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Injuries of Wrist, Hand and Fingers

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Nuclear Medicine and Radiologic Imaging in Sports Injuries

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Abstract

Sports injuries of the hand and wrist are common. Wrist injuries occur mostly due to a fall on the outstretched hand. Distal radius fractures and scaphoid fractures are the most frequently seen fractures of the wrist. Ligament injuries of the wrist may not always be that obvious at first sight, but may lead to serious secondary consequences, such as carpal collapse and osteoarthritis. Next to acute injuries, overuse injuries are also frequently encountered. Overuse injuries mainly affect tendons and nerves, such as in M. de Quervain, the intersection syndrome, carpal tunnel syndrome or the cyclist’s wrist.

Injuries to the hand comprise fractures, dislocations, contusions, sprains and overuse injuries. In this chapter, fractures such as the boxer’s fracture, PIP joint injuries, injuries to the thumb such as the skier’s thumb and pulley injuries are described. A thorough evaluation of the injury mechanism and a systematic clinical examination are the keys to successful treatment and return to sporting activities.

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Abbreviations

APL:

Abductor pollicis longus

CMCJ:

Carpometacarpal joint

DIPJ:

Distal interphalangeal joint

DISI:

Distal intercalated segment instability

DRUJ:

Distal radioulnar joint

ECRB:

Extensor carpi radialis brevis

ECRL:

Extensor carpi radialis longus

ECU:

Extensor carpi ulnaris

EPB:

Extensor pollicis brevis

EPL:

Extensor pollicis longus

FCR:

Flexor carpi radialis

FCU:

Flexor carpi ulnaris

FDP:

Flexor digitorum profundus

FDS:

Flexor digitorum superficialis

FPL:

Flexor pollicis longus

IPJ:

Interphalangeal joint

MCPJ:

Metacarpophalangeal joint

PIPJ:

Proximal interphalangeal joint

PL:

Palmaris longus

PQ:

Pronator quadratus

PT:

Pronator teres

TFCC:

Triangular fibrocartilaginous complex

UCL:

Ulnar collateral ligament

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, University Medical Center Groningen, 30.001, 9700 RB, Groningen, The Netherlands

    Corry K. van der Sluis MD, PhD & Rienk Dekker MD, PhD

Authors
  1. Corry K. van der Sluis MD, PhD
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  2. Rienk Dekker MD, PhD
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Corresponding author

Correspondence to Corry K. van der Sluis MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

    Andor W.J.M. Glaudemans

  2. Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

    Rudi A.J.O. Dierckx

  3. Department of Radiology, Antwerp University Hospital, Edegem, Belgium

    Jan L.M.A. Gielen

  4. Exercise and Health, Center for Sports Medicine, University Center for Sport, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

    Johannes (Hans) Zwerver

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van der Sluis, C.K., Dekker, R. (2015). Injuries of Wrist, Hand and Fingers. In: Glaudemans, A., Dierckx, R., Gielen, J., Zwerver, J. (eds) Nuclear Medicine and Radiologic Imaging in Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46491-5_22

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  • DOI: https://doi.org/10.1007/978-3-662-46491-5_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46490-8

  • Online ISBN: 978-3-662-46491-5

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