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内侧肘痛综合征:当前的治疗策略

Medial Elbow Pain Syndrome: Current Treatment Strategies.

作者信息

Prabhakar Gautham, Kanawade Vaibhav, Ghali Abdullah N, Dutta Anil K, Brady Christina I, Morrey Bernard F

出版信息

Orthopedics. 2023 Mar-Apr;46(2):e81-e88. doi: 10.3928/01477447-20220719-06. Epub 2022 Jul 25.

Abstract

Medial elbow pain is a common presentation that can be a challenge to appropriately treat for the orthopedic surgeon. Causes include medial epicondylitis, ulnar neuritis, ulnar collateral ligament injury, flexor pronator strain, or snapping medial triceps. A good outcome is typically achieved with adequate treatment of tendon degeneration at the common flexor tendon origin. Mainstay treatment is nonoperative modalities such as stretching, rest, activity modification, therapy, and injections. If nonoperative management fails, intermediate interventions such as extracorporeal shockwave therapy, platelet-rich plasma injections, prolotherapy, and ultrasound-guided percutaneous tenotomy can be attempted. Surgical treatments are dictated based on the severity of the pathology, involvement of soft tissues, and concomitant pathology. Medial elbow complaints can be multifactorial and require a broad differential diagnosis. [. 2023;46(2):e81-e88.].

摘要

内侧肘痛是一种常见症状,对于骨科医生而言,恰当治疗颇具挑战。病因包括内侧上髁炎、尺神经炎、尺侧副韧带损伤、屈肌旋前肌劳损或肱三头肌内侧弹响。通过对屈肌总腱起点处的肌腱退变进行充分治疗,通常可取得良好疗效。主要治疗方法为非手术方式,如拉伸、休息、调整活动、理疗及注射治疗。若非手术治疗失败,可尝试体外冲击波治疗、富血小板血浆注射、注射增殖疗法及超声引导下经皮肌腱切断术等中级干预措施。手术治疗依据病变严重程度、软组织受累情况及合并病变而定。内侧肘部病症可能是多因素导致的,需要进行广泛的鉴别诊断。[. 2023;46(2):e81 - e88.]

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