Zielstellung: Nachweis von Ellbogenläsionen durch Überstreckung bei 30 Elite-Handballtorhütern. Methoden: Konventionelle Radiographie, Belastungsradiographie, Ultraschalluntersuchung beider Elllbogen. Als Kontrollgruppe dienten 30 männliche Freiwillige aus der Allgemeinpopulation gleichen Alters ohne Anamnese von Ellbogenverletzung. Ergebnisse: Radiologische Befunde: Osteophytbildung 67 %, freie Gelenkkörper 5,5 %, periartikuläre Verkalkung 5,5 %. Signifikant größere Unterschiede im medialen Gelenkraumspalt zwischen belasteten und unbelasteten Ellbogen in beiden Ellbogen im Vergleich zu den Kontrollpersonen. Ultraschallbefunde: Verdickung des medialen Seitenbandes 50 %, Verdickung der Trizepssehne 11 %, Symptome von Ulnarneuritis 22 %, intra-artikulärer Erguss 66 %, kleine freie Gelenkkörper 33 %. Schlussfolgerung: Wiederholtes Hyperextensionstrauma im Ellbogen von Handballtorhütern bewirkt pathologische Veränderungen. Objective: To detect elbow lesions produced by hyperextension in 30 elite handball goalkeepers. Methods: Conventional radiographs, stress radiographs, and ultrasound examination of both elbows were used. As a control group, 30 male volunteers from the general population within the same age group with no history of elbow injury were used. Results: Radiographic findings in the goalkeepers were osteophyte formation in 67%, loose bodies in 5.5%, and periarticular calcification in 5.5%. Significantly greater differences in medial joint space opening between stressed and unstressed elbows were measured in both elbows than in the control group. Ultrasonographic findings showed thickening of the medial collateral ligament in 50%, thickening of the tricipital tendon in 11%, and signs of ulnar neuritis in 22%. An intra-articular effusion was found in 66% and small loose bodies in 33%. No significant differences were found between the dominant and non-dominant elbows at radiological and ultrasound examination. The findings in the control group were normal. Conclusions: The findings support the theory that repetitive hyperextension trauma to the elbow in handball goalkeepers results in pathological changes.
© Copyright 2002 British Journal of Sports Medicine. BMJ Publishing Group Ltd of the BMA. All rights reserved.