Gill T J, Micheli L J
Harvard University, Combined Residency Program in Orthopaedic Surgery, Boston, Massachusetts, USA.
Clin Sports Med. 1996 Apr;15(2):401-23.
Specific elbow and wrist injuries are predictable in the skeletally immature athlete based on the biomechanics of the sport and the age of the patient. The physician must be aware of the potential for overuse injuries. Modification in training regimens is essential for recovery. A greater emphasis must be placed on the prevention of these injuries. As a general rule, the young athlete should not progress more than 10% per week in the amount and frequency of training. Correction of muscle-tendon imbalances is accomplished by maintaining strength and flexibility of susceptible tissues. In throwers, a triceps-strengthening program of progressive resisted extension exercises and a forearm flexor/extensor-strengthening program using the French curl technique are helpful. Careful attention to throwing technique and proper coaching are essential. The goal for the young athlete is early recognition of the injury and thereby prevention of a long-term disability.
根据运动的生物力学和患者年龄，在骨骼未成熟的运动员中，特定的肘部和腕部损伤是可预测的。医生必须意识到过度使用损伤的可能性。训练方案的调整对恢复至关重要。必须更加重视这些损伤的预防。一般来说，年轻运动员的训练量和频率每周增加不应超过10%。通过保持易受伤组织的力量和柔韧性来纠正肌肉肌腱失衡。对于投掷运动员，进行渐进性抗阻伸展练习的三头肌强化计划以及使用法式弯举技术的前臂屈肌/伸肌强化计划会有所帮助。密切关注投掷技术和适当的指导至关重要。年轻运动员的目标是早期识别损伤，从而预防长期残疾。
