Zaremski Jason L, Vincent Kevin R, Vincent Heather K
Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL.
Curr Sports Med Rep. 2019 Sep;18(9):338-345. doi: 10.1249/JSR.0000000000000629.
The ulnar collateral ligament (UCL) of the elbow has been a subject of extensive research and discussion in recent years not only in the medical community but also in the media and by coaches, players, and parents. This is in part due to the rising incidence of UCL injuries and subsequent surgical reconstruction, specifically in overhead throwing athletes. Due to this widespread increase in injury to this structure, it is paramount to understand when it is appropriate to pursue nonoperative versus operative management. As such, the purpose of this article will be to review the basic anatomy, risk factors for UCL injury in overhead throwing athletes, treatment approaches, and future directions for prevention and treatment of injury based on the evidence-based data in the peer-reviewed literature.
近年来,肘部尺侧副韧带(UCL)不仅在医学界,而且在媒体以及教练、运动员和家长中,都成为了广泛研究和讨论的对象。部分原因在于UCL损伤及后续手术重建的发生率不断上升,特别是在过顶投掷运动员中。由于该结构损伤的普遍增加,了解何时适合采用非手术治疗与手术治疗至关重要。因此,本文的目的将是根据同行评审文献中的循证数据,回顾肘部尺侧副韧带的基本解剖结构、过顶投掷运动员UCL损伤的危险因素、治疗方法以及损伤预防和治疗的未来方向。