Griggs S M, Weiss A P
Department of Orthopaedics, Brown University, School of Medicine, Rhode Island Hospital, Providence, USA.
Clin Sports Med. 1996 Apr;15(2):373-400.
One of the greatest challenges when examining an injured athlete is ensuring that the examination encompasses the whole patient and not just the obvious deformity. Bony injuries of the wrist, forearm, and elbow are uncommon in athletes and when present should always lead to suspicion of possible concomitant soft tissue injury. Mechanisms causing osseous disruption are of fairly high energy and can be quite disabling to the long-term career of the athlete. Appropriate expectations with regard to both treatment and the possible return to sports are critical in providing successful treatment for these often complex injuries. There is no substitute for a careful clinical history and physical examination in not only establishing the diagnosis but ensuring that a complete diagnosis with its subsequent prognostic outcome can be rendered.
在检查受伤运动员时，最大的挑战之一是确保检查涵盖整个患者，而不仅仅是明显的畸形部位。手腕、前臂和肘部的骨损伤在运动员中并不常见，一旦出现，应始终怀疑可能伴有软组织损伤。导致骨破坏的机制能量相当高，可能会对运动员的长期职业生涯造成严重影响。对于治疗以及恢复运动的可能性，抱有恰当的期望对于成功治疗这些通常较为复杂的损伤至关重要。在确定诊断以及确保能够做出完整诊断并得出后续预后结果方面，仔细的临床病史和体格检查是无可替代的。
