Sports-related extensor carpi ulnaris pathology: a review of functional anatomy, sports injury and management.
Sports-related extensor carpi ulnaris pathology: a review of functional anatomy, sports injury and management.
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DOI：
10.1136/bjsports-2013-092835
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发表时间：
2013-11
影响因子：
18.4
通讯作者：
Hawkes R
中科院分区：
文献类型：
--
作者：
Campbell D;Campbell R;O'Connor P;Hawkes R
尺侧腕伸肌（ECU）不仅在腕部伸展和尺侧偏斜的主动运动中起着关键作用，而且在为腕部尺侧提供稳定性方面也起着关键作用。其相对于腕部其他结构的位置随着前臂旋前和旋后而变化。因此，它必须是移动的而又稳定的。ECU肌腱依靠特定的稳定结构将其保持在正确的位置以执行其不同的功能。这些结构可能在各种不同的体育活动中受伤，例如网球，高尔夫球和橄榄球联赛，但当ECU的力学和运动技术被理解时，它们的损伤和破坏是可预测的。ECU肌腱也易受肌腱病变而非不稳定性的影响。它位于皮下，很容易触诊和可视化诊断超声，允许早期诊断和管理其特定条件。治疗包括休息、夹板固定和手术，每种方式都有特定的适应症和公认的结果。这篇综述描述了相关运动情况下的功能解剖学，并解释了问题是如何发生的，以及何时和如何干预。
The extensor carpi ulnaris (ECU) muscle plays a key role not only in the active movements of wrist extension and ulnar deviation but also in providing stability to the ulnar side of the wrist. Its position relative to the other structures in the wrist changes with forearm pronation and supination. As such, it must be mobile yet stable. The ECU tendon relies on specific stabilising structures to hold it in the correct positions to perform its different functions. These structures can be injured in a variety of different athletic activities such as tennis, golf and rugby league, yet their injury and disruption is predictable when the mechanics of the ECU and the techniques of the sport are understood. The ECU tendon is also vulnerable to tendon pathologies other than instability. It lies subcutaneously and is easily palpated and visualised with diagnostic ultrasound, allowing early diagnosis and management of its specific conditions. Treatment includes rest, splintage and surgery with each modality having specific indications and recognised outcomes. This review described the functional anatomy in relevant sporting situations and explained how problems occur as well as when and how to intervene.