Ravalli Silvia, Pulici Carmelo, Binetti Stefano, Aglieco Alessandra, Vecchio Michele, Musumeci Giuseppe
Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, Via S. Sofia n°87, 95124 Catania, Italy.
Department of Biomedical and Biotechnological Sciences, Division of Physical and Rehabilitative Medicine, University of Catania, via S. Sofia 67, 95123 Catania, Italy.
J Funct Morphol Kinesiol. 2019 May 29;4(2):30. doi: 10.3390/jfmk4020030.
The elbow joint could be associated with degenerative processes of primary and post-traumatic aetiology. Among these, osteoarthritis may also be secondary to repeated use as well as trauma. Pain, discomfort and progressive loss of functionality are common signs of this condition. The evaluation of elbow osteoarthritis should comprise an in-depth study to detect the primary cause of the illness and to facilitate the decision-making process regarding personalized treatment. Discordance between clinical manifestations and radiological findings is common. Conservative approaches may provide symptomatic relief in the early stages of disease for most patients. The goal of the treatment is to reduce pain and ensure an adequate range of motion and proper functioning of the joint while preserving the anatomical structure, to postpone elbow arthroplasty interventions for as long as possible. According to treatment guidelines, surgery should be considered depending on aetiology and severity, patient age, and functional demands. This narrative review aims to investigate the current literature regarding the pathogenesis and treatment of primary and post-traumatic arthritis of the elbow.
肘关节可能与原发性和创伤后病因的退行性病变相关。其中,骨关节炎也可能继发于反复使用以及创伤。疼痛、不适和功能的逐渐丧失是这种疾病的常见症状。肘关节骨关节炎的评估应包括深入研究,以检测疾病的主要原因,并促进关于个性化治疗的决策过程。临床表现与放射学检查结果之间的不一致很常见。对于大多数患者,保守治疗方法可能在疾病早期提供症状缓解。治疗的目标是减轻疼痛,确保关节有足够的活动范围和正常功能,同时保留解剖结构,尽可能推迟肘关节置换手术。根据治疗指南,应根据病因、严重程度、患者年龄和功能需求考虑手术。本叙述性综述旨在研究有关原发性和创伤后肘关节关节炎的发病机制和治疗的当前文献。