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[内侧上髁炎(高尔夫球肘)——临床表现与治疗]

[MEDIAL EPICONDYLITIS (GOLFER'S ELBOW) - CLINICAL PRESENTATION AND TREATMENT].

作者信息

Terlezky Svetlana, Amster Kahn Hagay, Saleh Shadi, Gannot Gil, Oron Amir

机构信息

Kaplan Medical Center, Rehovot. Hand and Microsurgery Unit - affiliated to the Hebrew University.

出版信息

Harefuah. 2022 Aug;161(8):515-519.

Abstract

Medial epicondylitis, which is also called "Golfer's Elbow" is a pathology which typically presents as medial elbow pain. It affects 1% of the general population, yet affects 3.8% to 8.2% of work-related complaints. Golfer's elbow is common in the 40 to 60-year-old age group so those suffering from it are part of the workforce and hence, its economic impact. Women and men alike suffer from golfer's elbow, and microtrauma combined with attritional changes in the common flexor tendon origin at the medial aspect of the elbow are the culprit of this pathology. The first line of treatment is conservative therapy and only when it fails is an open surgical approach utilized. New approaches to treating this ailment such as use of Extra Corporeal Shock Wave therapy and the use of injectable blood derivatives, as well as new surgical techniques are also being applied.

摘要

内侧上髁炎,也被称为“高尔夫球肘”,是一种通常表现为内侧肘部疼痛的病症。它影响着1%的普通人群,但在与工作相关的投诉中占比3.8%至8.2%。高尔夫球肘在40至60岁年龄组中很常见,因此患病者属于劳动力群体,进而产生经济影响。男性和女性都会患高尔夫球肘,肘部内侧常见屈肌腱起点处的微创伤与磨损性改变是这种病症的罪魁祸首。治疗的第一线是保守疗法,只有在失败时才采用开放手术方法。治疗这种疾病的新方法,如使用体外冲击波疗法和注射血液衍生物,以及新的手术技术也在应用。

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