• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Clinical Value of an Acute Popping Sensation in Throwing Athletes With Medial Elbow Pain for Ulnar Collateral Ligament Injury
【24h】

Clinical Value of an Acute Popping Sensation in Throwing Athletes With Medial Elbow Pain for Ulnar Collateral Ligament Injury

机译：急性爆震症术中的临床价值在乌尔侧侧韧带损伤中引发运动员

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Throwing athletes sustaining an ulnar collateral ligament (UCL) injury may recall a popping sensation originating from the medial elbow at the time of injury. There are no studies available that inform clinicians how to utilize this salient anamnestic information and what amount of diagnostic weight to afford to it. Purpose: To assess the diagnostic value of a popping sensation for significant UCL injury in throwing athletes who sustained an injury causing medial elbow pain. Study Design: Cohort study (prognosis); Level of evidence, 3. Methods: A total of 207 consecutive patients with throwing-related medial elbow pain were evaluated for UCL injury by the senior author between 2011 and 2016. The presence or absence of a popping sensation was routinely reported by the senior author. Magnetic resonance imaging was evaluated for UCL injury severity and classified into intact, edema/low-grade partial-, high-grade partial-, and full-thickness tears. Results: The overall frequency of a pop was 26%. The proportion of patients who reported a pop significantly increased with UCL tear severity ( P & .001), from 13% in patients with low-grade UCL injuries to 26% in patients with high-grade partial-thickness tears and 51% in patients with full-thickness tears. The positive likelihood ratio, negative likelihood ratio, and odds ratio of a popping sensation for significant UCL injury were 3.2, 0.7, and 4.4 ( P & .001), respectively ( P & .001). A pop was not associated with either distal or proximal UCL tears ( P ≥ .999). Conclusion: A popping sensation at the time of injury in throwing athletes with medial elbow pain was associated with UCL injury severity. When a throwing athlete reports a pop, this should moderately increase a clinician’s suspicion for a significant UCL injury. Conversely, absence of a pop should not substantially decrease suspicion for significant UCL injury. The findings of this study allow for the clinical interpretation of the salient anamnestic finding of a pop at the time of injury, which can be used for diagnostic purposes as well as patient counseling. This study provides reference foundation for future studies of predictive and diagnostic factors for UCL injury in throwing athletes.
机译：背景：抛出概述概述悬浮韧带（UCL）损伤的运动员可能会记住源自受伤时内侧弯头的爆裂感。没有学习可提供通知临床医生如何利用这种突出的Anamnestic信息以及多少诊断重量给它。目的：评估一个突然感觉的诊断价值，以便在持续伤害造成内侧肘部疼痛的运动员中的显着UCL损伤。研究设计：队列研究（预后）;证据水平，3.方法：2011年和2016年之间的高级作者对UCL损伤进行了共同的207例患有相关的内侧肘部疼痛的患者。在高级作者经常报告突然感官的存在与否。评估磁共振成像的UCL损伤严重程度，并分为完整，水肿/低级部分，高档部分和全厚撕裂。结果：流行流行频率为26％。报告流体患者的比例随UCL撕裂严重程度（P＆LT; .001）显着增加，从13％的患者患者13％，患者患者高档部分厚度泪液的患者和51％的患者患者全厚撕裂。爆震感应的阳性似然比，负似然比和显着的UCL损伤的突出感应的比率分别为3.2,0.7和4.4（p <.001）（P <.001）。 POP与远端或近端UCL撕裂无关（P≥.999）。结论：用内侧肘部疼痛投掷运动员受伤时的突然感应与UCL损伤严重程度有关。当一个投掷运动员报告一个流行者时，这应该适度增加临床医生对显着的UCL伤害的怀疑。相反，不应显着减少POP的缺失，可疑有关显着的UCL损伤。本研究的结果允许在受伤时突出的突出的突出的突出的突出的临床解释，这可用于诊断目的以及患者咨询。本研究为未来研究促进运动员伤害的预测和诊断因素的未来研究参考基础。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号