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投掷运动员肘部的评估

Evaluation of the Elbow in Throwing Athletes.

作者信息

Pottanat Paul J, Ashy Cody, Reis Robert J, Bailey Evan P, Friedman Richard J, Rogalski Brandon L, Eichinger Josef K

机构信息

Medical University of South Carolina, Charleston, South Carolina, USA.

出版信息

Video J Sports Med. 2025 Mar 3;5(2):26350254241291590. doi: 10.1177/26350254241291590. eCollection 2025 Mar-Apr.

Abstract

BACKGROUND

Elbow injuries are becoming increasingly prevalent in throwing athletes. Early diagnosis, especially in athletes, can allow for earlier intervention and return to play. It is important for clinicians to have a framework to systemically examine the elbow to accurately diagnose a variety of elbow pathologies in this unique patient population.

INDICATIONS

The purpose of this video is to educate clinicians on how to diagnose a variety of elbow pathologies in the throwing athlete. Currently, there is no published video describing the evaluation of the elbow in throwing athletes with associated reliability measures for specific examination maneuvers. This video teaches how to perform these examination maneuvers, interpret their findings, and review reliability measures associated with them.

TECHNIQUE DESCRIPTION

This video provides an overview of the physical examination of the elbow in throwing athletes, including evaluation of range of motion, neurologic pathology, and special examination maneuvers depending on the location at the elbow.

RESULTS

The discussed tools for evaluation can aid in accurate diagnosis of a variety of elbow pathologies. There is variability among physical maneuvers regarding their reliability measures, with many maneuvers having reliability measures that have not been fully studied.

DISCUSSION/CONCLUSION: Using a detailed history and focused physical examination, a variety of elbow pathologies can be diagnosed. Early and accurate diagnosis is crucial for early intervention for both nonoperative and operative management, allowing for earlier return to competition.

PATIENT CONSENT DISCLOSURE STATEMENT

The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.

摘要

背景

肘部损伤在投掷运动员中越来越普遍。早期诊断,尤其是在运动员中,可实现更早的干预并重返赛场。对于临床医生而言,拥有一个系统性检查肘部的框架以准确诊断这一独特患者群体中的各种肘部病变非常重要。

适应证

本视频的目的是指导临床医生如何诊断投掷运动员的各种肘部病变。目前,尚无已发表的视频描述对投掷运动员肘部进行评估并针对特定检查动作给出相关可靠性测量数据。本视频教授如何执行这些检查动作、解读其结果以及回顾与之相关的可靠性测量数据。

技术描述

本视频概述了对投掷运动员肘部的体格检查,包括根据肘部位置评估活动范围、神经病变及特殊检查动作。

结果

所讨论的评估工具有助于准确诊断各种肘部病变。体格检查动作在可靠性测量方面存在差异,许多动作的可靠性测量尚未得到充分研究。

讨论/结论:通过详细的病史和针对性的体格检查,可诊断各种肘部病变。早期准确诊断对于非手术和手术治疗的早期干预至关重要,可使运动员更早重返比赛。

患者同意披露声明

作者证明已获得本出版物中出现的任何患者的同意。如果个体可能被识别,作者已随本提交材料附上患者的豁免声明或其他书面批准形式以供发表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ff/11950621/c6840d0159ad/10.1177_26350254241291590-img2.jpg

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