TAILIEUCHUNG - Chấn thương của khuỷu tay

Vết thương mở rộng Valgus của khuỷu tay phổ biến các vận động viên ném. Có một phổ rộng các thương tích, từ đầu thay đổi mô mềm viêm suy giảm và thiếu năng lực của dây chằng tài sản thế chấp trụ, cũng như thay đổi xương | Valgus Extension Injuries of the Elbow in the Throwing Athlete Christopher D. Miller MD and Felix H. Savoie III MD Abstract Valgus extension injuries of the elbow are common among throwing athletes. There is a wide spectrum of these injuries ranging from early soft-tissue inflammatory changes to attenuation and incompetence of the ulnar collateral ligament as well as bone changes including chondromalacia osteochondritis and osteophyte formation. Early treatment should be directed toward decreasing pain and inflammation followed by global strengthening and conditioning of the elbow with special emphasis on plyometric strengthening of the flexor-pronator musculature. In patients who remain symptomatic after an initial course of nonoperative treatment arthroscopy of the elbow can address many of the later changes including chondromalacia osteochondritis and osteophyte formation. Reconstruction of the ulnar collateral ligament should be reserved for those patients who wish to remain active at a highly competitive level and for whom rehabilitation and less invasive procedures have failed. Appropriate rehabilitation remains the cornerstone of successful treatment of these patients facilitating their return to competitive play. J Am Acad Orthop Surg 1994 2 261-269 The dominant elbow of the throwing athlete is particularly susceptible to injury due to the repetitive stress that is placed across it in the act of throwing. Bennett1 and Waris2 were among the first to note the problems that occur in throwing athletes. Since their reports our understanding of medial elbow instability has continued to advance. The purpose of this article is to review all aspects of this clinical problem including the anatomy biomechanics patterns of injury and current treatment options. Anatomy The elbow is a hinged joint composed of three distinct articulations the radiocapitellar joint the ulno-humeral joint and the proximal radioulnar joint. All three joints are enclosed within a common .

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