Heckmann A, Lahoda L U, Alkandari Q, Vogt P M, Knobloch K
Klinik und Poliklinik für Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover.
Sportverletz Sportschaden. 2008 Jun;22(2):106-8. doi: 10.1055/s-2008-1027390.
Power lifting injuries most often involve shoulder injuries with an injury rate of 0.57 to 0.71/1000 hours of power lifting. Wrist injuries are less common in power lifters with 0.05/1000 hours exposure vs. 0.23/1000 h in elite weight lifting men. Often, two contributing factors causing wrist injuries are encountered: a) loss of balance causing the barbell to drift back behind the head of the power lifter, which hyperextends the wrist and b) the maximal weight. We report on an elite power lifting athlete preparing for the World Masters Bench press championships suffering two months of persisting pain during bench press exercise and rest in the snuff-box area following a loss of balance of the bar-bell during bench press with 280 kg load. Following prolonged presentation 2 months after the initial injury with training in the meantime, CT-scan was performed revealing a C-type scaphoid fracture. Surgery was performed as Herbert screw fixation and bone grafting according to the technique of Matti-Russe, followed by an immobilisation of twelve weeks with a plaster. We recommended ending the athletes' power lifting career, however he further exercised with the plaster with consecutive re-operation 3months later and 2nd Matti-Russe and Herbert screw re-do. One year later he became national champion with 240 kg bench pressing. Given the limited scaphoid blood supply and the high complication rate especially among C-type scaphoid fractures, a surgical procedure with bone grafting, Herbert screw fixation and sufficient plaster immobilisation is advocated in scaphoid fractures in elite athletes.
力量举损伤最常累及肩部，损伤率为每1000小时力量举训练0.57至0.71例。腕部损伤在力量举运动员中较少见，暴露时间为每1000小时0.05例，而精英男子举重运动员为每1000小时0.23例。通常，导致腕部损伤的有两个因素：a）平衡丧失导致杠铃向后漂移至力量举运动员头部后方，使腕部过度伸展；b）最大重量。我们报告了一名为世界大师级卧推锦标赛做准备的精英力量举运动员，在一次280公斤负荷的卧推训练中杠铃失衡后，鼻烟壶区域在卧推训练和休息期间持续疼痛了两个月。在最初受伤两个月后，经过长时间的症状表现并在此期间进行了训练，进行了CT扫描，发现舟状骨C型骨折。按照马蒂 - 鲁塞技术进行了Herbert螺钉固定和骨移植手术，随后用石膏固定12周。我们建议该运动员结束力量举生涯，然而他戴着石膏继续训练，3个月后再次手术，进行了第二次马蒂 - 鲁塞手术和Herbert螺钉重新固定。一年后，他以240公斤卧推成绩成为全国冠军。鉴于舟状骨血供有限，尤其是C型舟状骨骨折并发症发生率高，对于精英运动员的舟状骨骨折，提倡采用骨移植、Herbert螺钉固定和足够的石膏固定的手术方法。
