Rettig Arthur C
Methodist Sports Medicine, Indianapolis, Indiana 46280, USA.
Am J Sports Med. 2004 Jan-Feb;32(1):262-73. doi: 10.1177/0363546503261422.
Hand and wrist injuries in sports are some of the most common injuries reported. This review discusses common overuse injuries of the wrist including tendon injuries such as de Quervain's syndrome, subluxation of the extensor carpi ulnaris, and the common dorsal carpal impingement syndrome. The main focus of this section is the discussion of traumatic injuries to the hand in the athlete. Included is a discussion and review of fractures of the phalanges and metacarpals, common proximal interphalangeal joint injuries, and thumb carpal metacarpal and metacarpophalangeal joint injuries. Emphasis is placed on more common injuries seen regarding diagnosis, indications for non-operative versus operative treatment, and time to return to athletic competition.
手部和腕部运动损伤是报告中最常见的损伤类型。本综述讨论了腕部常见的过度使用损伤,包括肌腱损伤,如桡骨茎突狭窄性腱鞘炎、尺侧腕伸肌半脱位,以及常见的腕背撞击综合征。本节的主要重点是讨论运动员手部的创伤性损伤。内容包括指骨和掌骨骨折、常见的近端指间关节损伤,以及拇指腕掌关节和掌指关节损伤的讨论与综述。重点在于诊断方面更常见的损伤、非手术与手术治疗的指征,以及恢复运动比赛的时间。