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[运动中尺侧腕部疼痛:三角纤维软骨复合体损伤及钩骨钩骨折——少见的诊断情况]

[Ulnar-sided wrist pain in sports: TFCC lesions and fractures of the hook of the hamate bone as uncommon diagnosis].

作者信息

Plöger M M, Kabir K, Friedrich M J, Welle K, Burger C

机构信息

Unfall-, Hand- und Plastisch-Rekonstruktive Chirurgie, Überregionales Traumazentrum, Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland,

出版信息

Unfallchirurg. 2015 Jun;118(6):484-9. doi: 10.1007/s00113-015-0002-2.

Abstract

Injuries to the hand and wrist are common sports injuries. The diagnosis and therapy of wrist injuries are becoming more important, especially in increasingly more popular ball-hitting sports, such as golf, tennis and baseball. Ulnar-sided wrist pain is initially often misdiagnosed and treated as tenosynovitis or tendinitis but tears of the triangular fibrocartilage complex (TFCC) and fractures of the hook of hamate bone, which can also occur in these sports are seldomly diagnosed. The aim of this study was to conduct a systematic review of the literature focussing on TFCC lesions and fractures of the hook of the hamate bone in racquet sports, baseball and golf. A systematic review of the literature was performed in PubMed on the occurrence of TFCC lesions and fractures of the hook of the hamate bone. All studies and case reports were included. Because of the rarity of these injuries there were no exclusion criteria concerning the number of cases. Injuries associated with ball-hitting sports, such as TFCC lesions and fractures of hook of the hamate bone are still underrepresented in the current literature on sports injuries. The diagnosis and treatment of these injuries are often delayed and can severely handicap the performance and career of affected professional as well as amateur athletes.

摘要

手部和腕部损伤是常见的运动损伤。腕部损伤的诊断和治疗变得越来越重要,尤其是在高尔夫、网球和棒球等越来越受欢迎的击球运动中。尺侧腕部疼痛最初常常被误诊为腱鞘炎或肌腱炎,但三角纤维软骨复合体(TFCC)撕裂和钩骨钩骨折在这些运动中也可能发生,却很少被诊断出来。本研究的目的是对文献进行系统综述,重点关注球拍运动、棒球和高尔夫运动中的TFCC损伤和钩骨钩骨折。在PubMed上对TFCC损伤和钩骨钩骨折的发生情况进行了文献系统综述。纳入了所有研究和病例报告。由于这些损伤罕见,因此没有关于病例数量的排除标准。与击球运动相关的损伤,如TFCC损伤和钩骨钩骨折,在当前运动损伤文献中的报道仍然较少。这些损伤的诊断和治疗常常延迟,并且会严重妨碍受影响的职业和业余运动员的表现及职业生涯。

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