Tipi di infortuni al gomito spiegati: dall'epicondilite laterale alle lesioni del LCU

Lateral Epicondylitis (Tennis gomito)

The most common gomito overuse infortunio, affecting the extensor tendine on the outer gomito. It causes dolore with gripping, lifting, and twisting motions. RM shows tendine thickening and signal changes at the lateral epicondyle. Most cases resolve with conservativo care. Read our detailed guide on whether tennis gomito can heal without chirurgia.

Medial Epicondylitis (Golfer's gomito)

Similar to tennis gomito but affects the flexor-pronator tendine on the inner gomito. Common in golfers, throwers, and workers performing repetitive polso flexion. dolore occurs with gripping and polso flexion against resistance. RM reveals tendinosis or partial tearing of the common flexor tendine origin. trattamento mirrors tennis gomito with activity modification and eccentric rinforzo.

Lesione del LCU (infortunio di Tommy John)

The ulnar collateral legamento (LCU) on the medial gomito is critical for overhead throwing athletes. LCU lesione cause medial gomito dolore during throwing and may produce a popping sensation at the time of infortunio. Partial lesione may respond to riabilitazione and PRP therapy, while complete lesione in competitive throwers typically require chirurgico reconstruction (Tommy John chirurgia). RM with arthrogram is the gold standard for diagnosi.

Frattura della testa radiale

The most common gomito frattura in adults, typically caused by a fall on an outstretched hand. Classified using the Mason system: Type I (nondisplaced) frattura are treated with a brief sling and early motion, Type II (displaced) frattura may need fixation, and Type III (comminuted) frattura often require chirurgia or radial head replacement. radiografia are the first-line imaging, with TC or RM for complex cases.

Osteocondrite dissecante (OCD)

OCD of the gomito most commonly affects the capitellum in young throwing athletes and gymnasts. A segment of cartilagine and underlying osso loses its blood supply and may separate from the articolazione surface. Early stages with intact cartilagine may heal with activity restriction, while unstable or detached fragments typically require arthroscopic chirurgia. RM is essential for staging and trattamento planning. Learn how imaging reveals these findings in our gomito RM reading guide.

Key Takeaways

• Il gomito del tennista e il gomito del golfista sono condizioni tendinee da sovraccarico che solitamente rispondono al trattamento conservativo
• Le lesioni del LCU sono infortuni critici per i lanciatori e possono richiedere ricostruzione chirurgica
• Le fratture della testa del radio sono la frattura del gomito più comune e sono classificate con il sistema di Mason
• L'OCD del capitello colpisce i giovani atleti e richiede la RM per una stadiazione accurata

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