Department of Orthopaedic Surgery, Tulane University. 1430 Tulane Avenue, SL-32, New Orleans, LA 70112, USA.
Department of Orthopaedic Surgery, Tulane University. 1430 Tulane Avenue, SL-32, New Orleans, LA 70112, USA.
Clin Sports Med. 2020 Jul;39(3):565-574. doi: 10.1016/j.csm.2020.02.007.
Medial ulnar collateral ligament (MUCL) insufficiency is becoming common in younger, nonprofessional athletes. In contrast to elite athletes who develop valgus extension overload syndrome and associated chronic pathologic changes in the MUCL, younger patients present with sprains and partial tears that can often be managed non-operatively with successful outcome and rapid return to play. In the younger throwing athlete with medial-sided elbow pain, a hinged elbow brace and rehabilitation of dysfunctional muscles often lead to successful recovery and return to play within 1-2 months. In more severe injuries, direct repair of the partial tear with or without added internal bracing supplementation allows restoration of stability with a return to play with 4 to 6 months.
尺侧副韧带（MUCL）不足在年轻的非职业运动员中越来越常见。与精英运动员发展的外翻伸展过载综合征和相关的 MUCL 慢性病理变化不同，年轻患者表现为扭伤和部分撕裂，这些通常可以通过非手术治疗成功，快速恢复运动。对于患有内侧肘部疼痛的年轻投掷运动员，铰链式肘部支具和功能失调肌肉的康复通常可以在 1-2 个月内成功恢复并重返赛场。在更严重的损伤中，部分撕裂的直接修复，加上或不加上内部支撑的补充，可以恢复稳定性，在 4 到 6 个月内恢复运动。
