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上肢过度使用性网球损伤。

Tennis overuse injuries in the upper extremity.

机构信息

New York Presbyterian Hospital - Columbia University Medical Center, 622 W 168th Street, New York, NY, 10032, USA.

Division of Musculoskeletal Radiology, New York Presbyterian Hospital - Columbia University Medical Center, 622 W 168th Street, New York, NY, 10032, USA.

出版信息

Skeletal Radiol. 2021 Apr;50(4):629-644. doi: 10.1007/s00256-020-03634-2. Epub 2020 Oct 3.

Abstract

OBJECTIVE

Tennis is a popular sport with high levels of participation. This article aims to describe how upper extremity overuse injuries occur in relation to tennis biomechanics and to review their imaging characteristics and implications for management. In particular, we will review the imaging patterns of internal impingement, scapular dyskinesis, lateral and medial epicondylitis, ulnar collateral ligament insufficiency, valgus extension overload, capitellar osteochondritis dissecans, extensor carpi ulnaris tendinosis and instability, tenosynovitis, triangular fibrocartilage complex injuries, and carpal stress injuries.

CONCLUSION

Tennis is a complex and physically demanding sport with a wide range of associated injuries. Repetitive overloading commonly leads to injuries of the upper extremity. An understanding of the underlying mechanisms of injury and knowledge of these injury patterns will aid the radiologist in generating the correct diagnosis in both the professional and recreational tennis athlete.

摘要

目的

网球是一项参与度较高的流行运动。本文旨在描述与网球生物力学相关的上肢过度使用损伤的发生方式,并回顾其影像学特征及其对治疗的影响。具体而言,我们将回顾内撞击、肩胛骨运动障碍、外侧和内侧肱骨髁炎、尺侧副韧带不足、外翻伸展过度、肱骨滑车骨软骨炎、尺侧伸腕肌腱炎和不稳定、腱鞘炎、三角纤维软骨复合体损伤和腕部应力性损伤的影像学模式。

结论

网球是一项复杂且体能要求高的运动,与之相关的损伤种类繁多。重复性超负荷通常会导致上肢损伤。了解损伤的潜在机制和这些损伤模式的知识将有助于放射科医生在职业和业余网球运动员中做出正确的诊断。

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