骨科小病不求医036:肱骨内上髁炎(高尔夫球肘)

发表于 讨论求助 2022-07-28 03:00:35


   

      肱骨内上髁炎,通常被称为高尔夫球肘,是将前臂肌肉连接至肘部的肌腱的炎症。疼痛的位置主要在肱骨内上髁,即肘关节内侧的骨性突起处。




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Overview(概述)

This condition, commonly called golfer's elbow, is an inflammation of the tendons that connect the muscles of the forearm to the elbow. The pain is primarily felt at the medial epicondyle, the bony bump on the inner side of the elbow.

      肱骨内上髁炎,通常被称为高尔夫球肘,是将前臂肌肉连接至肘部的肌腱的炎症。疼痛的位置主要在肱骨内上髁,即肘关节内侧的骨性突起处。


Inside the Elbow(肘关节内部结构)

The elbow joint is a complex group of bones, muscles, ligaments and tendons. Medial epicondylitis involves the flexor muscles, which control the flexion of the wrist and fingers, and the flexor tendons, which anchor the muscles to the medial epicondyle.

      肘关节是一个由骨、肌肉、韧带及肌腱组成的复杂关节。肱骨内上髁炎涉及控制腕和指屈曲的屈肌及将肌肉锚固在肱骨内上髁上的屈肌腱。


Causes(病因)

Medial epicondylitis is caused by specific repetitive motions of the wrist and arm. The stress placed on the forearm by swinging a golf club is a common culprit. This stress causes tiny tears to develop in one or more flexor tendons. This results in inflammation and pain.

      肱骨内上髁炎大多是由于腕和胳膊重复一些特定的动作所引起的。例如将应力作用在前臂的挥动高尔夫球杆这个动作,就是一种最常见的病因。这种重复的应力会导致一根或数根屈肌腱发生轻微的撕裂。这会引起炎症和疼痛。


Symptoms(症状)

This condition typically causes pain and tenderness that is centered on the medial epicondyle. This pain may radiate along the forearm and wrist. The elbow may feel stiff, and the hand and wrist may feel weak. A person may experience numbness or tingling in the ring finger and little finger.

      本病通常会导致肱骨内上髁为中心的疼痛及压痛。疼痛可能放射到前臂和手腕。肘关节会感到僵硬,手及腕感动。某些患者可能会有无名指及小指的麻木感或是刺痛感。


Risk Factors(风险因素)

Medial epicondylitis typically affects people older than 35. It is a common complaint of athletes who play golf and racquet sports. It also commonly affects people who play throwing sports, such as baseball and football, and people who participate in weight training. Certain occupations can also raise a person's risk. This condition is common among painters, carpenters and people who use

computers.

      肱骨内上髁炎通常影响年龄大于35岁的人群。高尔夫球和网球运动员往往存在这一问题。本病也会影响到玩投掷运动的人,比如棒球,橄榄球,和那些参加举重训练的人群。本病也常见于画家、木匠和IT从业者。


Treatment(治疗)

Treatment options may include rest, ice, anti-inflammatory medications and stretching exercises. A physician may recommend an arm brace or wrist splint and physical therapy or massage therapy. Steroid injections or PRP injections may also provide relief.

      治疗方法包括休息,冰敷,消炎药和拉伸练习。医师可能会建议手臂支具或手腕夹板和物理治疗或按摩疗法。类固醇注射或PRP(自体血清干细胞)注射也可起到缓解作用。

(肖鑫  译)

 

肖鑫,男,江西抚州人,广西中医药大学毕业,宁波市鄞州区第二医院急诊外科医师,现在宁波市第一医院进行住院医师规范化培训。




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