Johnston J, Plancher K D, Hawkins R J
Albert Einstein College of Medicine, Bronx, New York, USA.
Clin Sports Med. 1996 Apr;15(2):307-29.
Elbow injuries in the throwing athlete are common. Because of the tremendous medial tensile forces and lateral compressive forces borne by the elbow, there is a wide array of injuries that occur. A detailed history and physical examination are necessary for an accurate diagnosis. Many of the injuries discussed can be treated successfully with conservative measures followed by aggressive physical therapy. Prompt recognition and early treatment is mandatory. In those conditions in which conservative treatment tends to fail, the detailed surgical options have been discussed. It is important to select highly motivated patients for those procedures that require extensive rehabilitation postoperatively. The keys to success in elbow surgery are a compliant patient and a well-regimented rehabilitation program.
投掷运动员的肘部损伤很常见。由于肘部承受巨大的内侧拉伸力和外侧压缩力,会出现各种各样的损伤。准确诊断需要详细的病史和体格检查。所讨论的许多损伤通过保守治疗并积极进行物理治疗可成功治愈。必须及时识别并尽早治疗。对于保守治疗往往失败的情况,已讨论了详细的手术选择。对于那些术后需要广泛康复的手术,选择积极性高的患者很重要。肘部手术成功的关键在于配合的患者和严格规划的康复计划。