Minimally Invasive Treatment of Wrist and Hand Lesions in Tennis Players

  • Alejandro BadiaEmail author


Lesions of the hand and wrist in tennis players can occur in both acute events, such as a fall or, more commonly, tissue failure due to overuse or attritional factors in more chronic injuries. Since the wrist/hand unit is so critical to successful play in the player’s dominant extremity, it is important to often involve the hand specialist early in assessment and treatment. A missed diagnosis can be disastrous, but early intervention via minimally invasive treatments is now possible and should be understood by the medical team charged with the care of the tennis athlete.


  1. 1.
    Cotterell IH, Richard MJ. Metacarpal and phalangeal fractures in athletes. Clin Sports Med. 2015;34(1):69–98.CrossRefGoogle Scholar
  2. 2.
    Badia A, Riano F, Ravikoff J. Dynamic intradigital external fixation for proximal interphalangeal joint fracture dislocations. J Hand Surg Am. 2005;30(1):154–60.CrossRefGoogle Scholar
  3. 3.
    Calfee RP, Kiefhaber TR, Sommerkamp TG, Stern PJ. Hemi-hamate arthroplasty provides functional reconstruction of acute and chronic proximal interphalangeal fracture-dislocations. J Hand Surg. 2009;34:1232–41.CrossRefGoogle Scholar
  4. 4.
    Burkhalter WE, Reyes FA. Closed treatment of fractures of the hand. Bull Hosp Jt Dis Orthop Inst. 1984;44(2):145–62.PubMedGoogle Scholar
  5. 5.
    Foucher G. “Bouquet”osteosynthesis in metacarpal neck fractures: a series of 66 patients. J Hand Surg Am. 1995;20(3 Pt 2):S86–90.CrossRefGoogle Scholar
  6. 6.
    Badia A, Riano F. A simple fixation method for unstable bony mallet finger. J Hand Surg Am. 2004;29(6):1051–5.CrossRefGoogle Scholar
  7. 7.
    Hame SL, Melone CP Jr. Boxer’s knuckle in the professional athlete. Am J Sports Med. 2000;28(6):879–82.CrossRefGoogle Scholar
  8. 8.
    Badia A. Arthroscopy of the trapeziometacarpal and metacarpophalangeal joints. J Hand Surg Am. 2007;32:707–24.CrossRefGoogle Scholar
  9. 9.
    Bettinger PC, Linscheid RL, Berger RA, Cooney WP 3rd, An KN. An anatomic study of the stabilizing ligaments of the trapezium and trapeziometacarpal joint. J Hand Surg Am. 1999;24(4):786–98.CrossRefGoogle Scholar
  10. 10.
    Badia A. Trapeziometacarpal arthroscopy: a classification and treatment algorithm. Hand Clin. 2006;22(2):153–63.CrossRefGoogle Scholar
  11. 11.
    Park MJ, et al. The carpal boss: review of diagnosis and treatment. J Hand Surg. 2008;33A:446–9.CrossRefGoogle Scholar
  12. 12.
    Riester JN, Baker BE, Mosher JF, et al. A review of scaphoid fracture healing in competitive athletes. Am J Sports Med. 1985;13:159–61.CrossRefGoogle Scholar
  13. 13.
    Stark HH, Jobe FW, Boyes JH, et al. Fracture of the hook of the hamate in athletes. J Bone Joint Surg Am. 1977;59:575–82.CrossRefGoogle Scholar
  14. 14.
    Levy M, Fischel RE, Stern GM, et al. Chip fractures of the os triquetrum: the mechanism of injury. J Bone Joint Surg Br. 1979;61:355–7.CrossRefGoogle Scholar
  15. 15.
    Badia A, Khanchandani P. Volar plate fixation. In: Slutsky DJ, Osterman AL, editors. Distal radial fractures and carpal injuries: the cutting edge. 1st ed. Philadelphia: Saunders, Elsevier; 2008. p. 149–56.Google Scholar
  16. 16.
    Chun S, Palmer AK. Chronic ulnar wrist pain secondary to partial rupture of the extensor carpi ulnaris tendon. J Hand Surg Am. 1987;12:1032–5.CrossRefGoogle Scholar
  17. 17.
    Hanlon DP, Luellen JR. Intersection syndrome: a case report and review of literature. J Emerg Med. 1999;17(6):969–71. Scholar
  18. 18.
    MacLennan AJ, Nemechek NM, Waitayawinyu T, et al. Diagnosis and anatomic reconstruction of extensor carpi ulnaris subluxation. J Hand Surg Am. 2008;33:59–64. Scholar
  19. 19.
    Nagle DJ. Triangular fibrocartilage complex tears in the athlete. Clin Sports Med. 2001;20(1):155–66. Scholar
  20. 20.
    Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am. 1989;4:594–606. Scholar
  21. 21.
    Haims AH, Schweitzer ME, Morrison WB, Deely D, Lange R, Osterman AL, et al. Limitations of MR imaging in the diagnosis of peripheral tears of the triangular fibrocartilage of the wrist. AJR Am J Roentgenol. 2002;178:419–22.CrossRefGoogle Scholar
  22. 22.
    Whipple TL, Marotta JJ, Powell JH III. Techniques of wrist arthroscopy. Arthroscopy. 1986;2(4):244–52.CrossRefGoogle Scholar
  23. 23.
    Luchetti R, Badia A, Alfarano M, Orbay J, Indriago I, Mustapha B. Arthroscopic resection of dorsal wrist ganglia and treatment of recurrences. J Hand Surg Br. 2000;25(1):38–40.CrossRefGoogle Scholar
  24. 24.
    Slutsky DJ. Arthroscopic dorsal radiocarpal ligament repair. Arthroscopy. 2005;21(12):1486.CrossRefGoogle Scholar
  25. 25.
    Manuel J, Moran SL. The diagnosis and treatment of scapholunate instability. Hand Clin. 2010;26:129–44. Scholar
  26. 26.
    Geissler WB, Haley T. Arthroscopic management of scapholunate instability. Atlas Hand Clin. 2001;6:253–74.Google Scholar
  27. 27.
    Darlis NA, Kaufmann RA, Giannoulis F, Sotereanos DG, et al. Arthroscopic debridement and closed pinning for chronic dynamic scapholunate instability. J Hand Surg Am. 2006;31:418–24.CrossRefGoogle Scholar
  28. 28.
    Weiss LE, Taras JS, Sweet S, Osterman AL. Lunotriquetral injuries in the athlete. Hand Clin. 2000;16:433–8.PubMedGoogle Scholar
  29. 29.
    Badia A, Khanchandani P. The floating lunate: arthroscopic treatment of simultaneous complete tears of the scapholunate and lunotriquetral ligaments. Hand (N Y). 2009;4:250–5.CrossRefGoogle Scholar
  30. 30.
    Herzberg G. Perilunate injuries, not dislocated (PLIND). J Wrist Surg. 2013;2(4):337–45.CrossRefGoogle Scholar
  31. 31.
    Wallace AL, Hollinshead RM, Frank CB. The scientific basis of thermal capsular shrinkage. J Shoulder Elb Surg. 2000;9:354–60.CrossRefGoogle Scholar
  32. 32.
    Estrella EP, Hung LK, Ho PC, Tse WL. Arthroscopic repair of triangular fibrocartilage complex tears. Arthroscopy. 2007;23:729–37. 737.e1CrossRefGoogle Scholar
  33. 33.
    Badia A, Jiménez A. Arthroscopic repair of peripheral triangular fibrocartilage complex tears with suture welding: a technical report. J Hand Surg Am. 2006;31(8):1303–7.CrossRefGoogle Scholar
  34. 34.
    Yao J. All-arthroscopic triangular fibrocartilage complex repair: safety and biomechanical comparison with a traditional outside-in technique in cadavers. J Hand Surg Am. 2009;34(4):671–6.CrossRefGoogle Scholar
  35. 35.
    Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am. 1989;4:594–606. Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Badia Hand to Shoulder CenterOrthoNOW® Orthopedic Urgent Care CentersMiamiUSA

Personalised recommendations