇指掌指关节尺侧副韧带损伤的处理。
J Bone Joint Surg Am. 2012 Nov 7;94(21):2005-12. doi: 10.2106/JBJS.K.01024.
6
Anatomy of the thumb metacarpophalangeal ulnar and radial collateral ligaments.拇指掌指关节尺侧和桡侧副韧带的解剖结构。
J Hand Surg Am. 2012 Oct;37(10):2021-6. doi: 10.1016/j.jhsa.2012.06.024. Epub 2012 Aug 31.
7
Commentary on RCL/UCL injury in basketball.关于篮球运动中桡侧副韧带/尺侧副韧带损伤的述评
Hand Clin. 2012 Aug;28(3):373-5. doi: 10.1016/j.hcl.2012.05.025. Epub 2012 Jul 3.
8
Baseball commentary "thumb ligament injuries: RCL and UCL".棒球解说:“拇指韧带损伤:桡侧副韧带和尺侧副韧带”
Hand Clin. 2012 Aug;28(3):371-2. doi: 10.1016/j.hcl.2012.05.027. Epub 2012 Jul 3.
9
Thumb metacarpophalangeal joint collateral ligament injury management.拇指掌指关节侧副韧带损伤的处理
Hand Clin. 2012 Aug;28(3):361-70, ix-x. doi: 10.1016/j.hcl.2012.05.024.
10
Collateral ligament injuries of the thumb metacarpophalangeal joint.拇指掌指关节侧副韧带损伤。
J Am Acad Orthop Surg. 2011 May;19(5):287-96. doi: 10.5435/00124635-201105000-00006.