Berkoff David, Boggess Blake
Department of Sports/Emergency Medicine, Duke University, Durham, North Carolina, USA.
BMJ Case Rep. 2011 Mar 1;2011:bcr0120113691. doi: 10.1136/bcr.01.2011.3691.
Wrist and hand injuries are common in elite divers, as all correctly performed dives end with a head first entry into the water with the hands extended above the head. This case presentation was an Olympic level diver with 3 months of persistent dorsal wrist pain. MRI findings showed contiguous contusions to the lunate, capitate, hamate and distal radius and also a peripheral tear of the ulnar attachment of the triangular fibrocartilage complex (TFCC). The repeated dorsiflexion stress of entry into the water likely caused these injuries. Although the authors had suspected a TFCC injury and did find an isolated ulnar-sided peripheral tear, the complicating carpal contusions led us to choose a conservative treatment plan, which was the only intervention the patient ultimately required.
手腕和手部损伤在精英潜水运动员中很常见，因为所有正确完成的跳水动作都是以头部先入水且双手伸展在头顶上方结束的。本病例介绍的是一名奥运水平的潜水运动员，患有持续3个月的腕背疼痛。磁共振成像（MRI）结果显示月骨、头状骨、钩骨和桡骨远端有连续性挫伤，三角纤维软骨复合体（TFCC）尺侧附着处也有外周撕裂。入水时反复的背屈应力可能导致了这些损伤。尽管作者怀疑是TFCC损伤，并且确实发现了孤立的尺侧外周撕裂，但腕骨挫伤使我们选择了保守治疗方案，这也是患者最终唯一需要的干预措施。
