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目的评估肘关节镜清理术治疗运动员肘骨关节病的疗效以及术后运动员专项训练恢复情况。方法自1999年3月至2006年1月,我所对45例运动员46个肘骨关节病施行了关节镜手术,包括关节清理、骨赘切除、游离体取出等,对术后临床效果进行回顾性研究。患者主要症状为肘关节疼痛、绞锁、伸屈范围受限,影响专项训练。随访34例(35个肘),平均随访33个月(6~87个月)。采用改良的HSS肘关节评分作为疗效评定标准。结果34例35个肘中,30个(85.7%)肘疼痛消失或仅有轻微疼痛,5个(14.3%)肘仍有中等程度及以上的疼痛。平均肘关节活动范围从术前的111.1°提高到术后的127.6°。33例运动员重返原专业,1例运动员退役。28例运动员(29个肘)可参加专项训练或高水平竞技比赛,其中5例运动员参加国家级比赛获得冠军。按改良HSS肘关节评分标准,优16个肘、良12个肘、失败7个肘,优良率为80%。对患者手术满意程度调查显示,非常满意15个肘、满意14个肘、不满意6个肘,满意率为82.9%。术后并发症,2个肘游离体残留,1个肘迟发性尺神经炎。结论对运动员肘骨关节病进行关节镜清理手术,可以明显缓解运动员肘关节疼痛、绞锁症状,改善关节活动范围,有利于恢复专项训练和高水平竞技比赛。
Objective To evaluate the efficacy of elbow arthroscopy in the treatment of elbow joint disease in athletes and the recovery of postoperative special training of athletes. Methods From March 1999 to January 2006, 45 arthroscopic arthroscopic procedures were performed on 45 elbow joint diseases of 45 athletes, including arthroscopic debridement, osteophyte excision and free removal. The clinical results were reviewed Sexual research. The main symptoms of patients with elbow pain, twist lock, limited range of flexion, affecting special training. Follow-up was performed in 34 patients (35 elbows) with a mean follow-up of 33 months (range, 6 to 87 months). The improved HSS elbow score as a curative effect. Results Of the 34 patients with 35 elbows, 30 (85.7%) had no elbow pain or only minor pain and 5 (14.3%) had moderate and severe elbow pain. The average elbow range of motion increased from 111.1 ° preoperatively to 127.6 ° postoperatively. 33 athletes returned to the original professional, 1 athlete retired. 28 athletes (29 elbows) can participate in special training or high level athletics competition, of which 5 athletes to participate in national competitions to win the championship. According to the improved HSS elbow score, the elite was 16 elbows, good for 12 elbows and failed for 7 elbows. The excellent and good rate was 80%. Surgical satisfaction survey showed that patients were very satisfied with 15 elbows, satisfied with 14 elbows, not satisfied with 6 elbows, the satisfaction rate was 82.9%. Postoperative complications, 2 elbow free residual, 1 elbow delayed ulnar neuritis. Conclusions Arthroscopic cleaning of elbow joint disease of athletes can significantly relieve the symptoms of elbow joint pain and twist lock and improve the range of joint activities, which is good for resuming special training and high level competition.