肘关节不稳的诊断治疗

肘关节不稳是急性骨折脱位及慢性运动劳损中常见的肘部疾患,对于急性肘关节不稳的治疗至关重要,及时治疗避免形成慢性不稳.慢性不稳治疗较为困难.本文综述了肘关节不稳的表现、诊断及治疗.肘关节不稳的治疗原则为将复杂的骨折脱位变为简单的骨折脱位,恢复解剖结构,包括关节面和软组织.肱尺关节损伤时外侧组织的修复尤为重要.肘关节复发性不稳应以手术治疗为主.

Diagnosis and treatment of elbow instability

The instability of elbow is common among patients who suffered from acute fracture or dislocation or from chronic strain. It is crucial to correctly deal with the acute injury of the elbow, otherwise it would become chronic instability of the elbow which is difficult to treat. This paper reviews the literature about the clinical representation, diagnosis and treatment of elbow instability. The surgical principle is to convert a complex fracture-dislocation pattern into a simple dislocation pattern. Surgery should try to restore the anatomic structure of the elbow, including articular surfaces and soft tissues. In injuries to the ulnohumeral joint, reconstruction of the lateral tissues is the key to restoring joint stability. The premier treatment of recurrent instability of elbow is surgical treatment.