Acute Hand and Wrist Injuries in Athletes: Evaluation and Management

Morgan, William J.; Slowman, Lisa Schulz

doi:10.5435/00124635-200111000-00004

Cited by 70 publications

(38 citation statements)

References 16 publications

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“…Parameters to record are the degrees of valgus laxity in full extension and 30°flexion, injured and contralateral, and presence of an end point. Laxity of 30°, increased laxity of 15°compared to the contralateral side, or lack of endpoint signify injury [17][18][19]. Laxity in full extension indicates accessory UCL or volar plate tear and in 30°flexion, tear of the proper UCL.…”

Section: Diagnosis History and Physical Examinationmentioning

confidence: 99%

Thumb collateral ligament injuries in the athlete

Avery

Inkellis

Carlson

2017

Curr Rev Musculoskelet Med

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Purpose of review The purpose of this review is to identify current principles in the diagnosis and treatment of collateral ligament injuries of the thumb in the athlete. Recent findings Cadaver studies have clearly identified the ulnar and radial collateral ligaments origin and insertion footprints for repair or reconstruction. Summary Ulnar and radial collateral ligament injuries are common in athletics. History and physical examination are paramount in determining partial versus complete tear. When surgical treatment is indicated, placing the repair/ reconstruction in the anatomic footprint restores stability while maintaining motion. The senior author's preferred techniques are reported.

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Section: Diagnosis History and Physical Examinationmentioning

confidence: 99%

Thumb collateral ligament injuries in the athlete

Avery

Inkellis

Carlson

2017

Curr Rev Musculoskelet Med

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“…Noncontact athletes may return to sport quickly after internal fixation, whereas high-impact athletes should refrain from return to sport until there is clinical and radiographic evidence of healing. 4 …”

Section: Operative Managementmentioning

confidence: 97%

“…For athletes, fixation with plates allows for early motion, and return to sport as soon as 2 weeks postoperatively, with 6 to 10 weeks of protection in a splint. 4 …”

Section: Metacarpal Shaftmentioning

confidence: 97%

“…15,16 The palmar incision is sensitive for 4 to 6 weeks, and may benefit from desensitization before return to sport. 4 Athletes at the collegiate level can expect to have no change in sports performance compared with their baseline, and typically are satisfied with outcomes. 15 …”

Section: Other Carpal Injuries Hook Of the Hamate Fracturesmentioning

confidence: 99%

“…Athletes should be examined for concurrent injuries, and clinical and radiographic evaluation must be done to rule out significant shortening or malrotation. 4,20 Athletes who sustain isolated metacarpal shaft fractures can be treated safely with immobilization and early return to play. If an athlete is eager to return to play and can tolerate it, a cast glove or similar hand-based immobilization technique can be used to facilitate wrist motion while protecting the fracture site.…”

Section: Metacarpal Shaftmentioning

confidence: 99%

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