Miss M. asked in 社會與文化語言 · 1 decade ago

醫學翻譯原文緊急需要

Lateral epicondylitis is one of the most common overuse syndromes

seen in primary care, with an annual incidence of 1 to 3 percent; the

condition affects men and women equally.1 Patients with lateral epicondylitis are typically 40 years or older and have a history of repetitive activity during work or recreation.The condition is sometimes called

tennis elbow, although it often occurs with activities such as other

racket sports and golf.Repetitive wrist dorsiflexion with supination

and pronation causes overuse of the extensor tendons of the forearm

and subsequent microtears, collagen degeneration, and

angiofibroblastic proliferation. If untreated,lateral epicondylitis persists for an average of six to 24 months.2

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Diagnosis

Lateral epicondylitis presents as a history of occupation- or activity-related pain at the lateral elbow. Symptoms are usually reproduced with resisted supination or wrist dorsiflexion, particularly with the arm in

full extension. The pain is typically located just distal to the lateral epicondyle over the extensor tendon mass. Imaging studies are rarely

required for diagnosis. Recent review articles have addressed the use of patient history, differential diagnosis, and physical examination in

the diagnosis of lateral epicondylitis.3,4

2 Answers

Rating
  • 1 decade ago
    Favorite Answer

    側方肱上髁炎(網球肘)是初級照護裡最常見的過度使用症候群之ㄧ。每年發生率約1~3%。男性與女性發生率相同。1

    罹患的病人通常都在40歲或更年長而且工作或休閒時都有重複活動的 紀錄。

    這個情形常被稱為網球肘,但其他球拍運動或是高爾夫球活動也常會發生此症狀。反覆地腕背屈,後旋,右手掌向下旋,造成過度的前臂的伸肌腱過度使用,之後這些肌腱發生微撕裂,膠原蛋白變性,血管纖維母細胞增生。如果不加治療,側方肱上髁炎現象會平均持續6到24個月。2

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    診斷

    側方肱上髁炎會有和職業或活動有相關的肘外側疼痛病史。可以讓病患將手臂完全伸展後抵住手掌做後旋或背屈的動作就可以複製出症狀。疼痛通常位於伸肌腱外的外側髁再遠端一點。不太需要影像(X光等)來做診斷。最近的文獻回顧裡有提到如何利用病人的病史,鑑別診斷,和肉體的檢查來診斷側方肱上髁炎。3,4

  • 1 decade ago

    外側髁是一種最常見的過度綜合徵

    看到在初級保健,每年發病率為1至百分之三;的

    條件影響男性和女性患者equally.1外側髁通常是40歲或以上,並有一個歷史的重複活動的工作或recreation.The條件有時被稱為

    網球肘,儘管它經常發生的活動,如其他

    球拍運動和手腕背屈golf.Repetitive與旋

    和旋原因過度的伸肌腱前臂

    並隨後microtears ,膠原蛋白變性,並

    angiofibroblastic擴散。如果不加治療,外側髁持續時間平均為6至24 months.2

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    診斷

    外側髁提出了作為一個歷史的職業或活動有關的疼痛在肘外側。症狀通常是與抵制轉載或旋腕背屈,尤其是手臂

    充分擴展。疼痛通常位於遠端外側髁的伸肌腱質量。影像學的研究也很少

    需要進行診斷。最近審查文章討論了利用病人的歷史,鑑別診斷,並在身體檢查

    診斷橫向epicondylitis.3 , 4

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