肘关节外侧副韧带复合体损伤诊治的研究进展

Research Progress in Diagnosis and Treatment of Complex Injury of Lateral Collateral Ligament of Elbow Joint

肘关节外侧副韧带复合体(LCLC)是维持肘关节后外侧旋转稳定性的最重要组织结构之一:LCLC损伤主要引起肘关节后侧外旋不稳(PLRI):在临床上LCLC损伤的诊断主要以病史、临床症状及专科查体为主,辅以普通X线、MRI、高频超声及关节镜等检查协助进一步诊断:LCLC损伤的治疗方法分为保守治疗及手术治疗,手术治疗方法主要包括直接原位缝合术、锚钉缝合止点重建术、肘部筋膜转位重建术、肌腱移植重建术、关节镜下热缩形成术等.临床上应用的手术治疗方法有很多,且均取得了相应的治疗效果,但并没有相关研究指出哪种手术治疗方法有明确优势。

The lateral collateral ligament complex( LCLC) of the elbow joint is one of the most important structures to maintain the stability of the posterolateral rotation of the elbow joint. LCLC injury mainly causes instability of the posterior lateral rotation of the elbow joint( PLRI). Clinically,the diagnosis of LCLC injury is mainly based on medical history,clinical symptoms and specialized physical examination,supplemented by general X-ray,MRI,high-frequency ultrasound,arthroscopy and other examinations to assist in further diagnosis. The treatment methods for LCLC injury can be divided into conservative treatment and surgical treatment. Surgical treatment methods mainly include direct orthotopic suture,anchor suture point reconstruction,elbow fascia transposition reconstruction,tendon transplantation reconstruction,arthroscopic heat shrink-forming and so on. There are many surgical treatment methods applied in clinical practice,and the corresponding therapeutic effects have been achieved,but no relevant studies have pointed out which surgical treatment method has a clear advantage in the treatment of LCLC injury.