Thumb Injuries in Athletes

Kadow, Tiffany R.; Fowler, John R.

doi:10.1016/j.hcl.2016.08.008

Cited by 21 publications

(13 citation statements)

References 73 publications

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“…External fixation may be used for small basal fragments or those associated with soft tissue injury [ 62 , 73 , 85-92 ]. External fixation is continued for six weeks until union [94] .…”

Section: Summary Of Rolando Fracture Managementmentioning

confidence: 99%

Fractures of the thumb metacarpal base

Brown

Rust

2020

Injury

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“…External fixation may be used for small basal fragments or those associated with soft tissue injury [ 62 , 73 , 85-92 ]. External fixation is continued for six weeks until union [94] .…”

Section: Summary Of Rolando Fracture Managementmentioning

confidence: 99%

Fractures of the thumb metacarpal base

Brown

Rust

2020

Injury

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“…Although the thumb's ability to move in circumduction allows opposition and prehension, it also exposes the thumb to unique injury (Carlsen & Moran, 2009). Metacarpal fractures are diagnosed radiographically in an antero-posterior (AP), lateral and an oblique view in clinical contexts (Kadow & Fowler, 2017). Archaeological metacarpals should be radiographed in an AP and posteroanterior (PA) positions (Ives & Brickley, 2004).Metacarpal fractures are typically transverse or oblique and may deform by angulation, rotation or longitudinal shortening, resulting in cosmetic deformity and compromised grip competence (O'Gorman & Ashwood, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…Extra‐articular fractures of the MCI are usually transverse or oblique, result in two fragments and do not involve joint surfaces. These fractures involve dorsal angulation and can promote instability of the TMC joint (Kadow & Fowler, 2017; Soyer, 1999). Extra‐articular metacarpal fractures that cause apex dorsal angulation of greater than 30° may cause compensatory metacarpophalangeal joint hyperextension and dislocation and narrowing of the thumb webspace.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…All apart from the MCI head fracture were well-healed and integrated, indicating that the injuries that caused them likely occurred several years before death or earlier in life. Extra-articular and Bennett's fractures are clinically treated through closed manipulation and by an immobilisation cast or splint, percutaneous pinning and surgical intervention(Kadow & Fowler, 2017;Liverneaux et al, 2015). MCI fractures take approximately 3 to 6 weeks to heal with immobilisation, though bone remodelling may continue up to 7 years(Liverneaux et al, 2015;Waldron, 2009).The deforming forces of the volar interossei cause dorsal angulation of the MCI (O'Gorman & Ashwood, 2006).…”

mentioning

confidence: 99%

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First metacarpal fractures from Chalcolithic Cyprus: A fall or a fist?

Lorentz

Casa

2020

Intl J of Osteoarchaeology

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Hand fractures are frequently observed in archaeological human skeletal remains. Despite this, there is an absence of human bioarchaeological studies presenting adequate description, differential diagnoses and aetiologies of first metacarpal (MCI) fractures. This study aims to characterise MCI trauma from the Middle Chalcolithic (ca. 3000 BC) cemetery of Souskiou-Laona in southwestern Cyprus, an island in the Eastern Mediterranean. Fifty-eight out of 67 MCIs were complete enough for the assessment of fractures. A total of eight MCI fractures are displayed by six individuals: four adult males discovered as articulated skeletons and two individuals from commingled contexts. These traumas were assessed macroscopically, metrically and radiographically. Differential diagnoses of these fractures identified four extraarticular fractures of the diaphysis of the MCI. Three intra-articular fractures of Bennett's type were observed: one in combination with a Colles' fracture of the distal radius and one in combination with an extra-articular fracture of the diaphysis of the MCI. One fracture involving the distal end (head) of MCI was identified, in combination with an extra-articular fracture. Clinical literature associates such MCI fractures with accidents where the first digit is held in a particular position (e.g., when holding a steering wheel, bicycle bar and horse reigns) or with interpersonal violence, with the first digit in flexed position. Therefore, we suggest that these archaeological MCI fractures may have been caused by accidents (falling onto an outstretched hand) or by interpersonal violence in the form of fist fighting. The occurrence of these fractures in males in their 20s to 40s, of substantial stature, could reflect an association with fist fighting or with sex differential activity exposing individuals of certain sex and age range to more frequent accidents. In the case that the MCI fractures observed within the Souskiou-Laona assemblage reflect interpersonal violence, this has implications to our current understandings of society in Chalcolithic Cyprus.

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Metacarpus

Myers¹,

Nagle²,

Khodaee³

2020

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Thumb Injuries in Athletes

Cited by 21 publications

References 73 publications

Fractures of the thumb metacarpal base

Fractures of the thumb metacarpal base

First metacarpal fractures from Chalcolithic Cyprus: A fall or a fist?

Metacarpus

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