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Related Experiment Videos

Postero-medial elbow problems in the adult athlete.

D Eygendaal1, M R Safran

  • 1Amphia Hospital, Orthopaedic Surgery, Teteringen, Netherlands. denise@eygendaal.nl

British Journal of Sports Medicine
|April 25, 2006
PubMed
Summary

Overhead athletes risk elbow injuries due to valgus and extension overload. Treatment ranges from conservative care to surgical intervention, with good prognoses for return to sport.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanics

Background:

  • Overhead athletes are susceptible to injuries affecting the ligamentous, osseous, musculotendinous, and neural structures of the elbow.
  • Valgus and extension overload during overhead activities cause tensile forces on medial stabilizers and posterior shear stress.

Purpose of the Study:

  • To review common elbow injuries in overhead athletes.
  • To discuss conservative and surgical treatment options.
  • To highlight the prognosis for athletes returning to their sport.

Main Methods:

  • Literature review of elbow injuries in overhead athletes.
  • Analysis of biomechanical forces during overhead activities.
  • Discussion of current treatment strategies and outcomes.

Main Results:

  • Common injuries include ulnar collateral ligament (UCL) tears, flexor-pronator mass injuries, ulnar neuritis, posterior impingement, and olecranon stress fractures.
  • Conservative management is the initial approach for most conditions.
  • Surgical intervention is indicated when conservative treatment fails.

Conclusions:

  • Prompt diagnosis and appropriate management are crucial for overhead athletes with elbow injuries.
  • Advances in arthroscopic surgery and ligament reconstruction offer good prognoses for return to pre-injury levels.
  • Understanding the biomechanics of overhead activities is key to injury prevention and management.

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