Best Practice Case Studies-T3st2025

T3st2025

Pdf Summary

The review by Arthur C. Rettig focuses on traumatic injuries to the hand and wrist, a common issue among athletes across various sports. It is reported that 3% to 9% of all athletic injuries involve the hand and wrist, with different sports posing unique risks. Traumatic injuries include fractures, dislocations, and ligament tears, notably in contact sports like football, whereas stress and overuse conditions often occur in gymnastics, racquet sports, and golf.<br /><br />The article delves into specific traumatic injuries, highlighting carpal scaphoid fractures as particularly problematic. These fractures, common in athletes aged 15 to 30, often result from falls on outstretched hands and require careful diagnostic imaging for confirmation. Treatment varies from casting to surgical intervention, aiming primarily for union to prevent nonunion and degenerative changes.<br /><br />Hook of the hamate fractures, prevalent in sports requiring grip manipulation like golf and tennis, are another focus. While these injuries can result in nonunion due to the vascular anatomy of the hook, treatment usually involves surgical excision, allowing athletes to return to sport after about 7-10 weeks.<br /><br />The biomechanics of wrist motion in various sports are considered, emphasizing how knowledge of required wrist extension, flexion, and deviation could influence treatment and splinting decisions. For example, in basketball and baseball, differences in required wrist mobility may influence post-injury rehabilitation plans and considerations for surgical procedures.<br /><br />Further, the text examines ligament injuries involving the scapholunate and lunotriquetral ligaments, with an emphasis on diagnosis via imaging and the challenges of treatment, especially in chronic cases where reconstruction may be necessary.<br /><br />Overall, the review underscores the importance of recognizing sport-specific injury patterns, the utility of advanced imaging techniques for proper diagnosis, and the tailored treatment regimes that consider the athlete’s need for speedy yet effective recovery.

Keywords

hand and wrist injuries

athletic injuries

carpal scaphoid fractures

hook of the hamate fractures

sports biomechanics

ligament injuries

diagnostic imaging

treatment regimes

contact sports

rehabilitation