患有和未患有外侧上髁炎的患者之间肘关节提携角的比较：一项观察性研究。
Comparison of Carrying Angle of Elbow between Patients with and without Lateral Epicondylitis: An Observational Study.
作者信息
Shrestha Sarik Kumar, Kandel Manoj, Chalise Bhanubhakta, Gautam Keshav Mani, Panta Sunil, Chaudhary Pritam, Subedi Suman, Darjee Prakash
机构信息
Department of Orthopedics and Trauma Surgery, Bharatpur Hospital, Bharatpur, Chitwan, Nepal.
Department of Orthopedics and Trauma Surgery, Gorkha Hospital, Gorkha, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2025 Jan;63(281):52-56. doi: 10.31729/jnma.8863. Epub 2025 Jan 31.
INTRODUCTION
Lateral epicondylitis is a common cause of elbow pain, characterized by pain on the lateral side of the elbow joint. Its multifactorial etiology may result from repetitive micro-trauma, overuse of the forearm extensor muscles, use of vibrating tools, and anatomical variables causing lateral wear. In case of increased carrying angle of elbow, the course of extensor carpi radialis brevis during movement can be altered, thus increasing the tension on the extensor carpi radialis brevis tendon and increasing the risk for lateral epicondylitis. This study aims to find out the difference in carrying angle of elbow in patients with and without lateral epicondylitis.
METHODS
An observational cross-section study comparing carrying angle of elbow in patient with and without lateral epicondylitis was performed after ethical approval from the Institutional Review Committee (Reference number: 080/081-019) Patients presenting who had undergone radiographic examination of the elbow were recruited in the study and divided into the lateral epicondylitis group and the normal group. The mean carrying angle of elbow in both groups was compared using the parametric test.
RESULTS
This study included 82 participants, with 41 participants in the lateral epicondylitis group and 41 participants in the normal group. The mean carrying angle of elbow among patients with lateral epicondylitis group was 14.35±1.4 degrees; and the normal group, it was 12.40±1.26 degrees (p<0.001).
CONCLUSIONS
The carrying angle of elbow in patients with lateral epicondylitis was significantly more than those without lateral epicondylitis.
引言
外侧肱骨髁炎是肘部疼痛的常见原因，其特征为肘关节外侧疼痛。其多因素病因可能源于重复性微创伤、前臂伸肌过度使用、使用振动工具以及导致外侧磨损的解剖学变量。在肘提携角增大的情况下，桡侧腕短伸肌在运动过程中的轨迹可能会改变，从而增加桡侧腕短伸肌腱的张力，增加患外侧肱骨髁炎的风险。本研究旨在找出患有和未患有外侧肱骨髁炎的患者在肘提携角方面的差异。
方法
在获得机构审查委员会伦理批准（参考编号：080/081 - 019）后，进行了一项观察性横断面研究，比较患有和未患有外侧肱骨髁炎的患者的肘提携角。本研究招募了接受过肘部X线检查的患者，并将其分为外侧肱骨髁炎组和正常组。使用参数检验比较两组患者的平均肘提携角。
结果
本研究共纳入82名参与者，其中外侧肱骨髁炎组41名，正常组41名。外侧肱骨髁炎组患者的平均肘提携角为14.35±1.4度；正常组为12.40±1.26度（p<0.001）。
结论
患有外侧肱骨髁炎的患者的肘提携角明显大于未患有外侧肱骨髁炎的患者。
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