Suppr超能文献

[肘关节关节炎]

[Elbow arthritis].

作者信息

Zumbansen N, Lenich A

机构信息

ZEST - Zentrum für Ellenbogen und Schulter-Therapie, MOVE MVZ Am Stiglmaierplatz, Nymphenburgerstr 1, 80335, München, Deutschland.

, Nymphenburgerstr 1, 80335, München, Deutschland.

出版信息

Orthopadie (Heidelb). 2025 Jan;54(1):83-92. doi: 10.1007/s00132-024-04574-8. Epub 2024 Dec 4.

Abstract

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.

摘要

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。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验