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Injuries of Wrist, Hand and Fingers

  • Corry K. van der SluisEmail author
  • Rienk Dekker

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.

Keywords

Carpal Tunnel Syndrome Distal Radius Fracture Sport Injury Scaphoid Fracture Ulnar Collateral Ligament 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Rehabilitation MedicineUniversity Medical Center GroningenGroningenThe Netherlands

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