Tauber Mark
Deutsches Schulterzentrum in der ATOS Klinik München, Effnerstr. 38, 81925, München, Deutschland.
Universitätsklinik für Orthopädie und Unfallchirurgie, Paracelsus Medizinische Universität Salzburg, Salzburg, Österreich.
Orthopadie (Heidelb). 2022 Nov;51(11):903-909. doi: 10.1007/s00132-022-04315-9. Epub 2022 Oct 13.
Elbow injuries occur quite often when practicing winter sports. Due to the high sports dynamics and risk of fall the elbow joint is prone to injuries. Hereby, the most common injury is the dislocation of the elbow.
Isolated ligamentous instabilities can usually be treated non-operatively when the joint is centered on post-reduction imaging. In the case of persistent symptomatic instability, secondary ligament reconstruction surgery is associated with reliable and good results. Most fractures of the elbow involve the radial head in terms of postero-lateral rotation instability, whereas distal humerus and olecranon fractures are more likely to occur in high-energy or direct trauma. Indication for surgical treatment is given according to common guidelines, including involvement of the joint line, fragment dislocation and instability with risk of secondary fracture dislocation. Minimally invasive techniques for the radial head as well as anatomic preformed locking plate systems seem to have reached a wide acceptance.
在进行冬季运动时，肘部损伤相当常见。由于运动强度大以及跌倒风险高，肘关节容易受伤。其中，最常见的损伤是肘关节脱位。
当复位后影像学显示关节对合良好时，孤立的韧带不稳定通常可采用非手术治疗。对于持续存在症状性不稳定的情况，二期韧带重建手术可取得可靠且良好的效果。就后外侧旋转不稳定而言，大多数肘部骨折累及桡骨头，而肱骨远端和鹰嘴骨折更可能发生于高能量或直接创伤。手术治疗的指征依据通用指南确定，包括关节线受累、骨折块脱位以及存在继发骨折脱位风险的不稳定情况。桡骨头的微创技术以及解剖型预塑形锁定钢板系统似乎已被广泛接受。
