精美动画：肱骨外上髁炎（附中英文解说）

介绍引起颈肩腰腿痛症状的常见疾病的诊断、治疗、康复锻炼等

      肱骨外上髁炎在临床上十分多见，是骨科门诊就诊率较高的常见病之一。打网球者经常反手挥拍击球，若不得法常引发本病，因此俗称为网球肘(tennis elbow)。门诊遇到许多病人从事手工操作，需要反复伸腕伸指，引起伸肌总腱止点慢性劳损，如不注意休息，症状会逐渐加重。

警告：请在有WIFI的场所观看视频，土豪请随意。

Overview（概述）

This condition, commonly called tennis elbow, is an inflammation of the tendons that connect the muscles of the forearm to the elbow. The pain is primarily felt at the lateral epicondyle, the bony bump on the outer side of the elbow.

      肱骨外上髁炎通常被称为网球肘，是连接前臂肌肉和肘部的肌腱的炎症。病人首先感觉在肱骨外上髁（肘部外侧的骨性隆起）处的疼痛。

Inside the Elbow（肘关节的内部）

The elbow joint is a complex group of bones, muscles, ligaments and tendons. Lateral epicondylitis involves the extensor muscles, which control the extension of the wrist and fingers, and the extensor tendons, which anchor the muscles to the lateral epicondyle.

      肘关节由复杂的骨、肌肉、韧带、肌腱组成。肱骨外上髁炎与伸肌及伸肌腱相关，伸肌控制伸腕及伸指，伸肌腱将伸肌锚固于肱骨外上髁。

Causes（病因）

Lateral epicondylitis is caused by specific repetitive motions of the wrist and arm. The stress placed on the forearm by a tennis backstroke is a common culprit. This stress causes tiny tears to develop in one or more extensor tendons. This results in inflammation and pain.

      肱骨外上髁炎是由手腕和手臂反复进行特定的动作引起的。做反手挥拍击打网球的动作时前臂受力是最常见病因。这种作用力会引起微小的撕裂，并在一组或多组伸肌腱中逐渐累积，最终形成炎症和疼痛。

Symptoms（症状）

This condition typically causes pain and tenderness that is centered on the lateral epicondyle. This pain may radiate along the forearm and wrist. The grip of the hand may feel weak.

      本病通常会引起疼痛与压痛，集中在肱骨外上髁部位，并且可能引起前臂及腕部的放射痛，而手部的抓握力也可能会感觉减弱。

Risk Factors（高危因素）

Lateral epicondylitis typically affects people between the ages of 30 and 50. It is a common complaint of athletes who play racquet sports, but certain occupations can also raise a person's risk. This condition is common among plumbers, painters, carpenters and butchers.

      肱骨外上髁炎常见发病年龄在30-50岁。从事球拍运动的运动员们经常抱怨本病。但一些特定的职业也会使本病发病风险增加。这些职业包括水管工、油漆工、木匠以及屠夫等。

Treatment（治疗）

Treatment options may include rest, ice, anti-inflammatory medications and stretching exercises. A physician may recommend an arm brace or wrist splint and physical therapy or massage therapy. Steroid injections or PRP（Platelet Rich Plasma） injections may also provide relief.

      治疗方法包括休息、冰敷、抗炎药物以及拉伸康复训练。医生还会推荐上肢护具或腕部夹板固定制动，以及物理治疗或按摩治疗等。激素注射及注射富血小板血浆（PRP）也能缓解症状。

(戴待   译）

戴待，男，温州医科大学毕业，分配到慈溪中医院骨科工作。现在宁波第一医院进行住院医师规范化培训。

医学科普，你我同行