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手法治疗肘部疼痛

2023-04-16 疼痛指南 疼痛指南 发表于上海

疼痛肘部疼痛
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肘部问题往往会随着时间的推移缓慢发生。

一、肘关节骨性标志

 外桡内尺。尺骨位于小手指的一侧；桡骨位于大拇手指的一侧， 两者通过骨间膜相互连接。前臂屈伸出现疼痛症状或活动受限，一般是尺骨出现问题；前臂左右旋转出现疼痛或活动受限，一般是桡骨出现问题。
  手臂伸直，用食指摸，内上髁、外上髁、尺骨鹰嘴基本处于同一水平线上的为正常。

二、发病原因

1、慢性损伤
2、外伤引起

三、临床表现

    四、诊断及复位手法

  1、一般性肘关节疼痛

  一般性质疼痛，采用一拉，二抵，三曲伸的办法进行。首先让患者两臂伸直手心相对，患者哪侧不舒服即为肘关节错位。然后术者选择最疼痛一侧，让患者掌心向上，术者一手握住患者手腕，一手掌心抵住患者肘痛点托腕左右旋转，保持比较舒适的位置，让患者自主向心方向曲伸，术者保持牵拉力度，痛的不能自己动作的，术者可以辅助完成。
2、顽固性肘关节疼痛
   顽固性肘关节疼痛采取一抬压，二旋转，三屈伸的办法进行。首先确定错位肘关节，患者双臂伸展掌心向上自主屈伸，疼痛或不舒服为错位肘关节。术者手拉住患者手腕，上抬下压进行牵引即为一抬压。术者一手拉住患者手腕，一手旋转患者肘关节，固定患者舒服位置，即为二旋转；术者一手保持牵拉力度，让患者自主做曲伸运动即为三屈伸。患者因痛不能自己动作的，术者可以辅助完成。

  五、注意事项

1、手法操作要点  
2、调理周期及适应范围
  3、日常防护

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-17 ms4000001525235212 来自四川省

    网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-17 ms3000000740036377 来自湖南省

    学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-17 屋顶瞄爱赏月 来自贵州省

    签到学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-16 13d0179fm99暂无昵称 来自山西省

    一拉，二抵，三屈伸，可以帮助诊断

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2126615, encodeId=e0c32126615f4, content=网球肘高尔夫球肘这些问题，物理治疗真的很管用，最好还要加强肌肉力量的训练, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e768282513, createdName=ms4000001525235212, createdTime=Mon Apr 17 23:02:34 CST 2023, time=2023-04-17, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=2126549, encodeId=64042126549cb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d322552799, createdName=ms3000000740036377, createdTime=Mon Apr 17 17:33:56 CST 2023, time=2023-04-17, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2126443, encodeId=fced212644359, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon Apr 17 09:36:08 CST 2023, time=2023-04-17, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2126403, encodeId=4a602126403ab, content=一拉，二抵，三屈伸，可以帮助诊断, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65724176436, createdName=13d0179fm99暂无昵称, createdTime=Sun Apr 16 23:40:30 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省), GetPortalCommentsPageByObjectIdResponse(id=2126344, encodeId=be1c21263447a, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Sun Apr 16 20:21:11 CST 2023, time=2023-04-16, status=1, ipAttribution=山西省)]
    2023-04-16 医鸣惊人 来自山西省

    认真学习了

    0

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