Richmond D R
Malcolm Grow United States Air Force Medical Center, Andrews Air Force Base, Maryland.
Clin Sports Med. 1994 Jan;13(1):165-73.
Handlebar problems are common among serious bicyclists. Compression neuropathy, more commonly ulnar than median, is frequent but seldom produces permanent injury or deficit if promptly recognized and managed by attending to bicycle fit, energy-absorbing gloves and handlebar treatments, and cycling technique. Overuse symptoms may be seen if bicycle design and fit couple with repetitive motion to aggravate wrist tendons or connective tissues of the neck and shoulder. Mechanical and medical management are effective in relieving symptoms and preventing recurrence.
车把问题在严肃的自行车骑行者中很常见。压迫性神经病变较为常见，尺神经比正中神经更易受累，虽很频繁，但如果通过关注自行车的适配性、使用吸能手套和车把处理方法以及骑行技巧，能及时识别并处理，很少会导致永久性损伤或功能缺损。如果自行车的设计和适配性与重复性动作相结合，加重手腕肌腱或颈部及肩部的结缔组织负担，就可能出现过度使用症状。机械和医学处理方法在缓解症状和预防复发方面很有效。
