肘关节后外侧旋转不稳定：第二部分。补充检查与动态成像技术
Posterolateral Rotatory Instability of the Elbow: Part II. Supplementary Examination and Dynamic Imaging Techniques.
作者信息
Camp Christopher L, Smith Jay, O'Driscoll Shawn W
机构信息
Department of Orthopedic Surgery and the Sports Medicine Center, Mayo Clinic, College of Medicine, Rochester, Minnesota, U.S.A.
Department of Physical Medicine and Rehabilitation and the Sports Medicine Center, Mayo Clinic, College of Medicine, Rochester, Minnesota, U.S.A.
出版信息
Arthrosc Tech. 2017 Apr 3;6(2):e407-e411. doi: 10.1016/j.eats.2016.10.012. eCollection 2017 Apr.
Abstract
Currently, a number of examination and imaging techniques exist for diagnosing posterolateral rotatory instability of the elbow. Although the posterolateral rotatory drawer is the primary examination maneuver, other special tests include the lateral pivot-shift test, prone push-up test, chair push-up test, and tabletop push-up test. In addition, posterolateral rotatory instability can be evaluated using radiography, magnetic resonance imaging, dynamic fluoroscopy, or dynamic ultrasound. In this Technical Note, each of these tests is described in detail. Video instruction is also provided to further explain the techniques and provide examples of positive tests.
摘要
目前，存在多种用于诊断肘关节后外侧旋转不稳定的检查和成像技术。尽管后外侧旋转抽屉试验是主要的检查手法，但其他特殊检查包括外侧轴移试验、俯卧位俯卧撑试验、椅子俯卧撑试验和桌面俯卧撑试验。此外，可使用X线摄影、磁共振成像、动态透视或动态超声来评估后外侧旋转不稳定。在本技术说明中，将详细描述这些检查中的每一项。还提供了视频指导，以进一步解释这些技术并给出阳性检查的示例。
相似文献
1
Posterolateral Rotatory Instability of the Elbow: Part II. Supplementary Examination and Dynamic Imaging Techniques.肘关节后外侧旋转不稳定：第二部分。补充检查与动态成像技术
Arthrosc Tech. 2017 Apr 3;6(2):e407-e411. doi: 10.1016/j.eats.2016.10.012. eCollection 2017 Apr.
2
Posterolateral Rotatory Instability of the Elbow: Part I. Mechanism of Injury and the Posterolateral Rotatory Drawer Test.肘关节后外侧旋转不稳定：第一部分。损伤机制与后外侧旋转抽屉试验
Arthrosc Tech. 2017 Apr 3;6(2):e401-e405. doi: 10.1016/j.eats.2016.10.016. eCollection 2017 Apr.
3
[Research progress of posterolateral rotatory instability of the elbow].[肘关节后外侧旋转不稳定的研究进展]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Jan;26(1):36-40.
4
The Sonographic Posterolateral Rotatory Stress Test for Elbow Instability: A Cadaveric Validation Study.用于评估肘关节不稳定的超声后侧旋转应力试验：一项尸体验证研究。
PM R. 2017 Mar;9(3):275-282. doi: 10.1016/j.pmrj.2016.06.014. Epub 2016 Jun 16.
5
Elbow instability.肘部不稳定。
Acta Orthop Belg. 1999 Dec;65(4):404-15.
6
Lateral collateral ligament injuries of the elbow - chronic posterolateral rotatory instability (PLRI).肘关节外侧副韧带损伤 - 慢性后外侧旋转不稳定（PLRI）
EFORT Open Rev. 2017 Mar 13;1(12):461-468. doi: 10.1302/2058-5241.160033. eCollection 2016 Dec.
7
Posterolateral Rotatory Apprehension Test in Tennis Elbow.网球肘的后外侧旋转恐惧试验
J Med Assoc Thai. 2015 Nov;98 Suppl 10:S84-7.
8
Magnetic resonance imaging in diagnosis of chronic posterolateral rotatory instability of the elbow.磁共振成像在诊断肘关节慢性后外侧旋转不稳定中的应用
Am J Orthop (Belle Mead NJ). 2003 Oct;32(10):501-3; discussion 504.
9
Physical examination in the diagnosis of rotatory instability.体格检查在旋转不稳定诊断中的应用
Clin Orthop Relat Res. 1983 Jan-Feb(172):38-44.
10
Tabletop relocation test: a new clinical test for posterolateral rotatory instability of the elbow.桌面移位试验：一种用于检测肘关节后外侧旋转不稳的新临床检查方法。
J Shoulder Elbow Surg. 2006 Nov-Dec;15(6):707-8. doi: 10.1016/j.jse.2006.01.005. Epub 2006 Aug 7.
引用本文的文献
1
The Role of the Critical Coronoid Angle in Simple Elbow Dislocation: A Computed Tomography-Based Index to Stratify Elbow Dislocation Risk.关键冠状突角在单纯性肘关节脱位中的作用：一种基于计算机断层扫描的肘关节脱位风险分层指标。
J Clin Med. 2025 May 9;14(10):3323. doi: 10.3390/jcm14103323.
2
Anatomical considerations, diagnosis, and treatment of medial and posterolateral elbow rotatory instability in athletes: an arthroscopic perspective and literature review.运动员肘部内侧和后外侧旋转不稳定的解剖学考量、诊断及治疗：关节镜视角与文献综述
Int Orthop. 2025 Jun;49(6):1439-1450. doi: 10.1007/s00264-025-06485-5. Epub 2025 Mar 6.
3
The HuRaA Trial-The Radiocapitellar Line Shows Significant Posterior Translation in Healthy Elbows: A Prospective Analysis of 53 Healthy Individuals.HuRaA试验——桡骨小头线在健康肘部显示明显的向后移位：对53名健康个体的前瞻性分析。
Biomedicines. 2024 Nov 21;12(12):2660. doi: 10.3390/biomedicines12122660.
4
Anconeus Exertional Compartment Syndrome and Posterolateral Rotatory Elbow Instability: A Clinical Association and Rare Cause of Elbow Pain.肱三头肌外侧头运动性肌间隔综合征与肘关节后外侧旋转不稳定：一种临床关联及肘部疼痛的罕见原因。
Orthop J Sports Med. 2024 Sep 23;12(9):23259671241272483. doi: 10.1177/23259671241272483. eCollection 2024 Sep.
5
Arthroscopic assessment for lateral collateral ligament complex deficiency of the elbow: a cadaveric study.关节镜评估肘外侧副韧带复合体缺陷：尸体研究。
Int Orthop. 2024 Jan;48(1):143-150. doi: 10.1007/s00264-023-06046-8. Epub 2023 Dec 13.
6
Coronoid fractures and traumatic elbow instability.冠状突骨折与创伤性肘关节不稳定。
JSES Int. 2023 Apr 20;7(6):2587-2593. doi: 10.1016/j.jseint.2023.03.020. eCollection 2023 Nov.
7
A Simple and Versatile Test for Elbow Posterolateral Rotatory Instability.一种用于检测肘关节后外侧旋转不稳的简单通用测试方法。
Hand (N Y). 2025 Jan;20(1):37-42. doi: 10.1177/15589447231185585. Epub 2023 Jul 25.
8
Ultrasound assessment of the posterolateral elbow ulnohumeral gap in normal subjects with and without posterolateral drawer testing.在有和没有后外侧抽屉试验的正常受试者中，对肘后外侧尺肱间隙进行超声评估。
JSES Int. 2021 Sep 22;7(2):342-347. doi: 10.1016/j.jseint.2021.07.009. eCollection 2023 Mar.
9
Clinical Outcomes of Arthroscopic Debridement for Lateral Epicondylitis with Partial Injury of the Lateral Collateral Ligament Complex.关节镜清理术治疗伴有外侧副韧带复合体部分损伤的外侧肱骨上髁炎的临床疗效。
Clin Orthop Surg. 2022 Sep;14(3):434-440. doi: 10.4055/cios21220. Epub 2022 Jul 21.
10
Arthroscopic rod technique compared to stress ultrasound in the dynamic evaluation of lateral ligament instabilities of the elbow.关节镜下棒技术与应变成像超声在肘外侧副韧带动态不稳评估中的比较。
Arch Orthop Trauma Surg. 2023 Apr;143(4):2087-2093. doi: 10.1007/s00402-022-04491-5. Epub 2022 Jul 11.
本文引用的文献
1
The Sonographic Posterolateral Rotatory Stress Test for Elbow Instability: A Cadaveric Validation Study.用于评估肘关节不稳定的超声后侧旋转应力试验：一项尸体验证研究。
PM R. 2017 Mar;9(3):275-282. doi: 10.1016/j.pmrj.2016.06.014. Epub 2016 Jun 16.
2
Tabletop relocation test: a new clinical test for posterolateral rotatory instability of the elbow.桌面移位试验：一种用于检测肘关节后外侧旋转不稳的新临床检查方法。
J Shoulder Elbow Surg. 2006 Nov-Dec;15(6):707-8. doi: 10.1016/j.jse.2006.01.005. Epub 2006 Aug 7.
3
Prospective evaluation of two diagnostic apprehension signs for posterolateral instability of the elbow.两种用于评估肘关节后外侧不稳定诊断性忧虑体征的前瞻性研究
J Shoulder Elbow Surg. 2006 May-Jun;15(3):344-6. doi: 10.1016/j.jse.2005.03.009.
4
The appearance of the lateral ulnar collateral ligament on magnetic resonance imaging.磁共振成像上尺侧副韧带外侧的表现。
J Shoulder Elbow Surg. 2004 Mar-Apr;13(2):214-6. doi: 10.1016/j.jse.2003.12.013.
5
Tardy posterolateral rotatory instability of the elbow due to cubitus varus.肘内翻所致的肘关节迟发性后外侧旋转不稳定
J Bone Joint Surg Am. 2001 Sep;83(9):1358-69. doi: 10.2106/00004623-200109000-00011.
6
The unstable elbow.不稳定型肘部
Instr Course Lect. 2001;50:89-102.
7
The lateral pivot shift: a symptom and sign of anterior cruciate ligament insufficiency.外侧轴移试验：前交叉韧带功能不全的一种症状和体征。
Clin Orthop Relat Res. 1980 Mar-Apr(147):45-50.
8
Posterolateral rotatory instability of the elbow.肘关节后外侧旋转不稳定
J Bone Joint Surg Am. 1991 Mar;73(3):440-6.
Zotero 插件