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Der Unfallchirurg

, Volume 118, Issue 6, pp 484–489 | Cite as

Ulnarer Handgelenkschmerz beim Schlagsport

TFCC-Läsionen und Frakturen des Hamulus ossis hamati als seltene Diagnosen
  • M.M. Plöger
  • K. Kabir
  • M.J. Friedrich
  • K. Welle
  • C. Burger
Leitthema

Zusammenfassung

Hand- bzw. Handgelenkverletzungen treten beim Sport häufig auf. Vor allem bei den immer populärer werdenden Schlagsportarten wie Golf, Tennis oder Baseball erlangen Diagnose und Therapie von Handgelenkverletzungen eine zunehmende Bedeutung. Das Symptom des ulnaren Handgelenkschmerzes wird häufig zunächst als Tenosynovialitis oder Tendinitis diagnostiziert und als solche behandelt. Derartige Beschwerden beim Schlagsport können aber auch auf Verletzungen des „triangular fibrocartilage complex“ (TFCC) oder Frakturen des Hamulus ossis hamati zurückgeführt werden. Anhand einer systematischen Literaturanalyse wurde deshalb das Auftreten von Hamulusfrakturen und TFCC-Läsionen im Schlagsport untersucht. Eingeschlossen wurden alle Studien und Fallberichte. Wegen der Seltenheit der Verletzungen gab es keine Ausschlusskriterien bzgl. der Fallzahl.

Schlagsportassoziierte Verletzungen des Hamulus ossis hamati und des TFCC werden in der Literatur noch relativ selten erwähnt. Häufig erfolgt die Diagnosestellung verspätet, sodass auch die Therapie erst verzögert begonnen werden kann. Für Profisportler, aber auch Amateure, führt dies häufig zu einer deutlichen Beeinträchtigung der sportlichen Karriere.

Schlüsselwörter

Handgelenkverletzungen Literaturanalyse Profisportler Amateure Sportliche Karriere 

Ulnar-sided wrist pain in sports

TFCC lesions and fractures of the hook of the hamate bone as uncommon diagnosis

Abstract

Injuries to the hand and wrist are common sports injuries. The diagnosis and therapy of wrist injuries are becoming more important, especially in increasingly more popular ball-hitting sports, such as golf, tennis and baseball. Ulnar-sided wrist pain is initially often misdiagnosed and treated as tenosynovitis or tendinitis but tears of the triangular fibrocartilage complex (TFCC) and fractures of the hook of hamate bone, which can also occur in these sports are seldomly diagnosed. The aim of this study was to conduct a systematic review of the literature focussing on TFCC lesions and fractures of the hook of the hamate bone in racquet sports, baseball and golf. A systematic review of the literature was performed in PubMed on the occurrence of TFCC lesions and fractures of the hook of the hamate bone. All studies and case reports were included. Because of the rarity of these injuries there were no exclusion criteria concerning the number of cases. Injuries associated with ball-hitting sports, such as TFCC lesions and fractures of hook of the hamate bone are still underrepresented in the current literature on sports injuries. The diagnosis and treatment of these injuries are often delayed and can severely handicap the performance and career of affected professional as well as amateur athletes.

Keywords

Wrist injuries Literature review Professional athlete Amateur Sports career 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

M.M. Plöger, K. Kabir, M.J. Friedrich, K. Welle und C. Burger geben an, dass kein Interessenskonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • M.M. Plöger
    • 1
  • K. Kabir
    • 1
  • M.J. Friedrich
    • 1
  • K. Welle
    • 1
  • C. Burger
    • 1
  1. 1.Unfall-, Hand- und Plastisch-Rekonstruktive Chirurgie, Überregionales Traumazentrum, Klinik und Poliklinik für Orthopädie und UnfallchirurgieUniversitätsklinikum BonnBonnDeutschland

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