近期肘部疼痛的非手术治疗

Jung Won Han, Young Dae Jeon
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引用次数: 0

摘要

肘部的疼痛可能是由于影响关节本身或周围结构的问题引起的。这些结构包括内侧和外侧上髁、相关韧带、腕屈肌和伸肌的起源、鹰嘴囊、远端肱二头肌肌腱以及桡神经和尺神经。看似来源于不同部位的疼痛实际上可能是指涉性疼痛,可能源于颈部(颈椎神经根病)或肩部。在与肘部有关的投诉中,外侧肘部疼痛是最常报道的。这种疼痛可能起源于外侧上髁、放射肱骨关节,也可能是其他部位的牵涉性疼痛。肘内侧疼痛是第二常见的疾病,通常由内侧上髁或尺神经穿过肘管时的问题引起。肱二头肌肌腱是肘关节前侧疼痛的常见原因。报告肘部肿胀的患者通常经历鹰嘴滑囊炎。这些情况通常可以通过保守治疗得到有效控制。本文的目的是提供一种结构化的方法来解决肘部疼痛患者,详细说明这种不适的常见原因,并探索有效的非手术治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recent Nonoperative Treatment of Elbow Pain
Pain originating from the elbow can be due to issues affecting the joint itself or the structures surrounding it. These structures include the medial and lateral epicondyles, associated ligaments, the origins of wrist flexor and extensor muscles, the olecranon bursa, the distal biceps tendon, and the radial and ulnar nerves. Pain that appears to originate from a different location may actually be referred pain, potentially stemming from the neck (cervical radiculopathy) or the shoulder. Among complaints related to the elbow, lateral elbow pain is the most frequently reported. This pain could originate from the lateral epicondyle, the radiohumeral joint, or it could be referred pain from other areas. Medial elbow pain is the second most common complaint, often resulting from issues with the medial epicondyle or the ulnar nerve as it travels through the cubital tunnel. The biceps tendon is frequently the cause of anterior elbow pain. Patients who report swelling in the elbow are often experiencing olecranon bursitis. These conditions can often be effectively managed through conservative treatment. The aim of this article is to provide a structured approach to addressing patients with elbow pain, by detailing the common causes of such discomfort and exploring effective nonsurgical treatment options.
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