{"id":9176,"date":"2024-03-20T22:09:05","date_gmt":"2024-03-20T22:09:05","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/sporting-elbow-clinical-reasoning-and-differential-diagnosis-it\/"},"modified":"2025-12-12T00:20:20","modified_gmt":"2025-12-12T00:20:20","slug":"sporting-elbow-clinical-reasoning-and-differential-diagnosis-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/sporting-elbow-clinical-reasoning-and-differential-diagnosis-it\/","title":{"rendered":"Gomito sportivo &#8211; Ragionamento clinico e diagnosi differenziale"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>Redazione originale<\/b> &#8211; <a title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\">Wanda van Niekerk<\/a> sulla base del corso di <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/ian-gatt\/\" rel=\"nofollow\">Ian Gatt<\/a><br \/>\n<b>Contributori principali &#8211;<\/b>  &#8211;  <a class=\"mw-userlink\" title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\"><bdi>Wanda van Niekerk<\/bdi><\/a>,  <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a>,  <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>,  <a class=\"mw-userlink mw-anonuserlink\" title=\"Speciale:Contributi\/Robin Leigh Tacchetti\" href=\"\/Special:Contributions\/Robin_Leigh_Tacchetti\"><bdi>Robin Leigh Tacchetti<\/bdi><\/a> e <a class=\"mw-userlink\" title=\"User:Robin Tacchetti\" href=\"\/User:Robin_Tacchetti\"><bdi>Robin Tacchetti<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduzione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Anatomy_of_the_Elbow\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomia del gomito<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Joints\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\"><b>Articolazioni<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Ligaments_and_Capsule\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\"><b>Legamenti e capsula<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Muscles\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\"><b>Muscoli<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Differential_Diagnosis\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Diagnosi differenziale<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Form\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Forma<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Function\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Funzione<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Special_Investigations\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Indagini speciali<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Clinical_Tests\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Test clinici<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#Proximal_Radioulnar_Joint_and_Humeroradial_Joints_in_Lateral_Epicondylalgia\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Articolazione radio-ulnare prossimale e articolazione radio-omerale nell&#8217;epicondilalgia laterale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#Medial_Epicondylalgia_and_Pronator_Teres\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Epicondilalgia mediale e pronatore rotondo<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Conclusion\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Conclusione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il gomito \u00e8 un&#8217;articolazione complessa e la stabilit\u00e0 \u00e8 garantita da limiti ossei e dei tessuti molli. La relativa instabilit\u00e0 del gomito lo rende vulnerabile alle lesioni, spesso causate da sport<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> e queste lesioni spesso interessano diverse strutture associate all&#8217;articolazione.<sup id=\"cite_ref-:5_2-0\" class=\"reference\"><a href=\"#cite_note-:5-2\">(2)<\/a><\/sup> Oltre alla storia clinica, il ragionamento clinico e l&#8217;esame fisico sono essenziali per formulare una diagnosi.<\/p>\n<h2><span id=\"Anatomy_of_the_Elbow\" class=\"mw-headline\">Anatomia del gomito<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Anatomia del gomito\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=2\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Anatomia del gomito\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=2\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&#8217;omero distale incontra le ossa prossimali del radio e dell&#8217;ulna per formare l&#8217;articolazione del gomito. \u00c8 nota come articolazione trocleogingilomoidea in quanto pu\u00f2 flettersi ed estendersi come un&#8217;articolazione a cerniera (gingilomoidea), nonch\u00e9 ruotare (pivot) intorno a un asse (movimento trocoide) (cio\u00e8 pronazione e supinazione). \u00c8 un&#8217;articolazione estremamente congruente e stabile.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> La stabilit\u00e0 del gomito \u00e8 garantita dall&#8217;anatomia ossea, dalla struttura capsulo-legamentosa e dalle unit\u00e0 muscolo-tendinee che attraversano il gomito.<sup id=\"cite_ref-:6_5-0\" class=\"reference\"><a href=\"#cite_note-:6-5\">(5)<\/a><\/sup><\/p>\n<h3><span id=\"Joints\" class=\"mw-headline\"><b>Articolazioni<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Joints\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Joints\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&#8217;omero, il radio e l&#8217;ulna si articolano per formare le tre articolazioni che compongono il gomito. <sup id=\"cite_ref-:5_2-1\" class=\"reference\"><a href=\"#cite_note-:5-2\">(2)<\/a><\/sup> La Tabella 1 fornisce una panoramica anatomica del gomito. Per informazioni pi\u00f9 dettagliate sulle articolazioni specifiche del gomito, si prega di leggere: <a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Physiotherapy_Management_of_the_Elbow?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal#The_Complex_Anatomy_of_the_Elbow\" rel=\"nofollow\">L&#8217;anatomia complessa del gomito &#8211; Articolazioni<\/a><\/p>\n<table class=\"wikitable\">\n<caption>Tabella 1: Panoramica anatomica del gomito<sup id=\"cite_ref-:0_6-0\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup><\/caption>\n<tbody>\n<tr>\n<th><\/th>\n<th>Articolazione omero-ulnare<\/th>\n<th>Articolazione radio-omerale<\/th>\n<th>Articolazione radio-ulnare prossimale<\/th>\n<\/tr>\n<tr>\n<td>Norme di range di movimento attivo<\/td>\n<td>Flessione 140\u00b0 Estensione 0 &#8211; 10\u00b0<\/td>\n<td>Flessione 140\u00b0 Estensione 0 &#8211; 10\u00b0<\/td>\n<td>Pronazione 80 -90\u00b0 Supinazione 80 -90\u00b0<\/td>\n<\/tr>\n<tr>\n<td>Schema capsulare<\/td>\n<td>Flessione ed estensione<\/td>\n<td>Flessione ed estensione<\/td>\n<td>Limitazioni uguali di supinazione e pronazione<\/td>\n<\/tr>\n<tr>\n<td>Legamenti<\/td>\n<td>Legamento collaterale ulnare (UCL \u2013 fascio obliquo anteriore; fascio obliquo posteriore; fascio intermedio; legamento trasverso) Legamento collaterale ulnare laterale (LUCL)<\/td>\n<td>Legamento collaterale radiale (RCL)<\/td>\n<td>Legamento anulare Legamento quadrato Cordone obliquo Membrana interossea<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span id=\"Ligaments_and_Capsule\" class=\"mw-headline\"><b>Legamenti e capsula<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Legamenti e capsula\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=4\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Legamenti e capsula\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=4\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Elbow_Joint.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/Elbow_Joint.jpg\/300px-Elbow_Joint.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/Elbow_Joint.jpg\/450px-Elbow_Joint.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/Elbow_Joint.jpg\/600px-Elbow_Joint.jpg 2x\" alt=\"\" width=\"300\" height=\"241\" data-file-width=\"2267\" data-file-height=\"1819\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Articolazione del gomito<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Il <a title=\"Legamento collaterale mediale del gomito\" href=\"\/Medial_Collateral_Ligament_of_the_Elbow\">complesso del legamento collaterale mediale<\/a> (MCLC) \/ legamento collaterale ulnare \u00e8 il pi\u00f9 importante stabilizzatore del gomito e fornisce stabilit\u00e0 in valgo e postero-mediale. Comprende un fascio anteriore e posteriore e un legamento trasverso di sostegno (legamento di Cooper). La fascia anteriore \u00e8 pi\u00f9 tesa in estensione e si rilassa in flessione, mentre la fascia posteriore si tende in flessione e si rilascia in estensione. Pertanto, la fascia anteriore \u00e8 pi\u00f9 vulnerabile alla sollecitazione in valgo in estensione del gomito e la fascia posteriore del legamento collaterale mediale anteriore (AMCL) \u00e8 pi\u00f9 vulnerabile alla sollecitazione in valgo in flessione del gomito.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<p>Il complesso del legamento collaterale laterale (LCLC) \u00e8 il principale stabilizzatore contro le sollecitazioni in varo e rotazione esterna. \u00c8 formato dal legamento collaterale ulnare laterale, dal legamento collaterale radiale e dal legamento <a title=\"Legamento anulare\" href=\"\/Annular_Ligament\">anulare<\/a>.<\/p>\n<p>La capsula articolare circonda tutte e tre le articolazioni del gomito. C&#8217;\u00e8 un ispessimento mediale e laterale della capsula articolare che si fonde rispettivamente con il MCLC e il LCLC e che contribuisce alla stabilit\u00e0 del gomito.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/p>\n<p>Per ulteriori informazioni, si prega di leggere: <a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Physiotherapy_Management_of_the_Elbow?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal#The_Complex_Anatomy_of_the_Elbow\" rel=\"nofollow\">L&#8217;anatomia complessa del gomito &#8211; Legamenti e capsula<\/a><\/p>\n<h3><span id=\"Muscles\" class=\"mw-headline\"><b>Muscoli<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscles\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Muscles\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<table class=\"wikitable\">\n<caption> <\/caption>\n<tbody>\n<tr>\n<th colspan=\"2\">Sinergia muscolare del gomito<\/th>\n<\/tr>\n<tr>\n<td>Flessione<\/td>\n<td>Flessori primari:<\/p>\n<ul>\n<li>Bicipite brachiale<\/li>\n<li>Brachiale<\/li>\n<li>Brachioradiale<\/li>\n<\/ul>\n<p>Flessori secondari:<\/p>\n<ul>\n<li>Pronatore rotondo<\/li>\n<li><a title=\"Estensore radiale lungo del carpo\" href=\"\/Extensor_carpi_radialis_longus\">Estensore radiale lungo del carpo<\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Flexor_Carpi_Radialis\" rel=\"nofollow\">Flessore radiale del carpo<\/a> (con angoli del gomito di 50 gradi o pi\u00f9)<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Estensione<\/td>\n<td>Estensori primari del gomito<\/p>\n<ul>\n<li><a title=\"Triceps brachii\" href=\"\/Triceps_brachii\">Tricipite<\/a><\/li>\n<li><a title=\"Anconeo\" href=\"\/Anconeus\">Anconeo<\/a><\/li>\n<\/ul>\n<p>Estensori secondari<\/p>\n<ul>\n<li><a title=\"Flexor Carpi Ulnaris Muscle\" href=\"\/Flexor_Carpi_Ulnaris_Muscle\">Flessore ulnare del carpo<\/a><\/li>\n<li><a title=\"Extensor Carpi Ulnaris\" href=\"\/Extensor_Carpi_Ulnaris\">Estensore ulnare del carpo<\/a><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Pronazione<\/td>\n<td>\n<ul>\n<li><a title=\"Pronator Teres\" href=\"\/Pronator_Teres\">Pronatore rotondo<\/a><\/li>\n<li><a title=\"Pronatore Quadrato\" href=\"\/Pronator_Quadratus\">Pronatore quadrato<\/a><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Supinazione<\/td>\n<td>\n<ul>\n<li>Soprattutto <a title=\"Bicipite brachiale\" href=\"\/Biceps_Brachii\">bicipite<\/a><\/li>\n<li>Assistenza da parte del <a title=\"Supinatore\" href=\"\/Supinator\">supinatore<\/a><\/li>\n<li>Estensori delle dita e del polso di grado inferiore<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span id=\"Differential_Diagnosis\" class=\"mw-headline\">Diagnosi differenziale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=6\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Nella diagnosi differenziale del gomito, bisogna prendere in considerazione sia la forma (strutture) che la funzione.<sup id=\"cite_ref-:4_9-0\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><\/p>\n<h3><span id=\"Form\" class=\"mw-headline\">Forma<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Modulo\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modificare la sezione: Modulo\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li><a title=\"Radicolopatia cervicale\" href=\"\/Cervical_Radiculopathy\">Radicolopatia cervicale<\/a> (dolore irradiato)<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/li>\n<li>Condizioni sistemiche (ad esempio, <a title=\"Rheumatoid Arthritis\" href=\"\/Rheumatoid_Arthritis\">artrite reumatoide<\/a>)<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>Gomito anteriore:\n<ul>\n<li>Stiramento\/strappo\/tendinopatia del bicipite<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<li><a title=\"Myositis Ossificans\" href=\"\/Myositis_Ossificans\">Miosite ossificante<\/a> nel brachioradiale<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/li>\n<li><a class=\"mw-redirect\" title=\"Osteochondritis Dissecans\" href=\"\/Osteochondritis_Dissecans\">Osteocondrite dissecante<\/a> (troclea)<sup id=\"cite_ref-:1_14-0\" class=\"reference\"><a href=\"#cite_note-:1-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Gomito posteriore\n<ul>\n<li>Stiramento\/strappo\/tendinopatia del tricipite<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/li>\n<li>Borsite olecranica<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li>Osteocondrite dissecante (olecrano)<sup id=\"cite_ref-:1_14-1\" class=\"reference\"><a href=\"#cite_note-:1-14\">(14)<\/a><\/sup><\/li>\n<li>Speroni olecranici\/corpi liberi<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Lato radiale del gomito\n<ul>\n<li>Plica sinoviale<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li><a title=\"Gestione del gomito del tennista\" href=\"\/Tennis_Elbow_Management\">Epicondilalgia laterale<\/a> (interessamento dell&#8217;<a title=\"Extensor Carpi Radialis Brevis\" href=\"\/Extensor_Carpi_Radialis_Brevis\">estensore radiale breve del carpo<\/a>)<\/li>\n<li>Osteocondrite dissecante (radio-capitello)<sup id=\"cite_ref-:1_14-2\" class=\"reference\"><a href=\"#cite_note-:1-14\">(14)<\/a><\/sup><\/li>\n<li>Instabilit\u00e0 rotatoria postero-laterale (PLRI) &#8211; legamento radio-carpale combinato con il legamento collaterale ulnare laterale<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/li>\n<li>Intrappolamento nervoso: <a title=\"Sindrome del nervo interosseo posteriore\" href=\"\/Posterior_Interosseous_Nerve_Syndrome\">nervo interosseo posteriore<\/a> (sindrome del tunnel radiale)<sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Lato ulnare\n<ul>\n<li>Epicondilalgia mediale <a title=\"Test del gomito del golfista\" href=\"\/Golfer%E2%80%99s_Elbow_Test\">(gomito del golfista<\/a>)<sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/li>\n<li>Intrappolamento nervoso del nervo ulnare<sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/li>\n<li>Le dislocazioni possono causare lesioni al nervo ulnare<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Fratture<\/li>\n<\/ul>\n<p>\u00c8 evidente che esiste un gran numero di condizioni legate alla forma che dovrebbero essere considerate nella diagnosi differenziale del dolore al gomito. Pertanto, pu\u00f2 essere utile distinguere tra meccanismi traumatici e non traumatici.<sup id=\"cite_ref-:4_9-1\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><\/p>\n<table class=\"wikitable\">\n<caption>Tabella 1: Condizioni del gomito sportivo e sport pi\u00f9 comuni in cui possono verificarsi<\/caption>\n<tbody>\n<tr>\n<th>Diagnosi<\/th>\n<th>Sport in cui si verificano comunemente le lesioni<\/th>\n<\/tr>\n<tr>\n<td>Rottura del tendine del bicipite<\/td>\n<td>Allenamento della forza; sollevamento pesi<sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/td>\n<\/tr>\n<tr>\n<td>Tendinopatia laterale del gomito<\/td>\n<td>Sport associati a ripetute attivit\u00e0 di presa e\/o estensione del polso come tennis, squash, badminton<sup id=\"cite_ref-:6_5-1\" class=\"reference\"><a href=\"#cite_note-:6-5\">(5)<\/a><\/sup><\/td>\n<\/tr>\n<tr>\n<td>Tendinopatia dei flessori\/pronatori (gomito del golfista)<\/td>\n<td>Nel golf e nei tennisti che usano molto il dritto in topspin<\/td>\n<\/tr>\n<tr>\n<td>Distorsione del legamento collaterale mediale<\/td>\n<td>Sport di lancio come il baseball, il giavellotto, la pallanuoto, la pallamano e il cricket<sup id=\"cite_ref-:6_5-2\" class=\"reference\"><a href=\"#cite_note-:6-5\">(5)<\/a><\/sup><\/td>\n<\/tr>\n<tr>\n<td>Intrappolamento del nervo ulnare<\/td>\n<td>Sport di lancio<sup id=\"cite_ref-:6_5-3\" class=\"reference\"><a href=\"#cite_note-:6-5\">(5)<\/a><\/sup><\/td>\n<\/tr>\n<tr>\n<td>Borsite olecranica<\/td>\n<td>Atleti che cadono sulla parte posteriore del gomito su superfici dure in sport come il calcio (portieri) e il basket<sup id=\"cite_ref-:6_5-4\" class=\"reference\"><a href=\"#cite_note-:6-5\">(5)<\/a><\/sup><\/td>\n<\/tr>\n<tr>\n<td>Dislocazione posteriore<\/td>\n<td>Sport di contatto o cadute dall&#8217;alto come il salto con l&#8217;asta<sup id=\"cite_ref-:6_5-5\" class=\"reference\"><a href=\"#cite_note-:6-5\">(5)<\/a><\/sup><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span id=\"Function\" class=\"mw-headline\">Funzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Function\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Function\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Sebbene la forma\/struttura possa essere compromessa negli atleti con lesioni al gomito, spesso questi individui mostrano ancora un alto livello di funzionalit\u00e0 nell&#8217;area lesa. Nell&#8217;ambito della diagnosi differenziale, \u00e8 fondamentale non solo identificare le strutture coinvolte, ma anche avere un quadro chiaro della funzione (cio\u00e8 cosa pu\u00f2 fare l&#8217;atleta, l&#8217;andamento del dolore nel tempo, la lesione traumatica o non traumatica e l&#8217;urgenza o non urgenza in relazione alla gestione chirurgica).<sup id=\"cite_ref-:4_9-2\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 252px;\"><a class=\"image\" href=\"\/File:Kinetic_chain_boxer_example.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/35\/Kinetic_chain_boxer_example.png\/250px-Kinetic_chain_boxer_example.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/35\/Kinetic_chain_boxer_example.png\/375px-Kinetic_chain_boxer_example.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/3\/35\/Kinetic_chain_boxer_example.png\/500px-Kinetic_chain_boxer_example.png 2x\" alt=\"\" width=\"250\" height=\"324\" data-file-width=\"629\" data-file-height=\"815\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Catena cinetica<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>I fattori rilevanti per la funzione includono:<\/p>\n<ul>\n<li>Catena cinetica\n<ul>\n<li>\u00c8 importante conoscere e comprendere la catena cinetica e il modo in cui i diversi componenti possono essere influenzati. Ad esempio, quando un pugile sferra un pugno con il braccio dominante, la forza proviene dai piedi che trasferiscono l&#8217;energia verso l&#8217;anca. Circa il 50% della forza proviene dagli arti inferiori, il 30% dal tronco e il 20% dall&#8217;arto superiore.<\/li>\n<li>Tenere presente che queste percentuali possono essere diverse in atleti diversi (ad esempio, atleti su sedia a rotelle e nuotatori).<\/li>\n<li>La considerazione chiave \u00e8 riconoscere e comprendere il contributo del corpo nella sua interezza in una lesione, patologia o disfunzione.<sup id=\"cite_ref-:4_9-3\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Test di forza\n<ul>\n<li>Test isometrico\n<ul>\n<li>Un esaminatore che applica una resistenza con la mano in diversi range otterr\u00e0 informazioni sulla qualit\u00e0<\/li>\n<li>Test isometrici con un dinamometro portatile forniranno informazioni quantitative in diversi range<\/li>\n<\/ul>\n<\/li>\n<li>Test isocinetici\n<ul>\n<li>Test di forza attraverso il range di movimento<\/li>\n<\/ul>\n<\/li>\n<li>Test di forza nel gomito del tennista\n<ul>\n<li>Dorf et al.<sup id=\"cite_ref-:2_25-0\" class=\"reference\"><a href=\"#cite_note-:2-25\">(25)<\/a><\/sup> hanno studiato l&#8217;effetto della posizione del gomito sulla forza di prensione nella valutazione dell&#8217;epicondilite laterale. Hanno riscontrato che non c&#8217;era alcuna differenza nella forza di prensione in flessione ed estensione del gomito per l&#8217;arto sano. La forza di prensione era del 29% pi\u00f9 forte in flessione del gomito rispetto all&#8217;estensione per l&#8217;arto interessato. Confrontando l&#8217;arto sano con quello interessato, l&#8217;arto interessato era pi\u00f9 debole del 50% in estensione del gomito rispetto all&#8217;arto sano. In flessione del gomito, l&#8217;arto interessato era pi\u00f9 debole del 31% rispetto all&#8217;arto sano. Ci\u00f2 \u00e8 significativo soprattutto per quanto riguarda l&#8217;estensione del gomito, che fornisce un vantaggio meccanico nella forza di prensione della mano. L&#8217;uso di test di forza in persone con gomito del tennista fornir\u00e0 una migliore obiettivit\u00e0.<sup id=\"cite_ref-:2_25-1\" class=\"reference\"><a href=\"#cite_note-:2-25\">(25)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Range di movimento\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:ROM_elbow.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c0\/ROM_elbow.png\/300px-ROM_elbow.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c0\/ROM_elbow.png\/450px-ROM_elbow.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c0\/ROM_elbow.png\/600px-ROM_elbow.png 2x\" alt=\"\" width=\"300\" height=\"132\" data-file-width=\"1422\" data-file-height=\"628\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Range di movimento del gomito misurato con lo smartphone<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Movimenti a livello del gomito da considerare e misurare:\n<ul>\n<li>Flessione ed estensione<\/li>\n<li>Pronazione e supinazione<\/li>\n<\/ul>\n<\/li>\n<li>Sono disponibili applicazioni per smartphone che aiutano i clinici a misurare il range di movimento del gomito.<sup id=\"cite_ref-:3_26-0\" class=\"reference\"><a href=\"#cite_note-:3-26\">(26)<\/a><\/sup><\/li>\n<li>Misurazione della flessione e dell&#8217;estensione con un&#8217;app inclinometrica su smartphone\n<ul>\n<li>Il paziente appoggia il braccio sul tavolo, in modo che l&#8217;omero sia parallelo al piano orizzontale. L&#8217;avambraccio \u00e8 in posizione neutra. L&#8217;inclinometro \u00e8 impostato a 0 sul tavolo. Il paziente flette il gomito al massimo. Lo smartphone \u00e8 posizionato parallelamente all&#8217;avambraccio e il valore pu\u00f2 essere letto.<sup id=\"cite_ref-:3_26-1\" class=\"reference\"><a href=\"#cite_note-:3-26\">(26)<\/a><\/sup><\/li>\n<li>Per l&#8217;estensione del gomito lo smartphone \u00e8 allineato all&#8217;avambraccio in massima estensione.<sup id=\"cite_ref-:3_26-2\" class=\"reference\"><a href=\"#cite_note-:3-26\">(26)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>End-feel (sensazione di fine range)\n<ul>\n<li>Dal punto di vista della terapia manuale (soprattutto quando il range di movimento \u00e8 simile), si consiglia di considerare la <a title=\"Fine-gel\" href=\"\/End-Feel\">sensazione di fine range<\/a> delle articolazioni del gomito. Considerare il tipo di end-feel e la reazione dell&#8217;atleta a questo tipo di provocazione.<sup id=\"cite_ref-:4_9-4\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span id=\"Special_Investigations\" class=\"mw-headline\">Indagini speciali<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Indagini speciali\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=9\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Indagini speciali\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=9\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Ecografia\n<ul>\n<li>Pu\u00f2 aiutare nella gestione dei casi ostinati di epicondilalgia laterale caratterizzando l&#8217;estensione della lacerazione del tendine e identificando la presenza di una concomitante lesione del legamento collaterale radiale.<sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Risonanza magnetica<\/li>\n<li>Iniezione (Lignocaina o Marcaina)<sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Clinical_Tests\" class=\"mw-headline\">Test clinici<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Test clinici\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=10\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Test clinici\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=10\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Epicondilalgia laterale\n<ul>\n<li>Test di forza del dito medio \/ <a title=\"Il test di Maudsley\" href=\"\/Maudsley%27s_test\">test di Maudsley<\/a><\/li>\n<li><a title=\"Test di Mill\" href=\"\/Mill%E2%80%99s_Test\">Test di Mill<\/a><\/li>\n<li><a title=\"Test di Cozen\" href=\"\/Cozen%E2%80%99s_Test\">Test di Cozen<\/a><\/li>\n<li>Chairlift test<\/li>\n<li>Test laterale di Polk<\/li>\n<li>Test di forza della presa<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/tV8mymHe8Nw?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/-qbwX4SCHNY?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/faCi3v5Heo0?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Complesso del legamento collaterale mediale\/insufficienza del legamento collaterale ulnare\n<ul>\n<li><a title=\"Stress test del valgo mobile\" href=\"\/Moving_Valgus_Stress_Test\">Test di stress in valgo in movimento<\/a><\/li>\n<li>Test di stress in valgo<\/li>\n<li><a title=\"Manovra di mungitura\" href=\"\/Milking_Maneuver\">Manovra di mungitura<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"cr-embed-video embedvideo autoResize embed-responsive embed-responsive-16by9\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" class=\"embed-responsive-item\" src=\"\/\/player.vimeo.com\/video\/83479995\" width=\"640\" height=\"493\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<div class=\"pp-cr-caption\">\n<p>Video del test di stress in valgo fornito da <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a>.\n<\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"cr-embed-video embedvideo autoResize embed-responsive embed-responsive-16by9\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" class=\"embed-responsive-item\" src=\"\/\/player.vimeo.com\/video\/83479910\" width=\"640\" height=\"493\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<div class=\"pp-cr-caption\">\n<p>Video del test della manovra di mungitura fornito da <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Instabilit\u00e0 rotatoria postero-laterale\n<ul>\n<li>Table-top relocation test<\/li>\n<li>Stand-up test\/<a title=\"Test delle flessioni sulla sedia\" href=\"\/Chair_Push-up_Test\">chair push up test<\/a><\/li>\n<li>Push-up test<\/li>\n<li>Lateral pivot shift test<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"cr-embed-video embedvideo autoResize embed-responsive embed-responsive-16by9\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" class=\"embed-responsive-item\" src=\"\/\/player.vimeo.com\/video\/83474671\" width=\"640\" height=\"493\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<div class=\"pp-cr-caption\">\n<p>Video del Table Top Relocation Test fornito da <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a>.<\/p>\n<\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"cr-embed-video embedvideo autoResize embed-responsive embed-responsive-16by9\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" class=\"embed-responsive-item\" src=\"\/\/player.vimeo.com\/video\/83479894\" width=\"640\" height=\"493\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<div class=\"pp-cr-caption\">\n<p>Video del Lateral Pivot Shift test fornito da <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a>.<\/p>\n<\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"cr-embed-video embedvideo autoResize embed-responsive embed-responsive-16by9\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" class=\"embed-responsive-item\" src=\"\/\/player.vimeo.com\/video\/83473589\" width=\"640\" height=\"493\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<div class=\"pp-cr-caption\">\n<p>Video del Chair Sign Test fornito da <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Rottura totale del bicipite distale\n<ul>\n<li><a title=\"Test del gancio a gomito\" href=\"\/Elbow_Hook_Test\">Hook test<\/a><\/li>\n<li>Test di pronazione passiva dell&#8217;avambraccio (PFP)<\/li>\n<li>Test di supinazione-pronazione<\/li>\n<li><a title=\"Test di spremitura dei bicipiti\" href=\"\/Biceps_Squeeze_Test\">Biceps squeeze test<\/a><\/li>\n<li>Intervallo della piega del bicipite (BCI)<\/li>\n<li>Test di flessione dell&#8217;aponeurosi bicipitale (BA)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Rottura totale del tricipite distale\n<ul>\n<li>Triceps squeeze test<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Sindrome da impingement postero-mediale\n<ul>\n<li>Arm bar test<\/li>\n<li>Test di sovraccarico in valgo\/test di impingement postero-mediale<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Epicondilalgia mediale\n<ul>\n<li>Test dell&#8217;epicondilite mediale \/ Test del gomito del golfista<\/li>\n<li>Test di Polk mediale<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Qualunque test clinico venga eseguito, bisogna sempre considerare la quantit\u00e0 di sollecitazioni applicate alla struttura e l&#8217;elemento di sicurezza.<sup id=\"cite_ref-:4_9-5\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><\/p>\n<h2><span id=\"Proximal_Radioulnar_Joint_and_Humeroradial_Joints_in_Lateral_Epicondylalgia\" class=\"mw-headline\">Articolazione radio-ulnare prossimale e articolazione radio-omerale nell&#8217;epicondilalgia laterale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Articolazione Radioulnare Prossimale e Articolazioni Omero-Radiali nell'Epicondilalgia Laterale\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=11\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Articolazione Radioulnare Prossimale e Articolazioni Omero-Radiali nell'Epicondilalgia Laterale\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=11\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>\u00c8 importante considerare l&#8217;articolazione radio-ulnare prossimale (PRUJ) e l&#8217;articolazione radio-omerale (HR) in relazione all&#8217;epicondilalgia laterale. In particolare, tenendo conto di quanto segue:<\/p>\n<ul>\n<li>L&#8217;estensore radiale breve del carpo (ECRB) origina dall&#8217;epicondilo laterale e dal legamento anulare<\/li>\n<\/ul>\n<ul>\n<li>Il legamento collaterale radiale (RCL) origina anch&#8217;esso dall&#8217;epicondilo laterale e si inserisce nel legamento<\/li>\n<li>La stretta relazione tra ECRB e RCL \u00e8 visibile in:\n<ul>\n<li>Lesioni concomitanti<\/li>\n<li>La potenziale instabilit\u00e0 di questa regione potrebbe provocare epicondilalgia laterale (gomito del tennista)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Pertanto, una buona comprensione della stretta relazione tra ECRB e RCL, nonch\u00e9 della mobilit\u00e0 dell&#8217;articolazione radio-omerale, avr\u00e0 un impatto sulla gestione dell&#8217;epicondilalgia laterale (gomito del tennista). Inoltre, considerare le posizioni open-packed (minima congruenza articolare) e close-packed (massima congruenza articolare) delle articolazioni del gomito per evitare confusione durante la palpazione o la mobilizzazione di queste articolazioni.<\/p>\n<table class=\"wikitable\">\n<caption>Articolazioni PRUJ e HR<\/caption>\n<tbody>\n<tr>\n<th>Articolazioni<\/th>\n<th>Open Packed<\/th>\n<th>Close Packed<\/th>\n<\/tr>\n<tr>\n<td>PRUJ<\/td>\n<td>Flessione del gomito (70\u00b0) Supinazione (5\u00b0)<\/td>\n<td>Estensione del gomito Supinazione completa<\/td>\n<\/tr>\n<tr>\n<td>HR<\/td>\n<td>Estensione del gomito Supinazione completa<\/td>\n<td>Flessione del gomito (70\u00b0) Supinazione (5\u00b0)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span id=\"Medial_Epicondylalgia_and_Pronator_Teres\" class=\"mw-headline\">Epicondilalgia mediale e pronatore rotondo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Epicondilalgia mediale e pronatore del terzo grado\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=12\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Epicondilalgia mediale e pronatore del terzo grado\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=12\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>L&#8217;ipertrofia del <a title=\"Pronator Teres\" href=\"\/Pronator_Teres\">pronatore rotondo<\/a> potrebbe provocare sintomi intorno all&#8217;epicondilo mediale del gomito.<\/li>\n<li>La sindrome del pronatore rotondo &#8211; cio\u00e8 il nervo mediano \u00e8 intrappolato tra le due teste del pronatore &#8211; produce sintomi principalmente a livello distale piuttosto che locale.<\/li>\n<\/ul>\n<h2><span id=\"Conclusion\" class=\"mw-headline\">Conclusione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Conclusion\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Conclusion\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Linee guida generali da considerare:<sup id=\"cite_ref-:4_9-6\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><\/p>\n<ul>\n<li>Diagnosi\n<ul>\n<li>Considerare le lesioni traumatiche rispetto a quelle non traumatiche<\/li>\n<li>Strutture (forma) coinvolte<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Prognosi = funzione\n<ul>\n<li>Cosa pu\u00f2 o non pu\u00f2 fare l&#8217;atleta?<\/li>\n<li>Forza<\/li>\n<li>Range di movimento<\/li>\n<li>Sensazione di fine range<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>In caso di lesioni non traumatiche, considerare i contributi della spalla e dell&#8217;avambraccio, nonch\u00e9 della mano e del polso<\/li>\n<\/ul>\n<ul>\n<li>Per l&#8217;epicondilalgia laterale e l&#8217;epicondilalgia mediale, considerare le strutture circostanti che potrebbero essere anch&#8217;esse coinvolte<\/li>\n<\/ul>\n<ul>\n<li><strong>Il gomito pu\u00f2 essere complicato: se non siete sicuri, chiedete un secondo parere!<\/strong><\/li>\n<\/ul>\n<h2><span id=\"References\" class=\"mw-headline\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Zwerus EL, Somford MP, Maissan F, Heisen J, Eygendaal D, Van Den Bekerom MP. 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Cozen Test for Lateral Epicondylitis (Tennis Elbow) Available from: watch?v=faCi3v5Heo0&amp;t=24s (last accessed 1 December 2021)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20240320150039 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.115 seconds Real time usage: 0.120 seconds Preprocessor visited node count: 542\/1000000 Post\u2010expand include size: 169\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/100 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 19474\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 8.928 1 Special:Contributors\/Sporting_Elbow_-_Clinical_Reasoning_and_Differential_Diagnosis 100.00% 8.928 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redazione originale &#8211; Wanda van Niekerk sulla base del corso di Ian Gatt Contributori principali &#8211; &#8211; Wanda van Niekerk, Kim Jackson, Jess Bell, Robin Leigh Tacchetti e Robin Tacchetti Contenuti 1 Introduzione 2 Anatomia del gomito 2.1 Articolazioni 2.2 Legamenti e capsula 2.3 Muscoli 3 Diagnosi differenziale 3.1 Forma 3.2 Funzione 4 Indagini speciali [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-9176","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/9176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=9176"}],"version-history":[{"count":6,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/9176\/revisions"}],"predecessor-version":[{"id":13303,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/9176\/revisions\/13303"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=9176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}