Andrews J R, Wilk K E, Satterwhite Y E, Tedder J L
Alabama Sports Medicine & Orthopaedic Center, Birmingham.
J Orthop Sports Phys Ther. 1993 Jun;17(6):296-304. doi: 10.2519/jospt.1993.17.6.296.
The physical examination of the thrower's elbow presents the clinician with the clinical challenge of differentially diagnosing specific pathologies. The examination should include a thorough history and a well-organized physical examination, which relies on an extensive knowledge of the functional anatomy of the elbow. The components of an elbow examination include inspection/observation, palpation of bony and soft tissues, range of motion assessment, resisted muscle testing (both manual and mechanical), neurologic testing, and special tests. The special tests commonly performed on the thrower's elbow are the Tinel test, tennis elbow sign, ulnar collateral ligament stability testing, valgus extension overload test, and radiocapitella chondromalacia test. Other tests include radiographic examination, such as computerized tomograph arthrogram and magnetic resonance imaging testing. Information presented in this paper will provide the clinician with a systematic and thorough evaluation process for the thrower's elbow.
对投掷运动员肘部进行体格检查时，临床医生面临着鉴别诊断特定病理状况的临床挑战。检查应包括详尽的病史和条理清晰的体格检查，这依赖于对肘部功能解剖学的广泛了解。肘部检查的内容包括视诊/观察、骨组织和软组织触诊、活动度评估、抗阻肌肉测试（包括手法和器械测试）、神经学检查以及特殊检查。常用于投掷运动员肘部的特殊检查有Tinel试验、网球肘体征、尺侧副韧带稳定性测试、外翻伸展超负荷试验以及桡骨头软骨软化试验。其他检查包括影像学检查，如计算机断层扫描关节造影和磁共振成像检查。本文提供的信息将为临床医生提供一个针对投掷运动员肘部的系统且全面的评估流程。
