骨髓炎 肘部切割:当前的诊断和管理
Brett D Haislup1, Scott D Huff, Peter S Johnston
1From the Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD (Haislup, Huff, and Murthi), the Centers for Advanced Orthopaedics, Southern Maryland Orthopaedic and Sports Medicine, Leonardtown, MD (Johnston), and the Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH (Ho).
The Journal of the American Academy of Orthopaedic Surgeons
|February 6, 2026
概括
肘部解剖性骨髓炎 (OCD) 是一种影响年轻运动员的疾病,导致肘部疼痛和机械症状. 治疗范围从稳定的病变的非手术固定到不稳定或失败的病例的手术干预.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 放射学 放射学是一门学科.
背景情况:
- 肘部解剖性骨髓炎 (OCD) 通常影响青少年和年轻人,特别是参与重复的头部活动的运动员.
- 它经常发生在头骨上,导致阴险的肘部疼痛,由于自由漂浮的软骨碎片引起的抓住或锁定感觉.
- 病变被分为稳定,部分脱离或完全脱离,影响肘部功能.
研究的目的:
- 审查骨髓炎的表现,评估和管理,对肘部的剖析.
- 概述当前对肘部强迫症的诊断方式和治疗策略.
主要方法:
- 关于肘部强迫症的文献综述,包括诊断成像技术,如X光,超声波,CT和MRI.
- 基于病变稳定性和患者症状的非手术和手术治疗选择的分析.
主要成果:
- 稳定的强迫症病变通常可以通过不移动治疗进行非手术治疗,最近的证据支持造的有效性.
- 外科干预只适用于不稳定的病变,引起机械症状的病变,或对保守管理不耐药的病例.
- 外科选择包括关节镜和开放程序,如微骨折,碎片切除和各种移植技术.
结论:
- 肘部强迫症的有效管理取决于准确的诊断和病变的特征.
- 从保守措施到先进的外科手术技术,有一系列的治疗方法可用于管理运动员的这种衰弱状况.
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