Boxer’s Knuckle

Watté, Nina; Walschot, L.H.B.; Vanhoenacker, Filip

doi:10.5334/jbsr.2620

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…The severity of the injury can extend from mild capsular injury to frank dislocation of the extensor tendon. Diagnosis is usually clinical, but dynamic imaging is of high value, such as dynamic ultrasonography [ 15 ]. Conservative treatments such as splinting in extension, rest and medication can be applied successfully for mild injuries, but surgical treatment, with excellent return to play rates, should be preferred when there is a tendon dislocation as these do not respond well to conservative treatment, possibly due to fistula formation between the subcutaneous tissue and the capsule, and the development of chondromalacia/osteoarthritis if left untreated [ 16 – 20 ].…”

Section: Discussionmentioning

confidence: 99%

Functional performance of the upper limb and the most common boxing-related injuries in male boxers: a retrospective, observational, comparative study with non-boxing population

Giannatos

Παναγόπουλος

Antzoulas

et al. 2022

BMC Sports Sci Med Rehabil

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Background To investigate the functional status and recording the most common injuries of the upper limb in male Greek boxing squad in comparison to the general population. Methods A retrospective injury surveillance study using an electronic questionnaire was performed in 2021. The questionnaire was sent to male members of the Greek Boxing Federation and consisted of three parts. Demographic data, functional status scales, training conditions, hours of training, the location and description of upper limb injuries and whether the injury occurred during competition or training and also whether it was a new or a recurrent one were gathered. The same questionnaire was sent to non-boxer males (military recruits), but without asking them to report any training parameters. Inclusion criteria were age < 35 years-old for all participants and no involvement in martial arts for the control group. Also, all participants (boxers and non-boxers) completed the Patient Rated Wrist Evaluation (PRWE) scale and the Quick Disabilities of Arm, Shoulder and Hand (quick-DASH) score. Results The final study cohort was consisted of 62 elite or amateur boxers and 75 non-boxer males, less than 35 years old. The quick-DASH score was found to be significantly lower (better) in boxers in comparison to the general population (15.65 ± 10.25 vs. 12.55 ± 8.62; p = 0.020) whereas the PRWE score was similar in both groups (9.25 ± 14.96 vs. 8.61 ± 13.05; p = 0.843). Physical therapy sessions, thumb injuries and boxer’s knuckle were also found to be significantly higher in the boxers group. On the other hand, upper limb surgeries were significantly less in the boxers group. Finally, the size of boxing gloves was associated to the number of finger fractures, thumb injuries and ulnar sided wrist pain in boxers. Conclusions Although a controversial sport, boxing appears to have no long-term consequences to the upper limb function, especially regarding hand performance. The size of gloves during heavy bag training was found to be an aggravating factor for hand injuries.

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Section: Discussionmentioning

confidence: 99%

Functional performance of the upper limb and the most common boxing-related injuries in male boxers: a retrospective, observational, comparative study with non-boxing population

Giannatos

Παναγόπουλος

Antzoulas

et al. 2022

BMC Sports Sci Med Rehabil

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“…Methods such as ultrasound and MRI are used to diagnose and determine the management of boxer's knuckles. [10] [18].Ultrasonography can indicate swelling in soft tissues, which may suggest an irregularity in structure. It can also reveal ruptures in the sagittal band and movement of tendons from their proper location.…”

Section: Diagnosismentioning

confidence: 99%

Buttered Knuckles of the Martial Arts World – A Comprehensive Review on Boxer’s Knuckle

SZALA-CZERWONKA

REJMER

WOŚ

et al. 2023

J Educ Health Sport

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Introduction: Boxer's knuckle is a common injury that occurs due to repetitive trauma to the hand, often seen in those who engage in boxing or other similar combat sports. It is a painful condition that can cause swelling, tenderness, and limited movement in the affected area. In some cases, boxer's knuckle can be severe enough to require medical attention and even surgery. This injury can have a significant impact on an athlete's training and overall performance, and it is important to take preventative measures to avoid its occurrence. Understanding the causes, symptoms, and treatment options for boxer's knuckle is essential for any athlete who regularly engages in combat sports or any activity that involves repeated hand trauma. Objective of the study:The objective of this review study is to analyze and summarize the literature related to boxer's knuckle, including its epidemiology, pathophysiology, clinical features, diagnosis, and management. The study aims to provide a comprehensive understanding of the condition, its causes, risk factors, and treatments, and to identify the gaps and limitations in the existing literature. Furthermore, this review intends to provide evidence-based recommendations and guidelines for the prevention, assessment, and treatment of boxer's knuckle in athletes and other individuals who are at risk of developing the condition. Ultimately, the study seeks to contribute to the development of a more precise and effective approach to managing this common hand injury. Material and methods: Review of PubMed articles using the following keywords: “mcp joint rupture boxing”, “boxer's knuckle”, “metacarpophalangeal joint boxing”, “extensor hood injuries”. Additionally, related articles proposed by the PubMed website were checked. Single citations that were not in the PubMed database but, in the opinion of the authors, contained valuable knowledge worthy of inclusion in the article were also reviewed.

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“…The severity of the injury can extend from mild capsular injury to frank dislocation of the extensor tendon. Diagnosis is usually clinical, but dynamic imaging is of high value, such as dynamic ultrasonography [9]. Conservative treatments such as splinting in extension, rest and medication can be applied successfully for mild injuries, but surgical treatment, with excellent return to play rates, should be preferred when there is a tendon dislocation as these do not respond well to conservative treatment, possibly due to stula formation between the subcutaneous tissue and the capsule, and the development of chondromalacia/osteoarthritis if left untreated [10][11][12][13][14].…”

Section: Overall Functional Statusmentioning

confidence: 99%

Functional performance of the upper limb and the most common boxing-related injuries in male boxers: A retrospective, observational, comparative study with non-boxing population

Giannatos

Παναγόπουλος

Antzoulas

et al. 2022

Preprint

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Background: To investigate the functional status and recording the most common injuries of the upper limb in male Greek boxing squad in comparison to the general population. Methods: A retrospective injury surveillance study using an electronic questionnaire was performed in 2021. The questionnaire was sent to male members of the Greek Boxing Federation and consisted of demographic data, training conditions, hours of training, the location, description, and the duration of each upper limb injury they had in the past and whether the injury occurred during competition or training and also whether it was a new or a recurrent one. The same questionnaire was sent to non-boxer males (military recruits), but without asking them to report any training parameters. Inclusion criteria were age < 35 years-old for all participants and no involvement in martial arts for the control group. Also, all participants (boxers and non-boxers) completed the Patient Rated Wrist Evaluation (PRWE) scale and the Quick Disabilities of Arm, Shoulder and Hand (quick-DASH) score. Results: The final study cohort was consisted of 62 elite or amateur boxers and 75 non-boxer males, less than 35 years old. The quick-DASH score was found to be significantly lower (better) in boxers in comparison to the general population (15.65±10.25 vs 12.55±8.62; p = 0,020) whereas the PRWE score was similar in both groups (9.25±14.96 vs 8.61±13.05; p=0,843). Physical therapy sessions, thumb injuries and boxer’s knuckle were also found to be significantly higher in the boxers group. On the other hand, upper limb surgeries were significantly less in the boxers group. Finally, the size of boxing gloves was associated to the number of finger fractures, thumb injuries and ulnar sided wrist pain in boxers.Conclusions: Although a controversial sport, boxing appears to have no long-term consequences to the upper limb function, especially regarding hand performance. The size of gloves during heavy bag training was found to be an aggravating factor for hand injuries.

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Boxer’s Knuckle

Abstract: Teaching Point: Persistent metacarpophalangeal joint pain after clenched-fist trauma with an unremarkable conventional radiography justifies further examination with dynamic ultrasound for detecting extensor hood injuries.

Cited by 4 publications

References 1 publication

Functional performance of the upper limb and the most common boxing-related injuries in male boxers: a retrospective, observational, comparative study with non-boxing population

Functional performance of the upper limb and the most common boxing-related injuries in male boxers: a retrospective, observational, comparative study with non-boxing population

Buttered Knuckles of the Martial Arts World – A Comprehensive Review on Boxer’s Knuckle

Functional performance of the upper limb and the most common boxing-related injuries in male boxers: A retrospective, observational, comparative study with non-boxing population

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