在棒球比赛中,旋转手套和双臂受伤
Christopher S Ahmad1, Abed K Abdelaziz1, Alexander J Rondon1
1Department of Orthopedic Surgery, Center for Shoulder, Elbow, and Sports Medicine, Columbia University Medical Center, 622 West 168th Street, PH11, New York, NY 10032, USA.
Clinics in sports medicine
|February 28, 2025
概括
旋转手套和双肩肌损伤在顶部运动员中很常见. 建议对部分撕裂和肌炎进行非手术治疗,对持续的症状进行手术,避免在修复过程中过度紧张.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 运动训练 运动训练
背景情况:
- 头部运动员经常经历旋转和双肩肌损伤,导致疼痛和功能障碍.
- 高水平的投会对关节及其稳定器造成显著的压力,导致适应性解剖变化.
- 了解这些变化对于有效管理运动员肩部受伤至关重要.
研究的目的:
- 概述旋转和双肩肌损伤在头部运动员推的治疗途径.
- 强调认识到和尊重投运动员适应性解剖变化的重要性.
- 突出旋转器袖口修复的关键外科考虑,以优化结果.
主要方法:
- 综述当前关于旋转和双肩肌损伤的文献.
- 对非手术和手术治疗策略的分析.
- 讨论影响投运动中受伤和恢复的生物力学因素.
主要成果:
- 非手术治疗是部分旋转带撕裂和双肩肌炎/肌病的主要建议.
- 外科手术只适用于那些症状持续且对保守治疗无反应的病例.
- 在旋转手套修复过程中避免过度紧张是保持运动范围和提高回归速度的关键.
结论:
- 在头部运动员中,有效管理旋转手套和双肩损伤需要根据损伤严重程度和症状持续性的量身定制方法.
- 对于不太严重的疾病,应该优先考虑保守的治疗,同时必须仔细考虑手术的指示.
- 最佳的外科手术技术,特别是避免过度紧张,对于成功修复旋转手腕和运动员康复至关重要.
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