(肘关节炎)。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2024-12-04 DOI:10.1007/s00132-024-04574-8
N Zumbansen, A Lenich
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引用次数: 0

摘要

大多数原发性肘部骨关节炎患者都有上肢负重工作的病史。保守治疗,包括活动改变、非甾体抗炎药(NSAID)的摄入和关节内注射,在联合使用时可以在早期提供足够的疼痛缓解。如果需要手术,尽管存在软骨损伤,许多患者仍能从关节保留手术中明显缓解疼痛。虽然开放清创手术是有效的,但关节镜下骨囊置换术已成为首选的手术方法。尺神经应在手术中进行评估,必要时进行治疗。全肘关节置换术(TEP)在疼痛缓解和功能方面是成功的;然而,它被推荐用于老年晚期骨关节炎患者或保关节手术失败的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Elbow arthritis].

Most patients with primary osteoarthritis of the elbow report a history of heavy lifting work with the affected upper limb. Conservative treatment, including activity modifications, nonsteroidal anti-inflammatory drug (NSAID) intake, and intra-articular injections can provide sufficient pain relief in the early stages when used in combination. If surgery is required, many patients experience significant pain relief from joint-preserving procedures despite existing cartilage damage. Although open debridement procedures are effective, arthroscopic osteocapsular arthroplasty has become established as the preferred surgical procedure. The ulnar nerve should be assessed during surgery and treated if necessary. Total elbow arthroplasty (TEP) is successful in terms of pain relief and function; however, it is recommended for older patients with advanced osteoarthritis or for whom joint-preserving procedures have failed.

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