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Medial Elbow Pain Syndrome: Current Treatment Strategies
Orthopedics ( IF 1.1 ) Pub Date : 2022-07-25 , DOI: 10.3928/01477447-20220719-06
Gautham Prabhakar , Vaibhav Kanawade , Abdullah N Ghali , Anil K Dutta , Christina I Brady , Bernard F Morrey

Medial elbow pain is a common presentation that can be a challenge to appropriately treat for the orthopedic surgeon. Causes include medial epicondylitis, ulnar neuritis, ulnar collateral ligament injury, flexor pronator strain, or snapping medial triceps. A good outcome is typically achieved with adequate treatment of tendon degeneration at the common flexor tendon origin. Mainstay treatment is nonoperative modalities such as stretching, rest, activity modification, therapy, and injections. If nonoperative management fails, intermediate interventions such as extracorporeal shockwave therapy, platelet-rich plasma injections, prolotherapy, and ultrasound-guided percutaneous tenotomy can be attempted. Surgical treatments are dictated based on the severity of the pathology, involvement of soft tissues, and concomitant pathology. Medial elbow complaints can be multifactorial and require a broad differential diagnosis. [Orthopedics. 20XX;XX(X):xx–xx.]



中文翻译:

肘内侧疼痛综合征:目前的治疗策略

肘部内侧疼痛是一种常见的表现,对于骨科医生来说,适当治疗可能是一个挑战。原因包括内侧上髁炎、尺神经炎、尺侧副韧带损伤、旋前屈肌劳损或内侧三头肌弹响。通过充分治疗屈肌腱总肌腱处的肌腱退变,通常可以获得良好的结果。主要治疗方法是非手术方式,例如拉伸、休息、活动改变、治疗和注射。如果非手术治疗失败,可以尝试中间干预措施,例如体外冲击波疗法、富含血小板的血浆注射、增生疗法和超声引导下经皮肌腱切断术。根据病理的严重程度、软组织的受累情况和伴随的病理决定手术治疗。内侧肘部不适可能是多因素的,需要广泛的鉴别诊断。[骨科。20XX;XX(X):xx–xx.]

更新日期:2022-07-25
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