Zumbansen N, Lenich A
ZEST - Zentrum für Ellenbogen und Schulter-Therapie, MOVE MVZ Am Stiglmaierplatz, Nymphenburgerstr 1, 80335, München, Deutschland.
, Nymphenburgerstr 1, 80335, München, Deutschland.
Orthopadie (Heidelb). 2025 Jan;54(1):83-92. doi: 10.1007/s00132-024-04574-8. Epub 2024 Dec 4.
Most patients with primary osteoarthritis of the elbow report a history of heavy lifting work with the affected upper limb. Conservative treatment, including activity modifications, nonsteroidal anti-inflammatory drug (NSAID) intake, and intra-articular injections can provide sufficient pain relief in the early stages when used in combination. If surgery is required, many patients experience significant pain relief from joint-preserving procedures despite existing cartilage damage. Although open debridement procedures are effective, arthroscopic osteocapsular arthroplasty has become established as the preferred surgical procedure. The ulnar nerve should be assessed during surgery and treated if necessary. Total elbow arthroplasty (TEP) is successful in terms of pain relief and function; however, it is recommended for older patients with advanced osteoarthritis or for whom joint-preserving procedures have failed.
大多数原发性肘关节骨关节炎患者报告有使用患侧上肢进行重物搬运工作的病史。保守治疗,包括调整活动、服用非甾体抗炎药(NSAID)和关节内注射,联合使用时在早期阶段可提供足够的疼痛缓解。如果需要手术,尽管存在软骨损伤,许多患者通过保留关节的手术可获得显著的疼痛缓解。虽然开放清创手术有效,但关节镜下骨囊成形术已成为首选的外科手术。手术期间应评估尺神经,必要时进行治疗。全肘关节置换术(TEP)在缓解疼痛和功能方面是成功的;然而,推荐用于患有晚期骨关节炎的老年患者或保留关节手术失败的患者。