高爾夫球肘之病例報告

高爾夫球肘是指旋前屈肌肌群肌肉與肌腱起始部過度疲勞或突然施力不當而引起的損傷傷筋，在中醫診斷是屬於傷筋、痹病的範疇。主要是由於肌梭和高爾肌腱器共同作用以維持肌肉張力與保護肌肉的自動調整平衡機制已經被破壞了，所以案例肱骨內上髁處屈肌肌肉組織逐漸發生疼痛，手腕屈曲、旋前動作或背屈或旋後都會引起疼痛，常會有壓痛感，抱怨握力變弱或因疼痛而無法用患側工作。本病例將針對一位58歲女性，苦於長期左手肘尺側緊繃痠痛感，分析其病因病機與運用傷科推拿、針灸與中藥方劑治療之成效以供臨床醫師參考與運用。

關鍵字

肱骨髁上炎；高爾夫球肘；網球肘；中醫；針灸

並列摘要

Golfer's elbow is tendinosis of the medial epicondyle resulting from excessive fatigue or abruptly inappropriate hauling force on flexors and their tendons. The pathophysiology lies mainly in the imbalance between muscle spindles and Golgi tendon organs, unable to regulate the muscle tone and protect muscles automatically, leading to spontaneous pain, tenderness, and feeling pain when the subject pronated, supinated related muscles. Furthermore, the subject often complained of weak grasping force or incapable of working due to the feeling of pain. We presented a case of a 58 years old female suffering from a long-term tightness and soreness on the left ulnar side of epicondyle. We described the pathophysiology and the efficacy of using traumatology manipulation, acupuncture, and herbs to provide a useful reference for clinical doctors.

並列關鍵字

epicondylitis ； golfer's elbow ； tennis's elbow ； Traditional Chinese Medicine ； acupuncture

參考文獻

Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol 2006; 164:1065.

Google Scholar

Fan ZJ, Bao S, Silverstein BA, et al. Predicting work-related incidence of lateral and medial epicondylitis using the strain index. Am J Ind Med 2014; 57:1319.