Skip to main content

Advertisement

Log in

Ausgewählte akute Finger-, Mittelhand- und Handgelenkverletzungen im Profisport

Selected acute finger, metacarpal, and wrist injuries in professional sports

  • Übersicht
  • Published:
Obere Extremität Aims and scope Submit manuscript

Zusammenfassung

Handverletzungen können den Teil- bzw. Komplettausfall eines Sportlers bedeuten. Die sichere Rückkehr nach diesen Verletzungen ist ein wesentlicher Bestandteil der Therapieplanung und Nachbehandlung. Nachfolgend beschäftigen wir uns mit einigen ausgewählten Verletzungen der Hand im Profisport und gehen auf die Rehabilitation und sichere Wiederaufnahme der sportlichen Aktivität ein.

Abstract

Injuries of the hand and wrist can lead to partial or complete inability of an athlete to compete. In the interest of the athlete and the whole team, the safe return of these athletes to competitive sports after these injuries requires a interdisciplinary team and a treatment plan based on each patient’s situation. We report on typical hand injuries in sports and focus on the athlete’s safe return to competition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Notes

  1. Die im Text gebrauchte Form beinhaltet sowohl die weibliche als auch die männliche Form.

Literatur

  1. Swenson DM, Henke NM, Collins CL (2012) Epidemiology of United States high school sports-related fractures, 2008–09 to 2010–11. Am J Sports Med 40:2078–2084

    Article  PubMed  Google Scholar 

  2. Morgan WJ, Slowman LS (2001) Acute hand and wrist injuries in athletes: evaluation and management. J Am Acad Orthop Surg 9:389–400

    Article  CAS  PubMed  Google Scholar 

  3. Dy CJ, Khmelnitskaya E, Hearns KA, Carlson MG (2013) Opinions regarding the management of hand and wrist injuries in elite athletes. Orthopedics 36:815–819. doi:10.3928/01477447-20130523-30

    Article  PubMed  Google Scholar 

  4. Dy CJ, Khmelnitskaya E, Hearns KA, Carlson MG (2013) Opinions regarding the management of hand and wrist injuries in elite athletes. Orthopedics 36:815–819. doi:10.3928/01477447-20130523-30

    Article  PubMed  Google Scholar 

  5. Salter SA, Ciocon DH, Gowrishankar TR, Kimball AB (2006) Controlled nail trephination for subungual hematoma. Am J Emerg Med 24:875–877. doi:10.1016/j.ajem.2006.03.029

    Article  PubMed  Google Scholar 

  6. Windolf J, Siebert H, Werber KD, Schädel-Höpfner M (2008) Behandlung von Fingerfrakturen. Unfallchirurg 111:331–339. doi:10.1007/s00113-008-1438-4

    Article  CAS  PubMed  Google Scholar 

  7. Allen MJ (1980) Conservative management of finger tip injuries in adults. The Hand 12:257–265

    Article  CAS  PubMed  Google Scholar 

  8. Mennen U, Wiese A (1993) Fingertip injuries management with semi-occlusive dressing. J Hand Surg Br 18:416–422

    Article  CAS  PubMed  Google Scholar 

  9. Aydin N, Uraloğlu M, Burhanoğlu ADY, Sensöz Ö (2010) A prospective trial on the use of antibiotics in hand surgery. Plast Reconstr Surg 126:1617–1623. doi:10.1097/PRS.0b013e3181ef90cb

    Article  CAS  PubMed  Google Scholar 

  10. Skerker RS, Schulz LA (1995) Principles of rehabilitation of the injured athlete. … Extremity injuries in the Athlete. Churchill, New York, S 31

    Google Scholar 

  11. Ishiguro T, Itoh Y, Yabe Y, Hashizume N (1997) Extension block with Kirschner wire for fracture dislocation of the distal interphalangeal joint. Tech Hand Up Extrem Surg 1:95–102

    Article  CAS  PubMed  Google Scholar 

  12. Fritz D, Arora R, Gabl M, Lutz M (2008) [Modified Ishiguro extension block technique for fracture-dislocation of the distal interphalangeal joint]. Orthop Traumatol 20:38–43. doi:10.1007/s00064-008-1226-x

    Article  Google Scholar 

  13. Lubahn JD, Hood JM (1996) Fractures of the distal interphalangeal joint. Clin Orthop Relat Res 327:12–20

  14. Aitken S, Court-Brown CM (2008) The epidemiology of sports-related fractures of the hand. Injury 39:1377–1383. doi:10.1016/j.injury.2008.04.012

    Article  PubMed  Google Scholar 

  15. Freeland AE, Roberts TS (1991) Percutaneous screw treatment of spiral oblique finger proximal phalangeal fractures. Orthopedics 14:384-386-388

    Google Scholar 

  16. Capo JT, Tan V (2007) Atlas of minimally invasive hand and wrist surgery. CRC Press, New Jersey

    Google Scholar 

  17. Bayer-Sandow T, Brüser P (2001) [The dynamic treatment of intraarticular fractures of the base of the middle phalanx with the Suzuki dynamic fixator]. Handchir Mikrochir Plast Chir 33:267–270. doi:10.1055/s-2001-16594

    Article  CAS  PubMed  Google Scholar 

  18. Franz T, Wartburg UV, Hug U (2010) [Extraarticular proximal phalangeal fractures of the hand: functional conservative management using the Lucerne Cast (LuCa) – a preliminary prospective study]. Handchir Mikrochir Plast Chir 42:293–298. doi:10.1055/s-0030-1249015

    Article  CAS  PubMed  Google Scholar 

  19. Pezzei C, Leixnering M, Hintringer W (1993) [Functional treatment of basal joint fractures of three-joint fingers]. Handchir Mikrochir Plast Chir 25:319–329

    CAS  PubMed  Google Scholar 

  20. Rettig AC (1992) Closed tendon injuries of the hand and wrist in the athlete. Clin Sports Med 11:77–99

    CAS  PubMed  Google Scholar 

  21. Kerr ZY, Collins CL, Pommering TL et al (2011) Dislocation/separation injuries among US high school athletes in 9 selected sports: 2005–2009. Clin J Sport Med 21:101–108. doi:10.1097/JSM.0b013e31820bd1b6

    Article  PubMed  Google Scholar 

  22. Rettig AC (2004) Athletic injuries of the wrist and hand: part II: overuse Injuries of the wrist and traumatic injuries to the hand. Am J Sports Med 32:262–273. doi:10.1177/0363546503261422

    Article  PubMed  Google Scholar 

  23. Arora R, Angermann P, Fritz D et al. (2007) [Dorsolateral dislocation of the proximal interphalangeal joint: closed reduction and early active motion versus static splinting]. Handchir Mikrochir Plast Chir 39:225–228. doi:10.1055/s-2006-924182

    Article  CAS  PubMed  Google Scholar 

  24. Grant IR (1993) Irreducible rotational anterior dislocation of the proximal interphalangeal joint. A spin drier injury. J Hand Surg Br 18:648–651

    Article  CAS  PubMed  Google Scholar 

  25. Kato H, Minami A, Takahara M et al (1999) Surgical repair of acute collateral ligament injuries in digits with the Mitek bone suture anchor. J Hand Surg Br 24:70–75

    Article  CAS  PubMed  Google Scholar 

  26. Lutz M, Fritz D, Arora R et al (2004) Anatomical basis for functional treatment of dorsolateral dislocation of the proximal interphalangeal joint. Clin Anat 17:303–307. doi:10.1002/ca.10216

    Article  CAS  PubMed  Google Scholar 

  27. Green DP, Hotchkiss RN, Pederson WC (1999) Greensʼs operative hand surgery. Churchill Livingstone, New York

    Google Scholar 

  28. Blazar PE, Steinberg DR (2000) Fractures of the proximal interphalangeal joint. J Am Acad Orthop Surg 8:383–390

    Article  CAS  PubMed  Google Scholar 

  29. Peterson JJ, Bancroft LW (2006) Injuries of the fingers and thumb in the athlete. Clin Sports Med 25:527–542, vii–viii. doi:10.1016/j.csm.2006.02.001

    Article  PubMed  Google Scholar 

  30. Towfigh PDMH (2011) Kapsel-Band-Läsionen und Luxationen im Fingerbereich (einschließlich Arthrodesen). In: Towfigh H, Hierner R (Hrsg) Handchirurgie. Springer Berlin Heidelberg, Berlin, S 539–580

  31. Snow JW (1976) A method for reconstruction of the central slip of the extensor tendon of a finger. Plast Reconstr Surg 57:455–459

    Article  CAS  PubMed  Google Scholar 

  32. Winterstein O (1927) Die Frakturformen des Os metacarpale I. Schweiz Med Wochenschr 57:193–197

    Google Scholar 

  33. Schaefer M, Siebert HR (2000) [Finger and middle hand fractures. Surgical and nonsurgical treatment procedures. II]. Unfallchirurg 103:582–592

    Article  CAS  PubMed  Google Scholar 

  34. Bennett EH (1886) On fracture of the metacarpal bone of the thumb. Br Med J 2:12–13

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Rolando S (1996) Fracture of the base of the first metacarpal and a variation that has not yet been described. 1910. Clin Orthop Relat Res 327:4–8

  36. Breen TF, Gelberman RH, Jupiter JB (1988) Intra-articular fractures of the basilar joint of the thumb. Hand Clin 4:491–501

    CAS  PubMed  Google Scholar 

  37. Küntscher MV, Schäfer DJ, Germann G, Siebert HR (2003) [Metacarpal fractures: treatment indications and options. Results of a multicenter study]. Chirurg 74:1018–1025. doi:10.1007/s00104-003-0734-3

    Article  PubMed  Google Scholar 

  38. Lowka K (1990) [Fractures of the mid-hand area – classification, management, results and problems]. Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir 7:713–720

    Google Scholar 

  39. Camp RA, Weatherwax RJ, Miller EB (1980) Chronic posttraumatic radial instability of the thumb metacarpophalangeal joint. J Hand Surg Am 5:221–225. doi:10.1016/S0363-5023(80)80006-2

    Article  CAS  PubMed  Google Scholar 

  40. Sternbach G (1984) C.S. Campbell: gamekeeperʼs thumb. J Emerg Med 1:345–347

    Article  CAS  PubMed  Google Scholar 

  41. Miller RJ (1988) Dislocations and fracture dislocations of the metacarpophalangeal joint of the thumb. Hand Clin 4:45–65

    CAS  PubMed  Google Scholar 

  42. Carr D, Johnson RJ, Pope MH (1981) Upper extremity injuries in skiing. Am J Sports Med 9:378–383

    Article  CAS  PubMed  Google Scholar 

  43. Stener B (1963) Skeletal injuries associated with rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. A clinical and anatomical study. Acta Chir Scand 125:583–586

    CAS  PubMed  Google Scholar 

  44. Melone CP (1986) Complex joint injuries of the hand. In: Orthopaedic surgeons symposium on upper extremity. C.V. Mosby, St. Louis, S 142–169

  45. Palmer AK, Louis DS (1978) Assessing ulnar instability of the metacarpophalangeal joint of the thumb. J Hand Surg Am 3:542–546

    Article  CAS  PubMed  Google Scholar 

  46. Heyman P, Gelberman RH, Duncan K, Hipp JA (1993) Injuries of the ulnar collateral ligament of the thumb metacarpophalangeal joint. Biomechanical and prospective clinical studies on the usefulness of valgus stress testing. Clin Orthop Relat Res 292:165–171

  47. Kuz JE, Husband JB, Tokar N, McPherson SA (1999) Outcome of avulsion fractures of the ulnar base of the proximal phalanx of the thumb treated nonsurgically. J Hand Surg Am 24:275–282. doi:10.1053/jhsu.1999.0275

    Article  CAS  PubMed  Google Scholar 

  48. Stener B (1963) Hyperextension injuries to the metacarpophalangeal joint of the thumb: rupture of ligaments, fracture of sesamoid bones, rupture of flexor pollicis brevis. An anatomical and clinical study. Acta Chir Scand 125:275–293

    CAS  PubMed  Google Scholar 

  49. Harper MT, Chandnani VP, Spaeth J et al (1996) Gamekeeper thumb: diagnosis of ulnar collateral ligament injury using magnetic resonance imaging, magnetic resonance arthrography and stress radiography. J Magn Reson Imaging 6:322–328

    Article  CAS  PubMed  Google Scholar 

  50. Jones MH, England SJ, Muwanga CL, Hildreth T (2000) The use of ultrasound in the diagnosis of injuries of the ulnar collateral ligament of the thumb. J Hand Surg Br 25:29–32. doi:10.1054/jhsb.1999.0283

    Article  CAS  PubMed  Google Scholar 

  51. Höglund M, Tordai P, Muren C (1995) Diagnosis by ultrasound of dislocated ulnar collateral ligament of the thumb. Acta Radiol 36:620–625

    Article  PubMed  Google Scholar 

  52. Louis DS, Huebner JJ, Hankin FM (1986) Rupture and displacement of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. Preoperative diagnosis. J Bone Joint Surg Am 68:1320–1326

    CAS  PubMed  Google Scholar 

  53. Hintermann B (1993) [Skierʼs thumb – osseous injury and rupture of the ulnar collateral ligament]. Z Unfallchir Versicherungsmed (Suppl 1):232–241

  54. Bowers WH, Hurst LC (1977) Gamekeeperʼs thumb. Evaluation by arthrography and stress roentgenography. J Bone Joint Surg Am 59:519–524

    CAS  PubMed  Google Scholar 

  55. Posner MA, Retaillaud JL (1992) Metacarpophalangeal joint injuries of the thumb. Hand Clin 8:713–732

    CAS  PubMed  Google Scholar 

  56. Heim D (1999) The skierʼs thumb. Acta Orthop Belg 65:440–446

    CAS  PubMed  Google Scholar 

  57. Fricker R, Hintermann B (1995) Skierʼs thumb. Treatment, prevention and recommendations. Sports Med 19:73–79

    Article  CAS  PubMed  Google Scholar 

  58. Falvey E, McCrory P, Crowley B et al (2013) Risk factors for hand injury in hurling: a cross-sectional study. BMJ Open 3:e002634. doi:10.1136/bmjopen-2013-002634

    Article  PubMed  PubMed Central  Google Scholar 

  59. Singletary S, Freeland AE, Jarrett CA (2003) Metacarpal fractures in athletes: treatment, rehabilitation, and safe early return to play. J Hand Ther 16:171–179

    Article  PubMed  Google Scholar 

  60. Lee SJ, Montgomery K (2002) Athletic hand injuries. Orthop Clin North Am 33:547–554

    Article  PubMed  Google Scholar 

  61. Rettig AC, Ryan R, Shelbourne KD, McCarroll JR, Johnson F Jr, Ahlfeld SK (1989) Metacarpal fractures in the athlete. Am J Sports Med 17:567–572. doi:10.1177/036354658901700420

    Article  CAS  PubMed  Google Scholar 

  62. Meals C, Meals R (2013) Hand fractures: a review of current treatment strategies. J Hand Surg Am 38:1021–1031. doi:10.1016/j.jhsa.2013.02.017. (quiz 1031)

    Article  PubMed  Google Scholar 

  63. Foucher G, Chemorin C, Sibilly A (1976) [A new technic of osteosynthesis in fractures of the distal 3d of the 5th metacarpus]. Nouv Presse Med 5:1139–1140

    CAS  PubMed  Google Scholar 

  64. Winter M, Balaguer T, Bessière C et al (2007) Surgical treatment of the boxerʼs fracture: transverse pinning versus intramedullary pinning. J Hand Surg Eur Vol 32:709–713. doi:10.1016/j.jhse.2007.07.011

    Article  CAS  PubMed  Google Scholar 

  65. Walsh JJ (2004) Fractures of the hand and carpal navicular bone in athletes. South Med J 97:762–765

    Article  PubMed  Google Scholar 

  66. Jaworski CA, Krause M, Brown J (2010) Rehabilitation of the wrist and hand following sports injury. Clin Sports Med 29:61–80. doi:10.1016/j.csm.2009.09.007. (table of contents)

    Article  PubMed  Google Scholar 

  67. Hove LM (1999) Epidemiology of scaphoid fractures in Bergen, Norway. Scand J Plast Reconstr Surg Hand Surg 33:423–426

    Article  CAS  PubMed  Google Scholar 

  68. Rettig AC (2003) Athletic injuries of the wrist and hand. Part I: traumatic injuries of the wrist. Am J Sports Med 31:1038–1048

    PubMed  Google Scholar 

  69. Schmitt R, Lanz U (2014) Bildgebende Diagnostik der Hand. Thieme, Stuttgart

    Google Scholar 

  70. Herbert TJ (1974) Scaphoid fractures and carpal instability. Proc R Soc Med 67:1080

    CAS  PubMed  PubMed Central  Google Scholar 

  71. Rettig AC (2004) Athletic injuries of the wrist and hand: part II: overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med 32:262–273. doi:10.1177/0363546503261422

    Article  PubMed  Google Scholar 

  72. Grewal R, King GJW (2009) An evidence-based approach to the management of acute scaphoid fractures. J Hand Surg Am 34:732–734. doi:10.1016/j.jhsa.2008.12.027

    Article  PubMed  Google Scholar 

  73. Fufa DT, Goldfarb CA (2012) Sports injuries of the wrist. Curr Rev Musculoskelet Med 6:35–40. doi:10.1007/s12178-012-9145-8

    Article  PubMed Central  Google Scholar 

  74. Buterbaugh GA, Brown TR, Horn PC (1998) Ulnar-sided wrist pain in athletes. Clin Sports Med 17:567–583

    Article  CAS  PubMed  Google Scholar 

  75. Bowen TL (1973) Injuries of the hamate bone. Hand 5:235–238

    Article  CAS  PubMed  Google Scholar 

  76. Bryan RS, Dobyns JH (1980) Fractures of the carpal bones other than lunate and navicular. Clin Orthop Relat Res 149:107–111

  77. Marchessault J, Conti M, Baratz ME (2009) Carpal fractures in athletes excluding the scaphoid. Hand Clin 25:371–388. doi:10.1016/j.hcl.2009.05.013

    Article  PubMed  Google Scholar 

  78. Kulund DN, McCue FC, Rockwell DA, Gieck JH (1979) Tennis injuries: prevention and treatment. A review. Am J Sports Med 7:249–253

    Article  CAS  PubMed  Google Scholar 

  79. Bishop AT, Beckenbaugh RD (1988) Fracture of the hamate hook. J Hand Surg Am 13:135–139. doi:10.1016/0363-5023(88)90217-1

    Article  CAS  PubMed  Google Scholar 

  80. Foucher G, Schuind F, Merle M, Brunelli F (1985) Fractures of the Hook of the Hamate. J Hand Surg Eur Vol 10:205–210. doi:10.1016/0266-7681(85)90019-1

    Article  CAS  Google Scholar 

  81. Gupta A, Risitano G, Crawford R, Burke F (1989) Fractures of the hook of the hamate. Injury 20:284–286

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Philipp Honigmann.

Ethics declarations

Interessenskonflikt

P. Honigmann, A. Eisenschenk, M. Haug, D.F. Kalbermann, D.J. Schaefer, M. Häfeli geben an, dass kein Interessenskonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Honigmann, P., Eisenschenk, A., Haug, M. et al. Ausgewählte akute Finger-, Mittelhand- und Handgelenkverletzungen im Profisport. Obere Extremität 11, 101–111 (2016). https://doi.org/10.1007/s11678-015-0345-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11678-015-0345-x

Schlüsselwörter

Keywords

Navigation