运动员的肩部和肘部骨折
Shoulder and Elbow Fractures in Athletes.
作者信息
Burnier M, Barlow J D, Sanchez-Sotelo J
机构信息
Department of Orthopedic Surgery, Mayo Clinic and Mayo College of Medicine, Gonda 14, 200 First Street SW, Rochester, MN, 55905, USA.
出版信息
Curr Rev Musculoskelet Med. 2019 Mar;12(1):13-23. doi: 10.1007/s12178-019-09530-0.
PURPOSE OF REVIEW
The purposes of this review are to discuss the management of shoulder and elbow fractures in athletes to optimize the return to sport and to highlight treatment impact on the return to play.
RECENT FINDINGS
Fractures of the shoulder and elbow can have profound implications in an athlete career. Recent technique of fractures management trended toward to preserve soft tissue which is critical for an early recovery in athletic population. Arthroscopy presents a strong interest for the treatment of intra-articular fracture, and minimally invasive approach as developed in humeral shaft fracture can be considered to avoid soft tissue damage. Non-articular, stable, and minimally displaced fractures are mainly treated conservatively. However, we encourage a more aggressive approach in shoulder and elbow injuries in the athletes including minimally invasive and stable fixation to preserve vascularity and muscle environment.
综述目的
本综述旨在讨论运动员肩肘骨折的管理，以优化重返运动的效果，并强调治疗对重返比赛的影响。
最新发现
肩肘骨折可能对运动员的职业生涯产生深远影响。近期骨折管理技术倾向于保留软组织，这对运动员群体的早期恢复至关重要。关节镜检查在治疗关节内骨折方面具有很大的应用价值，对于肱骨干骨折所采用的微创方法也可考虑用于避免软组织损伤。非关节性、稳定且移位极小的骨折主要采用保守治疗。然而，我们鼓励对运动员的肩肘损伤采取更积极的治疗方法，包括微创和稳定固定，以保留血管和肌肉环境。
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