{"id":23282,"date":"2016-02-02T00:14:27","date_gmt":"2016-02-01T16:14:27","guid":{"rendered":"https:\/\/case.ntu.edu.tw\/blog\/?p=23282"},"modified":"2018-08-03T14:25:25","modified_gmt":"2018-08-03T06:25:25","slug":"%e3%80%90%e6%95%b8%e5%ad%b8%e5%88%86%e6%9e%90%e3%80%91%e9%97%9c%e6%96%bctommy-john%e6%89%8b%e8%a1%93%ef%bc%9a%e4%b8%80%e4%ba%9b%e6%9c%89%e8%b6%a3%e7%9a%84%e7%b5%b1%e8%a8%88%e6%95%b8%e5%ad%97","status":"publish","type":"post","link":"https:\/\/case.ntu.edu.tw\/blog\/?p=23282","title":{"rendered":"\u3010\u6578\u5b78\u5206\u6790\u3011\u95dc\u65bcTommy John\u624b\u8853\uff1a\u4e00\u4e9b\u6709\u8da3\u7684\u7d71\u8a08\u6578\u5b57"},"content":{"rendered":"

\u25a0\u5c3a\u9aa8\u9644\u5c6c\u97cc\u5e36\u91cd\u5efa\u8853\uff08UCL, Ulnar Collateral Ligament Reconstruction\uff09\uff0c\u4fd7\u7a31Tommy John\u624b\u8853\uff0c\u5e38\u898b\u65bc\u73fe\u4ee3\u68d2\u7403\u4e2d\uff0c\u4e0d\u77e5\u9053\u4f60\u5c0d\u5b83\u8a8d\u8b58\u591a\u5c11\u5462\uff1f<\/strong><\/span><\/p>\n

\"672px-Hong-Chih_Kuo_on_July_27,_2010\"
\u5716\u7247\u4f86\u6e90:\u7dad\u57fa\u767e\u79d1<\/figcaption><\/figure>\n

\u64b0\u6587\uff5c<\/strong>\u65b9\u7a0b\u6bc5<\/p>\n

\u68d2\u7403\u9078\u624b\u5728\u6295\u7403\u6642\u624b\u90e8\u627f\u53d7\u5de8\u5927\u58d3\u529b\uff0c\u800c\u624b\u8098\u5c3a\u9aa8\u97cc\u5e36\u6709\u53ef\u80fd\u56e0\u70ba\u9577\u671f\u4f7f\u7528\u9020\u6210\u7834\u640d\u6216\u65b7\u88c2\uff0c\u5728\u904e\u53bb\u9019\u7c21\u76f4\u662f\u6295\u624b\u7684\u6b7b\u5211\uff0c\u4f46\u73fe\u5728\u537b\u53ef\u4ee5\u5c07\u8eab\u9ad4\u5176\u4ed6\u90e8\u4f4d\u7684\u97cc\u5e36\u79fb\u690d\u904e\u4f86\uff0c\u5ef6\u7e8c\u9078\u624b\u751f\u6daf\u3002\u97cc\u5e36\u79fb\u690d\u7684\u7b2c\u4e00\u4f4d\u5690\u8a66\u8005\u662f1974\u5e74\u9053\u5947\u968a\u6295\u624bTommy John\uff0c\u9019\u9805\u624b\u8853\u4e5f\u56e0\u6b64\u88ab\u547d\u540d\u70baTommy John\u624b\u8853\uff0c\u901a\u5e38\u624b\u8853\u5b8c\u5f8c\u5fa9\u506512-18\u500b\u6708\u5de6\u53f3\u4fbf\u80fd\u91cd\u56de\u7403\u5834\uff0c\u518d\u6b21\u4eab\u53d7\u4e09\u632f\u5c0d\u624b\u7684\u5feb\u611f\u3002\u52d5\u904e\u9019\u9805\u624b\u8853\u7684\u4eba\u975e\u5e38\u591a\uff0c\u8457\u540d\u7684\u4f8b\u5b50\u5305\u62ec\u53f0\u7063\u6700\u901f\u5de6\u8155\u90ed\u6cd3\u5fd7\u3001\u83ef\u76db\u9813\u570b\u6c11\u968a\u5929\u624d\u5c0f\u53f2Stephen Strasburg\u4ee5\u53ca\u65e5\u672c\u7b2c\u4e00\u5f37\u6295\u5fb7\u5dde\u904a\u9a0e\u5175\u968a\u7684\u9054\u6bd4\u4fee\u6709\u3002<\/p>\n

\u56e0\u70ba\u624b\u8853\u7684\u666e\u53ca\u8b93\u8d8a\u4f86\u8d8a\u591a\u6295\u624b\u7372\u5f97\u65b0\u751f\uff0c\u4e5f\u9a45\u4f7f\u8d8a\u4f86\u8d8a\u591a\u4eba\u5c0d\u76f8\u95dc\u6578\u64da\u9032\u884c\u5206\u6790\u8207\u7d71\u6574\u30022012\u5e74\u9053\u5947\u7403\u5718\u8207\u7f8e\u570b\u904b\u52d5\u91ab\u5b78\u5b78\u6703(American Sports Medicine Institute)\u3001\u7d10\u7d04\u7279\u6b8a\u5916\u79d1\u91ab\u9662(Hospital for Special Surgery)\u7b49\u6578\u500b\u6a5f\u69cb\u5408\u4f5c\uff0c\u91dd\u5c0d5088\u4f4d\u5927\u5c0f\u806f\u76df\u73fe\u5f79\u7403\u54e1\u9032\u884c\u95dc\u65bcTommy John\u624b\u8853\u7684\u8abf\u67e5\uff0c\u4e26\u5c07\u7d50\u679c\u767c\u8868\u57282015\u5e74The American Journal of Sports Medicine<\/em>\u671f\u520a\u4e0a\u3002<\/p>\n

\u8abf\u67e5\u767c\u73fe\u7d04\u670910%\u7684\u9078\u624b\u5728\u5176\u68d2\u7403\u751f\u6daf\u4e2d\u52d5\u904eTommy John\u624b\u8853\uff0c\u800c\u4e0d\u610f\u5916\u7684\u5927\u90e8\u5206\u90fd\u662f\u6295\u624b\u3002\u5927\u806f\u76df\u7b49\u7d1a\u7684\u6295\u624b\u7d04\u670925%\u66fe\u52d5\u904e\u6b64\u624b\u8853 (\u9019\u88e1\u662f\u6307\u6574\u500b\u68d2\u7403\u751f\u6daf\uff0c\u5305\u542b\u5b78\u751f\u8ddf\u5c0f\u806f\u76df\u6642\u671f)\uff0c\u5c0f\u806f\u76df\u6295\u624b\u5927\u7d0415%\u3002\u800c\u52d5\u904e\u624b\u8853\u7684\u5927\u806f\u76df\u7403\u54e1\u4e2d\u670986%\u90fd\u662f\u9032\u5165\u8077\u696d\u5f8c\u624d\u52d5\u7684\u5200\uff1b\u52d5\u904e\u624b\u8853\u7684\u5c0f\u806f\u76df\u7403\u54e1\u670961%\u65e9\u5728\u9ad8\u4e2d\u6642\u5c31\u66fe\u7d93\u63a5\u53d7\u624b\u8853\u3002\u96d6\u7136\u5927\u806f\u76df\u6295\u624b\u52d5\u904e\u624b\u8853\u7684\u6bd4\u7387\u8f03\u9ad8\uff0c\u4f46\u4ed6\u5011\u666e\u904d\u5e74\u7d00\u8f03\u5927\uff0c\u6295\u7684\u4e45\u81ea\u7136\u6a5f\u7387\u5c31\u9ad8\uff0c\u56e0\u6b64\u4e26\u4e0d\u4ee3\u8868\u958b\u904e\u5200\u6bd4\u8f03\u5bb9\u6613\u4e0a\u5927\u806f\u76df\uff1b\u53cd\u4e4b\uff0c\u66f4\u591a\u7684\u5c0f\u806f\u76df\u6295\u624b\u958b\u5b8c\u5200\u5f8c\u7121\u6cd5\u56de\u5230\u8cfd\u5834\u4e0a\uff0c\u4e5f\u5c31\u7121\u6cd5\u88ab\u8abf\u67e5\u5230\u4e86\u3002<\/p>\n

\u6295\u624b\u7684\u89d2\u8272\u662f\u5426\u8ddf\u5c3a\u9aa8\u9644\u5c6c\u97cc\u5e36\u53d7\u50b7\u800c\u8981\u63a5\u53d7\u624b\u8853\u7684\u6bd4\u4f8b\u6709\u95dc\u5462\uff1f\u6839\u64da\u8abf\u67e5\uff0c\u73fe\u5f79\u5148\u767c\u6295\u624b(\u5305\u542b\u5927\u5c0f\u806f\u76df)\u670914%\u52d5\u904eTommy John\u624b\u8853\uff1b\u5f8c\u63f4\u6295\u624b\u5247\u662f18%\uff0c\u6578\u5b57\u4e0a\u770b\u8d77\u4f86\u5f8c\u63f4\u6295\u624b\u597d\u50cf\u6bd4\u8f03\u5bb9\u6613\u53d7\u50b7\uff0c\u4f46\u719f\u6089\u68d2\u7403\u7684\u8b80\u8005\u4e00\u5b9a\u77e5\u9053\uff0c\u5f88\u591a\u5f8c\u63f4\u6295\u624b\u4e00\u958b\u59cb\u90fd\u662f\u7576\u5148\u767c\u990a(\u5927\u806f\u76df\u53f2\u4e0a\u6700\u5049\u5927\u7684\u6551\u63f4\u6295\u624bMariano Rivera\u4fbf\u662f\u5982\u6b64)\uff0c\u4f46\u537b\u9bae\u5c11\u6709\u5148\u7df4\u5f8c\u63f4\u518d\u8f49\u5148\u767c\u7684\u4f8b\u5b50\uff0c\u6240\u4ee5\u518d\u6df1\u770b\u4e00\u5c64\u4fbf\u767c\u73fe\uff0c\u9019\u4e9b\u6295\u624b\u7576\u5e74\u63a5\u53d7\u624b\u8853\u6642\u7684\u89d2\u8272\uff0c\u5148\u767c\u8ddf\u5f8c\u63f4\u662f\u4e00\u534a\u4e00\u534a\u3002\u9577\u4e45\u4ee5\u4f86\u68d2\u7403\u754c\u4fbf\u4e0d\u505c\u722d\u8ad6\u5230\u5e95\u662f\u5148\u767c\u9084\u662f\u5f8c\u63f4\u8f03\u5bb9\u6613\u53d7\u50b7\uff0c\u5f9e\u9019\u500b\u6578\u64da\u770b\u8d77\u4f86\u4f3c\u4e4e\u4e26\u6c92\u6709\u592a\u5927\u5dee\u5225\u3002<\/p>\n

\u6295\u624b\u89d2\u8272\u6c92\u4ec0\u9ebc\u5dee\u5225\uff0c\u90a3\u570b\u7c4d\u5462\uff1f\u7f8e\u570b\u8077\u68d2\u5927\u5c0f\u806f\u76df\u9ad4\u7cfb\u9664\u4e86\u7f8e\u570b\u4eba\u5916\uff0c\u6700\u5927\u5b97\u7684\u4fbf\u662f\u4f86\u81ea\u4e2d\u5357\u7f8e\u6d32\u7684\u7403\u54e1\uff0c\u5305\u62ec\u591a\u660e\u5c3c\u52a0\u3001\u59d4\u5167\u745e\u62c9\u6216\u58a8\u897f\u54e5\u7b49\u7b49\uff0c\u8abf\u67e5\u767c\u73fe\u6295\u624b\u958bTommy John\u624b\u8853\u7684\u6bd4\u4f8b\u8ddf\u570b\u7c4d\u6c92\u6709\u592a\u5927\u95dc\u4fc2\uff0c\u90fd\u572816%\u5de6\u53f3\uff0c\u5118\u7ba1\u6210\u9577\u80cc\u666f\u4e0d\u540c\uff0c\u4f46\u610f\u5916\u7684\u6c92\u6709\u9020\u6210\u592a\u5927\u5dee\u7570\u3002\u90a3\u54b1\u5011\u53f0\u7063\u5462\uff1f\u53f0\u7063\u9078\u624b\u5728\u7f8e\u570b\u7684\u6a23\u672c\u6578\u8ddf\u4e2d\u5357\u7f8e\u6d32\u9078\u624b\u6bd4\u5be6\u5728\u592a\u5c11\u5566\uff0c\u5f88\u96e3\u9032\u884c\u6bd4\u8f03\u3002<\/p>\n

Tommy John\u624b\u8853\u6280\u8853\u7684\u7d14\u719f\uff0c\u4e5f\u4ee3\u8868\u8d8a\u4f86\u8d8a\u591a\u7403\u54e1\u80fd\u5920\u5e36\u8457\u65b0\u9bae\u7684\u624b\u81c2\u91cd\u8fd4\u7403\u5834\uff0c\u4f46\u6709\u4e9b\u4e0d\u5e78\u7684\u7403\u54e1\u537b\u8981\u958b\u7b2c\u4e8c\u6b21(\u524d\u4e9e\u7279\u862d\u5927\u52c7\u58eb\u968a\u5f8c\u63f4\u6295\u624bJonny Venters\u751a\u81f3\u958b\u4e86\u7b2c\u4e09\u6b21)\uff0c\u7f8e\u570b\u5e03\u6717\u5927\u5b78\u91ab\u5b78\u9662(Warren Alpert Medical School of Brown University)\u4fbf\u91dd\u5c0d\u52d5\u7b2c\u4e8c\u6b21Tommy John\u624b\u8853\u7684\u6a5f\u7387\u9032\u884c\u7814\u7a76\uff0c\u767c\u8868\u5728Journal of Hand Surgery (American Volume)<\/em>\u4e0a\uff0c\u8abf\u67e5\u6db5\u84cb\u4e86\u5f9e1974\u5e74\u52302014\u5e74\u9032\u884c\u624b\u8853\u7684\u5927\u806f\u76df\u7403\u54e1\uff0c\u6578\u64da\u986f\u793a\u958bTommy John\u624b\u8853\u7684\u6578\u91cf\u6709\u9010\u5e74\u4e0a\u5347\u7684\u8da8\u52e2\uff0c\u5176\u4e2d\u4ee52012\u5e74\u6700\u591a\uff0c\u5171\u9001\u4e8636\u4f4d\u5927\u806f\u76df\u7403\u54e1\u9032\u958b\u5200\u623f (\u9019\u68af\u6bd4\u8f03\u6709\u540d\u7684\u662f\u66fe\u7d93\u4f86\u53f0\u52a0\u5165\u4e2d\u4fe1\u5144\u5f1f\u7684\u5eb7\u5d14\u62c9\u65af(Jos\u00e9 Contreras))\uff0c\u9019\u4e00\u5e74\u96d6\u7136\u591a\u905436\u4f4d\uff0c\u4f46\u53ea\u67093\u4f4d\u662f\u7b2c\u4e8c\u6b21\u52d5\u5200\uff0c\u76f8\u8f03\u65bc1999\u5e74\uff0c\u7e3d\u5171\u624d14\u4eba\u5c31\u67093\u4eba\u662f\u7b2c\u4e8c\u6b21\u52d5\u5200\uff0c\u986f\u793a\u4e86\u624b\u8853\u6280\u8853\u8207\u5fa9\u5065\u7642\u7a0b\u7684\u9032\u6b65\uff0c\u96d6\u7136\u52d5\u624b\u8853\u7684\u4eba\u8d8a\u4f86\u8d8a\u591a\uff0c\u4f46\u9700\u8981\u518d\u6328\u4e00\u6b21\u5200\u7684\u8da8\u52e2\u537b\u6162\u6162\u4e0b\u964d\u3002\u901a\u5e38\u4f86\u8aaa\u52d5\u904e\u4e00\u6b21\u624b\u8853\u7684\u5927\u806f\u76df\u7403\u54e1\u5e73\u5747\u53ef\u4ee5\u5ef6\u7e8c\u5176\u8077\u696d\u751f\u6daf5\u5e74\uff0c\u4e14\u5f88\u6709\u6a5f\u6703\u56de\u5230\u53d7\u50b7\u524d\u7684\u6280\u8853\u6c34\u6e96\uff1b\u52d5\u7b2c\u4e8c\u6b21\u5169\u6b21\u624b\u8853\u5e73\u5747\u80fd\u518d\u591a\u64903\u5e74\uff0c\u4f46\u8981\u56de\u5230\u53d7\u50b7\u524d\u7684\u6c34\u6e96\u5c31\u56f0\u96e3\u591a\u4e86\u3002<\/p>\n

\u8fd1\u4ee3\u7531\u65bc\u8077\u696d\u904b\u52d5\u7684\u767c\u9054\u53ca\u79d1\u5b78\u7684\u9032\u6b65\uff0c\u7d50\u5408\u91ab\u5b78\u53ca\u7d71\u8a08\u5b78\u7684\u904b\u52d5\u79d1\u5b78\u65e5\u76ca\u8208\u76db\uff0c\u9019\u4e9b\u7d71\u8a08\u7814\u7a76\u8b93\u6211\u5011\u5c0d\u5404\u7a2e\u50b7\u75c5\u6709\u66f4\u591a\u8a8d\u8b58\uff0c\u9664\u4e86\u4fdd\u969c\u9078\u624b\u4e4b\u5916\u4e5f\u80fd\u8b93\u89c0\u773e\u6b23\u8cde\u66f4\u7cbe\u91c7\u7684\u7403\u8cfd\uff0c\u6709\u9053\u662f\u300c\u4eba\u5bb6\u90fd\u5728\u4e0a\u592a\u7a7a\u4e86\uff0c\u6211\u5011\u9084\u5728\u6bba\u8c6c\u516c\u300d\u5e0c\u671b\u53f0\u7063\u4e5f\u80fd\u591a\u6c72\u53d6\u4ed6\u4eba\u7d93\u9a57\uff0c\u7528\u66f4\u79d1\u5b78\u7684\u65b9\u5f0f\u57f9\u990a\u9ad4\u80b2\u4eba\u624d\uff0c\u4e0d\u8981\u518d\u51fa\u73fe\u4e00\u5927\u5806\u7b11\u6b7b\u4eba\u53c8\u4e0d\u79d1\u5b78\u7684\u65b9\u6cd5\u5c0d\u5f85\u9078\u624b\u4e86\u3002<\/p>\n

\u53c3\u8003\u6587\u737b\uff1a<\/strong><\/p>\n

    \n
  1. Conte, Stan A., Glenn S. Fleisig, Joshua S. Dines, Kevin E. Wilk, Kyle T. Aune, Nancy Patterson-Flynn, and Neal ElAttrache. \"Prevalence of ulnar collateral ligament surgery in professional baseball players.\"\u00a0The American journal of sports medicine<\/em>\u00a0(2015): 0363546515580792.<\/li>\n
  2. Wilson, Alexander T., Tyler S. Pidgeon, Nathan T. Morrell, and Manuel F. DaSilva. \"Trends in Revision Elbow Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers.\"\u00a0The Journal of hand surgery<\/em>\u00a040, no. 11 (2015): 2249-2254.<\/li>\n<\/ol>\n

    --<\/strong><\/span>
    \u4f5c\u8005\uff1a\u65b9\u7a0b\u6bc5 \u79d1\u6559\u4e2d\u5fc3\u7279\u7d04\u5beb\u624b\uff0c\u5f9e\u4e8b\u79d1\u666e\u6587\u7ae0\u5beb\u4f5c\u3002<\/strong><\/span><\/p>\n

     <\/p>\n

    \"Hong-Chih Kuo on July 27, 2010\" by SD Dirk on Flickr (Original version) UCinternational (Crop) - Originally posted to Flickr as \"Hong-Chih Kuo\"Cropped by UCinternational. Licensed under CC BY 2.0 via Commons - https:\/\/commons.wikimedia.org\/wiki\/File:Hong-Chih_Kuo_on_July_27,_2010.jpg#\/media\/File:Hong-Chih_Kuo_on_July_27,_2010.jpg<\/a><\/p>\n

     <\/p>\n

    \"\u52a0\u5165\u597d\u53cb\"<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

    \u25a0\u5c3a\u9aa8\u9644\u5c6c\u97cc\u5e36\u91cd\u5efa\u8853\uff08UCL, Ulna<\/p>\n","protected":false},"author":20,"featured_media":23283,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3293,148],"tags":[2293,1593,373],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2015\/12\/672px-Hong-Chih_Kuo_on_July_27_2010.jpg","_links":{"self":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/23282"}],"collection":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=23282"}],"version-history":[{"count":4,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/23282\/revisions"}],"predecessor-version":[{"id":32486,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/23282\/revisions\/32486"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/media\/23283"}],"wp:attachment":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23282"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23282"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23282"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}