肘关节僵硬的诊断和治疗研究进展  

Research Progress of Diagnosis and Treatment of Stiff Elbow

作　　者：王威[1] 廖苏平[1] 危蕾[1] 吴波[1] 刘俊[1] 

机构地区：[1]华中科技大学同济医学院附属普爱医院骨科,湖北省武汉市430033

出　　处：《中国全科医学》2013年第24期2796-2798,共3页Chinese General Practice

摘　　要：肘部运动是上肢调节和稳定手部位置必不可少的活动,多种创伤和非创伤性因素均可导致肘关节僵硬,使肘部运动受限,手部可触及的范围缩小,影响患者的工作、学习和日常生活。肘关节僵硬的诊断需依据完整的病史、详细的体格检查,并辅以适当的影像学检查(如CT、MRI等)。肘关节僵硬早期可采用非手术治疗,当非手术治疗失败时,可进一步采用手术治疗,切除异位骨化,并对关节囊、肌腱等相关的软组织进行松解,以增强肘关节的活动范围,恢复肘关节的功能。本文对肘关节僵硬的病因、分类、诊断评估、预防、手术和非手术治疗进行总结,为该病的临床诊治提供思路。Elbow motion is essential for upper extremity function to position the hand in space. There are numerous and varied inciting events ultimately resulting in a stiff elbow that can be broadly categorized as either traumatic or atraumatic. A thor- ough history and physical examination complimented by imaging studies （CT, MRI） comprise the requisite evaluation for elbow stiffness. Non - operative treatment is considered upon initial presentation. Operative treatment is appropriate for those patients who have failed to achieve adequate pain relief or functional range of motion after initial non - operative management. This paper is to review the etiologies, classification, evaluation, prevention, operative and non - operative treatment of the stiff elbow.

关 键 词：肘关节 僵硬 骨化 异位性 病因 诊断 治疗 

分 类 号：R684[医药卫生—骨科学]