肘部后侧旋转不稳定性:以实践为重点的叙述性审查
Ahmad A Quzli1, Ahmad M Elheet2, Rawand A Quzali3
1Trauma and Orthopaedics, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, GBR.
Cureus
|November 7, 2025
概括
后侧旋转不稳定 (PLRI) 是一个常见的,经常错过的,肘部疼痛的原因. 早期诊断和治疗,包括物理治疗或带重建,显著改善结果和恢复活动.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肘部生物力学 肘部生物力学
背景情况:
- 后侧旋转不稳定 (PLRI) 是最常见的肘部不稳定模式.
- 由于正常的放射图和动态不稳定性,它经常被诊断不足.
- PLRI可能是持续侧肘疼痛的重要原因.
研究的目的:
- 综合当前关于侧侧侧带 (LCL) 综合体的证据,重点关注侧侧侧侧带 (LUCL).
- 整合解剖学,病理学,临床表现,检查,成像和PLRI的管理.
- 为PLRI提供实用的诊断和治疗途径.
主要方法:
- 从PubMed和MEDLINE获得的同行评审文献的叙事评论.
- 专注于关于LUCL和PLRI的开创性和当代文章.
- 应用解剖学,生物力学,临床发现和管理策略的整合.
主要成果:
- 诊断主要是临床的,由挑性测试和成像 (放射,CT,MRI,光镜,超声波) 支持.
- 保守管理包括活动修改,物理治疗和低级病例的支架.
- 手术治疗涉及解剖学LUCL重建,在当代系列中报告的良好到优秀的结果 (85-90%).
结论:
- 早期识别和干预对于功能恢复和减少反复出现的不稳定性至关重要.
- 结构化康复是高回归活动率的关键.
- 变形驱动的病例 (例如,大肘) 需要特别考虑,可能包括纠正性骨切除术.
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