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近期肘部疼痛的非手术治疗

Recent Nonoperative Treatment of Elbow Pain.

作者信息

Han Jung Won, Jeon Young Dae

机构信息

Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

出版信息

Ewha Med J. 2023 Oct;46(4):e14. doi: 10.12771/emj.2023.e14. Epub 2023 Oct 31.

Abstract

Pain originating from the elbow can be due to issues affecting the joint itself or the structures surrounding it. These structures include the medial and lateral epicondyles, associated ligaments, the origins of wrist flexor and extensor muscles, the olecranon bursa, the distal biceps tendon, and the radial and ulnar nerves. Pain that appears to originate from a different location may actually be referred pain, potentially stemming from the neck (cervical radiculopathy) or the shoulder. Among complaints related to the elbow, lateral elbow pain is the most frequently reported. This pain could originate from the lateral epicondyle, the radiohumeral joint, or it could be referred pain from other areas. Medial elbow pain is the second most common complaint, often resulting from issues with the medial epicondyle or the ulnar nerve as it travels through the cubital tunnel. The biceps tendon is frequently the cause of anterior elbow pain. Patients who report swelling in the elbow are often experiencing olecranon bursitis. These conditions can often be effectively managed through conservative treatment. The aim of this article is to provide a structured approach to addressing patients with elbow pain, by detailing the common causes of such discomfort and exploring effective nonsurgical treatment options.

摘要

源自肘部的疼痛可能是由于影响关节本身或其周围结构的问题所致。这些结构包括内上髁和外上髁、相关韧带、腕屈肌和伸肌的起点、鹰嘴滑囊、肱二头肌远端肌腱以及桡神经和尺神经。看似源自不同部位的疼痛实际上可能是牵涉痛,可能源于颈部(神经根型颈椎病)或肩部。在与肘部相关的主诉中,外侧肘部疼痛是最常报告的。这种疼痛可能源自外上髁、桡肱关节,也可能是其他部位的牵涉痛。内侧肘部疼痛是第二常见的主诉,通常是由于内上髁或尺神经在穿过肘管时出现问题所致。肱二头肌肌腱经常是肘部前方疼痛的原因。报告肘部肿胀的患者通常患有鹰嘴滑囊炎。这些病症通常可以通过保守治疗得到有效管理。本文的目的是通过详细说明此类不适的常见原因并探索有效的非手术治疗选择,提供一种针对肘部疼痛患者的结构化处理方法。

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本文引用的文献

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