Kissel Peter
Sports Sciences Resident, Graduate Education and Research Programs, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada M2H 3J1. Tel: +1 416 482 2340.
J Can Chiropr Assoc. 2009 Dec;53(4):282-9.
To present the characteristics and create awareness of symptomatic carpal bossing and discuss potential etiologies and the role of conservative management through the presentation of an athlete with traumatic onset of symptomatic carpal bossing.
This case report outlines the presentation and conservative management of an elite eighteen year old hockey player with symptomatic carpal bossing after a traumatic on ice collision. Carpal bossing is a bony, dorsal prominence in the quadrangular joint of the wrist that is inconsistently symptomatic.
A conservative treatment plan consisting of education, reassurance, avoidance of aggravation, and soft tissue therapy allowed return to play in two weeks without restrictions or need for surgical consultation.
With inconsistent recurrence rates and surgical complications, the role of conservative management for symptomatic carpal bossing deserves further exploration. The conservative practitioner should be aware of the signs and symptoms of symptomatic carpal bossing to institute suitable treatment.
介绍症状性腕部腱鞘囊肿的特征并提高对此病的认识，通过呈现一名因创伤导致症状性腕部腱鞘囊肿的运动员病例，讨论其潜在病因及保守治疗的作用。
本病例报告概述了一名18岁精英曲棍球运动员在冰上碰撞受伤后出现症状性腕部腱鞘囊肿的表现及保守治疗情况。腕部腱鞘囊肿是腕部四边形关节处的一个骨性背侧隆起，症状表现不一。
一个由教育、安抚、避免加重病情及软组织治疗组成的保守治疗方案，使该运动员在两周后得以不受限制地重返赛场，且无需进行手术咨询。
鉴于复发率和手术并发症的不确定性，症状性腕部腱鞘囊肿保守治疗的作用值得进一步探索。保守治疗医生应了解症状性腕部腱鞘囊肿的体征和症状，以便进行适当治疗。
