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肘关节不稳定:解剖学、生物力学、诊断手法及检查

Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing.

作者信息

Karbach Lauren E, Elfar John

机构信息

Department of Orthopedics and Rehabilitation, University of Rochester, Rochester, NY.

Department of Orthopedics and Rehabilitation, University of Rochester, Rochester, NY.

出版信息

J Hand Surg Am. 2017 Feb;42(2):118-126. doi: 10.1016/j.jhsa.2016.11.025.

Abstract

The elbow comprises a complex of bony and ligamentous stabilizers that provide both primary and secondary constraints to elbow instability. Through trauma and overuse, classic instability patterns arise by loss of these important stabilizers. The diagnosis of elbow instability can made using specific examination maneuvers and testing to diagnose the clinical pattern. This article reviews the elbow's unique anatomy and biomechanical characteristics and these are applied when reviewing the maneuvers and testing used to diagnose elbow instability.

摘要

肘关节由一系列骨骼和韧带稳定结构组成,这些结构为肘关节不稳定提供了主要和次要的限制。由于创伤和过度使用,这些重要的稳定结构丧失会导致典型的不稳定模式。肘关节不稳定的诊断可通过特定的检查手法和测试来确定临床模式。本文回顾了肘关节独特的解剖结构和生物力学特征,并在回顾用于诊断肘关节不稳定的手法和测试时应用了这些知识。

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