投掷运动员内侧肘部疼痛的处理方法
Approach to Medial Elbow Pain in the Throwing Athlete.
作者信息
Pearce McCarty L
机构信息
Sports & Orthopaedic Specialists, part of Allina Health, 8100 W 78th Street, Suite 225, Edina, MN, 55439, USA.
Department of Orthopaedic Surgery, Abbott Northwestern Hospital, 800 E 28th St, Minneapolis, MN, 55407, USA.
出版信息
Curr Rev Musculoskelet Med. 2019 Mar;12(1):30-40. doi: 10.1007/s12178-019-09534-w.
PURPOSE OF REVIEW
Injury to the ulnar collateral ligament is the most common, significant injury affecting the medial elbow of the overhead athlete. However, there are many other significant sources of pathology that should be considered. This review seeks to present a broad range of conditions that providers should consider when evaluating the overhead athlete with medial elbow pain.
RECENT FINDINGS
Recent biomechanical studies have deepened understanding of the anatomy and function of the anterior bundle of the ulnar collateral ligament germane to the overhead athlete. Orthobiologics hold potential for expanding the role of non-operative treatment for ulnar collateral ligament injuries. In addition to injury to the ulnar collateral ligament, providers should be prepared to diagnose and treat valgus extension overload, proximal olecranon stress fracture, ulnar nerve pathology, common flexor - pronator mass injury, and, in adolescents, medial epicondylar avulsion, when managing medial elbow pain in the overhead athlete.
综述目的
尺侧副韧带损伤是影响过头运动运动员内侧肘部的最常见、最严重的损伤。然而，还有许多其他重要的病理来源也应予以考虑。本综述旨在介绍在评估有内侧肘部疼痛的过头运动运动员时，医疗人员应考虑的广泛病症。
最新发现
最近的生物力学研究加深了对与过头运动运动员相关的尺侧副韧带前束的解剖结构和功能的理解。矫形生物制剂在扩大尺侧副韧带损伤非手术治疗的作用方面具有潜力。在处理过头运动运动员的内侧肘部疼痛时，除了尺侧副韧带损伤外，医疗人员还应准备好诊断和治疗外翻伸展超负荷、鹰嘴近端应力性骨折、尺神经病变、常见的屈肌 - 旋前圆肌肿块损伤，以及在青少年中出现的内侧髁撕脱。
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