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肘携带角对外侧肱骨上髁炎发展的影响。

Effect of elbow carrying angle on lateral epicondylitis development.

机构信息

Aksaray Training and Research Hospital, Orthopaedics and Traumatology, Aksaray, Turkey.

出版信息

Medicine (Baltimore). 2023 Oct 27;102(43):e35789. doi: 10.1097/MD.0000000000035789.

Abstract

Lateral epicondylitis is one of the most common elbow joint injuries and elbow anatomy is a risk factor. Our study aims to evaluate whether the elbow carrying angle affects the development of lateral epicondylitis by considering sex differences. Elbow radiographs of 211 people (aged 18-65 years) diagnosed with lateral epicondylitis and having anteroposterior radiographs of the elbow taken in the appropriate position in the imaging archive of our hospital between January 1, 2021 and January 1, 2022 were retrospectively analyzed. The control group comprised elbow radiographs of 113 people in the same age range. The study evaluated the age, sex, and side and elbow carrying angles of the participants in the patient and control groups. The average elbow carrying angle was calculated as 14.6 (7.8-22.1). No significant relationship was found between the lateral epicondylitis and control groups based on sex (P = .383), side (P = .634) and age (P = .189). The mean elbow carrying angle was 13.8 ± 3.7 in the group with lateral epicondylitis and 15.9 ± 3.6 in the control group and was significantly lower in the group with lateral epicondylitis (P < .05). A decrease in the elbow carrying angle namely cubitus varus, may lead to the development of lateral epicondylitis.

摘要

外侧肱骨上髁炎是最常见的肘部关节损伤之一,而肘部解剖结构是一个危险因素。我们的研究旨在评估考虑性别差异时,肘携带角是否会影响外侧肱骨上髁炎的发展。我们回顾性分析了 2021 年 1 月 1 日至 2022 年 1 月 1 日期间我院影像档案中因外侧肱骨上髁炎而拍摄的肘部正侧位前后位 X 线片和因其他原因拍摄的肘部正侧位前后位 X 线片各 211 例(年龄 18-65 岁)。对照组包括 113 例年龄在同一范围内的肘部 X 线片。研究评估了患者组和对照组中参与者的年龄、性别、肘部携带角度和侧别。计算平均肘携带角度为 14.6(7.8-22.1)。根据性别(P=0.383)、侧别(P=0.634)和年龄(P=0.189),外侧肱骨上髁炎组和对照组之间无显著关系。外侧肱骨上髁炎组的平均肘携带角度为 13.8±3.7,对照组为 15.9±3.6,外侧肱骨上髁炎组明显低于对照组(P<0.05)。肘携带角度即肘内翻的减小,可能导致外侧肱骨上髁炎的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a19e/10615423/46d4515dbef8/medi-102-e35789-g001.jpg

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