Finger Injuries in Football and Rugby

Elzinga, Kate; Chung, Kevin C.

doi:10.1016/j.hcl.2016.08.007

Cited by 12 publications

(6 citation statements)

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“…In our study, the thumb (15.5%) and great toe (35.4%) were the most commonly involved upper and lower extremity digit paronychias, respectively. These findings match those of a retrospective chart review of 86 patients on the most common sites of extremity tendon and bone injuries [22, 23]. Similarly, in a prospective study on upper extremity acute paronychias ( n = 31), the thumb and index finger of the dominant hand were most frequently affected [24, 25].…”

Section: Discussionsupporting

confidence: 72%

Cross-Sectional Analysis of Paronychias in the National Electronic Injury Surveillance System 1999–2018

Desai

Wang

Nadarajah

et al. 2022

Skin Appendage Disord

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Introduction: Paronychia is the most common hand infection. Prior paronychia studies were limited by small patient numbers. We conducted a national-level analysis over two decades, analyzing demographics, etiologies, and trends in paronychia cases. Methods: We conducted a retrospective analysis of paronychia cases in the 1999–2018 National Electronic Injury Surveillance System database. Sex, race, age, and cause were recorded and compared using χ2, ANOVA, and t tests. Multivariable linear regression analysis assessed changes in age, weight, and sex over time. Results: We analyzed a total of 2,512 cases, with an average age of 27.6 ± 20.6 years, 45.5% females, and 25.6% white and 28.6% black patients. In multivariable linear regression, both age and weight significantly increased over time. Manicuring was the most common etiology (30.9%), increasing in incidence over time and with a higher frequency in adults (p < 0.0001) and females (p < 0.0001). There was a significant decrease in pediatric paronychia cases over time, particularly in 0- to 4-year-olds. Possible limitations include missed paronychia cases or additional non-paronychia cases due to improper coding, infrequent race reporting, and inability to analyze treatments or distinguish between paronychia subtypes. Conclusions: Paronychia cases were associated with increased age and weight over time with different presentations by age. Manicuring represents the largest growing paronychia etiology.

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Section: Discussionsupporting

confidence: 72%

Cross-Sectional Analysis of Paronychias in the National Electronic Injury Surveillance System 1999–2018

Desai

Wang

Nadarajah

et al. 2022

Skin Appendage Disord

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“…14 Given the multitude of potential mechanisms of injury, hand and wrist injuries, including scaphoid fractures, phalanx and metacarpal fractures, triangular fibrocartilage complex and scapholunate tears, and flexor and extensor tendon ruptures, are prevalent among high-level football players. 3,15 These injuries can be quite debilitating for football players. A number of commentaries have been published that discuss specific hand and wrist injuries in high-level football players and their impact on return to play.…”

mentioning

confidence: 99%

Epidemiology of Hand and Wrist Injuries in NCAA Men’s Football: 2009–2010 to 2013–2014

Bartels

Hevesi

Wyles

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background: Participation in National Collegiate Athletic Association (NCAA) football is at an all-time high. This population of athletes experiences a substantial injury burden, with many injuries affecting the upper extremities. Purpose/Hypothesis: The purpose of this study was to describe the epidemiology of hand and wrist injuries in college football players from the academic years 2009–2010 to 2013–2014. We hypothesized that variables such as event type (practice vs game), mechanism of injury, and player position would have an effect on the injury incidence. Study Design: Descriptive epidemiological study. Methods: An epidemiological study utilizing the NCAA Injury Surveillance Program was performed to investigate rates and patterns of hand and wrist injuries in participating varsity football teams from 2009–2010 to 2013–2014. Results: A total of 725 hand and wrist injuries were captured in 899,225 athlete-exposures. The observed practice injury rate was 0.51 injuries per 1000 athlete-exposures, compared with a game injury rate of 3.60 ( P < .01). Player-on-player contact was the most common injury mechanism reported, with blocking being the most common activity at the time of injury. Offensive linemen were most likely to experience an injury. Of all injuries sustained, 71.4% resulted in no time loss from competition, whereas 9.8% of injuries resulted in longer than 7 days of time loss. A fracture resulted in the greatest time loss from competition (mean ± SD, 8.3 ± 24.0 days; median, 0 days [range, 0-148 days] for injuries sustained in a practice setting) (mean ± SD, 7.7 ± 15.8 days; median, 0 days [range, 0-87 days] for injuries sustained in a game setting). Conclusion: Hand and wrist injuries were found to be significantly more common in games when compared with practices. This study provides valuable prognostic data regarding expected time loss on a per-injury pattern basis. Further investigation on specific injury subtypes and expected time loss as a result of these injures would provide trainers, players, and coaches with useful information on an expected postinjury recovery and rehabilitation timeline.

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“…23, 26 Um estudo prospetivo americano realizado em competições universitárias demonstrou que as lesões do punho e da mão são 9.6 vezes mais frequentes no râguebi do que no futebol americano, sendo mais diagnosticadas luxações das articulações interfalângicas proximais, dedos em martelo e Jersey fingers, fraturas dos metacárpicos e das falanges. 27 Outro estudo prospetivo, Figura 1 -Movimentos típicos do râguebi: A -Hand-off por parte do atacante (empurrar o adversário com a mão aberta); B -Placagem; C -Formação ordenada, quando os Avançados de cada equipa se ligam em três filas e empurram para ganhar a posse de bola; D -Formação Espontânea, quando, em jogo aberto, um ou mais jogadores de cada equipa se ligam para disputar a bola que está no chão entre eles; E -No Alinhamento os Avançados formam-se em fileira e elevam um ou mais jogadores para ganhar a bola que é arremessada; F -Formação Dinâmica, quando, em jogo aberto, o portador de bola é segurado por um ou mais adversários e um ou mais jogadores da mesma equipa também se ligam ao portador para proteger a bola. Quanto ao período de jogo, as lesões ocorrem menos no primeiro quarto, sendo que as diferenças de incidências nos outros quartos são menos claras.…”

Section: Biomecânica Do Râguebiunclassified

Biomecânica e traumatologia no râguebi

Silva¹,

Cruz-Ferreira²,

Lino-Moura³

2022

Revdesp

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Rugby is one of the team sports with the highest incidence rate of injuries per exposure time. These mainly occur in specific sport movements such as the tackle, ruck, or maul. Therefore, it is important to understand the sports’ specificities and biomechanics and link them with its risk and injury type. The most common reported injuries are musculotendinous and ligament ruptures of the lower limbs, however, we highlight the important incidence of severe head and neck injuries, like cerebral concussion and cervical spine fractures. It is essential to gather data that enable us to characterize the risk and specify of each movement performed by the athlete, to make more effective programs on injury-prevention and rehabilitation of injured athletes, always focusing on their full recovery and reinjure risk reduction.

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Finger Injuries in Football and Rugby

Cited by 12 publications

References 50 publications

Cross-Sectional Analysis of Paronychias in the National Electronic Injury Surveillance System 1999–2018

Cross-Sectional Analysis of Paronychias in the National Electronic Injury Surveillance System 1999–2018

Epidemiology of Hand and Wrist Injuries in NCAA Men’s Football: 2009–2010 to 2013–2014

Biomecânica e traumatologia no râguebi

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