Adductor Pollicis Jamming Injuries in the Professional Baseball Player: 2 Case Reports

Altobelli, Grant G.; Ruchelsman, David E.; Belsky, Mark R.; Graham, Thomas; Asnis, Peter D.; Leibman, Matthew I.

doi:10.1016/j.jhsa.2013.03.042

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…If the history is somewhat unusual, report of an awkward forcible check-swing on an inside pitch, and pain about the ulnar aspect of the thumb is accompanied by an uncharacteristic amount of swelling, think of Adductor Pollicis rupture. 6 Despite sharing many elements with the UCL injury symptom complex, the actual MCP joint tests as stable to radially-directed stress at both the neutral and flexed positions. Weakness in adduction of the first ray, accompanied by swelling and ecchymosis may be the initial presentation after a violent swing that usually was either a miss of an inside offering with a full swing or a "tomahawk" kind of check swing.…”

Section: Adductor Pollicis Rupturementioning

confidence: 99%

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The Role of the Hand Surgery Consultant in the Care of the Baseball Athlete

Graham¹

2022

Sports Medicine and Arthroscopy Review

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The approach to the care of baseball athletes and organizations is influenced by 2 factors that distinguish it from other sports: the number of contests and the number of players. America’s pastime is a marathon that can (if successful in the regular season and postseason play) stretch over a 10-months, 162+-game schedule. In addition, unlike other major North American sports, baseball’s “feeder system” is the highly-structured Minor League Baseball. This is in contradistinction to caring for 15 basketball players who arrive at the professional level through collegiate (or even high school) play or 20 hockey players that may have had an NCAA experience or come through the Junior Leagues in Canada. Even though a 53-man football roster can keep a Hand Surgery Consultant busy, it is still a limited professional level cohort that is one-third to one-fourth of the size of baseball’s and is played across less than 20 contests. Granted, every sport has its own culture—which is why we have developed this format for this publication—but planning for the scope of baseball care is also influenced by the unique pace and intensity of the interactions, that is why it is called a “clubhouse,” rather than a “locker room”. With these fundamentals shared, let us expand on what our experience has taught us about the care for athletes that are engaged in batting, throwing, receiving, and colliding on the diamond.

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Section: Adductor Pollicis Rupturementioning

confidence: 99%

Section: Adductor Pollicis Rupturementioning

confidence: 99%

The Role of the Hand Surgery Consultant in the Care of the Baseball Athlete

Graham¹

2022

Sports Medicine and Arthroscopy Review

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“…Altobelli et al 18 reported two cases of adductor pollicis injury in professional baseball players and recommended MRI for additional assessment. They described two types of injuries to the adductor pollicis: a tendon avulsion from its insertion and an intramuscular tear.…”

Section: Conditions Affecting the Handmentioning

confidence: 99%

“…Eccentric contraction has been described in other muscle injury patterns, such as hamstring and biceps injuries, as a mechanism for both muscle strain and tendon rupture. 16,17 Altobelli et al 18 reported two cases of adductor pollicis injury in professional baseball players and recommended MRI for additional assessment. They described two types of injuries to the adductor pollicis: a tendon avulsion from its insertion and an intramuscular tear.…”

Section: Adductor Pollicis Muscle Injuriesmentioning

confidence: 99%

Baseball Injuries of the Hand and Wrist

Gallant

Tulipan

Rivlin

et al. 2021

J Am Acad Orthop Surg

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Injuries of the hand and wrist are common in baseball. Because of the unique motions and loads encountered in this sport, physicians treating baseball players may encounter hand and wrist injuries ranging from common to rare. An understanding of these baseball-related injuries must include their pathoanatomy, diagnosis, and treatment options. This knowledge is critical for the general orthopaedic surgeon treating baseball players to allow for timely and appropriate treatment. This article reviews the pathophysiology, diagnosis, and treatment of baseball-related hand and wrist injuries, with a target audience of general orthopeadic surgeons.

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