影响肘屈肌/旋前肌腱的损伤和病症。

Injuries and Conditions Affecting the Elbow Flexor/Pronator Tendons.

机构信息

Department of Orthopedic Surgery, Columbia University Medical Center, 622 West 168th Street, PH-11, New York, NY 10032, USA.

出版信息

Clin Sports Med. 2020 Jul;39(3):549-563. doi: 10.1016/j.csm.2020.02.001.

DOI:10.1016/j.csm.2020.02.001

PMID:32446574

Abstract

Common flexor-pronator tendon injuries and medial epicondylitis can be successfully treated nonoperatively in most cases. Operative treatment is reserved for patients with continued symptoms despite adequate nonoperative treatment or in high-level athletes with complete rupture of the common flexor-pronator tendon. The physical examination and workup of patients with flexor-pronator tendon injuries should focus on related or concomitant pathologies of the medial elbow. The gold standard for surgical treatment of flexor-pronator tendon ruptures or medial epicondylitis includes tendon debridement and reattachment.

摘要

大多数情况下，常见的屈肌-旋前肌腱损伤和肱骨内上髁炎可以通过非手术治疗成功治愈。手术治疗仅适用于经充分非手术治疗后症状仍持续存在的患者，或在高水平运动员中出现完全性屈肌-旋前肌腱断裂的患者。屈肌-旋前肌腱损伤患者的体格检查和检查应侧重于肘部内侧的相关或伴随病变。屈肌-旋前肌腱断裂或肱骨内上髁炎的手术治疗金标准包括肌腱清创和再附着。