Medial Elbow Problems in the Overhead‐Throwing Athlete
Medial Elbow Problems in the Overhead‐Throwing Athlete
复制标题
过头投掷运动员的内侧肘部问题
DOI：
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发表时间：
2001
影响因子：
3.2
通讯作者：
F. Jobe
中科院分区：
文献类型：
--
作者：
Frank S. Chen;A. Rokito;F. Jobe
&NA;在投掷运动中手肘受到巨大的外翻应力，这使头顶投掷运动员面临相当大的受伤风险。肘内侧结构的损伤有不同的类型。虽然肘内侧可能发生急性损伤，但大多数是由于投掷对手肘施加的重复力造成的过度使用损伤。尺侧副韧带复合体损伤导致外翻不稳定。外翻过负荷导致手肘关节内弥漫性骨质改变和继发性后内侧撞击。过度使用屈旋前肌可能导致内上髁炎和偶尔的肌肉撕裂和断裂。尺神经病变是一种常见的发现，可能是由于各种因素，包括牵引，摩擦和尺神经压迫。针对每种损伤模式的非手术和手术治疗方案的进展导致了肘关节功能的恢复，并使大多数受伤的头顶运动员成功重返竞技活动。随着对高空活动及其相关损伤的相关解剖学、生物力学和病理生理学的进一步了解，可以继续为预防和治疗这些损伤做出重大贡献。
&NA; The elbow is subjected to enormous valgus stresses during the throwing motion, which places the overhead‐throwing athlete at considerable risk for injury. Injuries involving the structures of the medial elbow occur in distinct patterns. Although acute injuries of the medial elbow can occur, the majority are overuse injuries as a result of the repetitive forces imparted to the elbow by throwing. Injury to the ulnar collateral ligament complex results in valgus instability. Valgus extension overload leads to diffuse osseous changes within the elbow joint and secondary posteromedial impingement. Overuse of the flexor‐pronator musculature may result in medial epicondylitis and occasional muscle tears and ruptures. Ulnar neuropathy is a common finding that may be due to a variety of factors, including traction, friction, and compression of the ulnar nerve. Advances in nonoperative and operative treatment regimens specific to each injury pattern have resulted in the restoration of elbow function and the successful return of most injured overhead athletes to competitive activities. With further insight into the relevant anatomy, biomechanics, and pathophysiology involved in overhead activities and their associated injuries, significant contributions can continue to be made toward prevention and treatment of these injuries.
肘关节周围韧带的生物力学研究。
影响因子：
4.2
作者：
Regan,WD;Korinek,SL;Morrey,BF;An,KN
通讯作者：
An,KN