Andrews J R, Timmerman L A
American Sports Medicine Institute, Birmingham, Alabama 35205, USA.
Am J Sports Med. 1995 Jul-Aug;23(4):407-13. doi: 10.1177/036354659502300406.
We reviewed the records of 72 professional baseball players who underwent arthroscopic or open elbow surgery. The most common diagnoses were posteromedial olecranon osteophyte (65%), ulnar collateral ligament injury (25%), and ulnar neuritis (15%). Intraarticular loose bodies were found in 39% of the patients. Fifty-nine patients (82%) were observed for a minimum of 24 months, with an average of 42 months' followup. Forty-seven players (80%) returned to play for a minimum of one season (73% at the same or higher level of play), and 17% of the players retired initially because of their elbow injury. One third of the players required two or more surgical procedures, with 25% of these patients requiring an ulnar collateral ligament reconstruction after removal of a posteromedial olecranon osteophyte. The patients with posteromedial olecranon osteophytes had the highest rate of reoperation, and patients who underwent ulnar collateral ligament reconstruction had a higher rate of return to play. The incidence of ulnar collateral ligament injuries was most likely underestimated in this group of athletes, with initial treatment directed at the secondary injuries instead of the primary ulnar collateral ligament injury.
我们回顾了72名接受关节镜或开放性肘部手术的职业棒球运动员的记录。最常见的诊断是后内侧鹰嘴骨赘（65%）、尺侧副韧带损伤（25%）和尺神经炎（15%）。39%的患者发现关节内游离体。59名患者（82%）接受了至少24个月的观察，平均随访42个月。47名运动员（80%）重返赛场至少一个赛季（73%处于相同或更高比赛水平），17%的运动员最初因肘部受伤而退役。三分之一的运动员需要进行两次或更多次手术，其中25%的患者在切除后内侧鹰嘴骨赘后需要进行尺侧副韧带重建。后内侧鹰嘴骨赘患者的再次手术率最高，接受尺侧副韧带重建的患者重返赛场的比例更高。在这组运动员中，尺侧副韧带损伤的发生率很可能被低估了，初始治疗针对的是继发性损伤而非原发性尺侧副韧带损伤。
