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.
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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本文引用的文献
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J Bone Joint Surg Am. 2013 May 15;95(10):881-7. doi: 10.2106/JBJS.L.00204.
3
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