Ruijs A C J, Langenberg L C, Rezzouk J
1 Department of Orthopedic Surgery and Hand Surgery, Centre Hospitalier de la Côte Basque, Bayonne, France.
J Hand Surg Asian Pac Vol. 2017 Mar;22(1):10-13. doi: 10.1142/S0218810417500010.
The purpose of this study is to research the type of lesions to the hand and fingers in the sport of surfing.
All surfing related hand injuries reported to our hospital between January 2008 and September 2015 were analyzed.
Thirty-seven patient files held a clear description of a trauma related to the surf sport. We found three finger sprains, five wounds needing suture, including one digital nerve lesion and one ring finger with flexor tendon injury, three fingertip amputations and twenty-six digital fractures. The fracture type was similar in twenty-one patients: an open extra-articular transverse fracture of the distal phalanx. Thirty-one injuries were caused by the surf leash.
From this case series we can conclude that surfing may lead to significant trauma to the fingers, mainly due to the leash. This can be caused by grasping the leash while it snaps to tension, which may lead to hyper flexion of the distal phalanx, resulting in a typical trans-phalangeal fracture. Also, when the leash is wrapped around a finger or grasped near the attachment of the leash to the board, ring avulsion-like trauma may occur, leading to open fractures or (partial) amputations. Recognizing that surf leash trauma causes a particular type of fracture to the distal phalanx, may lead to better education of surfers and the development of safer surfing equipment.
本研究的目的是调查冲浪运动中手部和手指的损伤类型。
对2008年1月至2015年9月间我院报告的所有与冲浪相关的手部损伤进行分析。
37份患者档案中有与冲浪运动相关创伤的清晰描述。我们发现3例手指扭伤、5处需要缝合的伤口，其中包括1例指神经损伤和1例伴有屈肌腱损伤的无名指，3例指尖离断伤和26例指骨骨折。21例患者的骨折类型相似：远节指骨开放性关节外横行骨折。31处损伤由冲浪脚绳导致。
从这个病例系列中我们可以得出结论，冲浪可能导致手指严重创伤，主要原因是脚绳。这可能是在脚绳绷紧回弹时抓握脚绳所致，这可能导致远节指骨过度屈曲，从而造成典型的经指骨骨折。此外，当脚绳缠绕在手指上或在脚绳与冲浪板连接处附近被抓握时，可能会发生类似撕脱的创伤，导致开放性骨折或（部分）离断伤。认识到冲浪脚绳创伤会导致远节指骨特定类型的骨折，可能会促使冲浪者接受更好的教育，并推动更安全的冲浪装备的研发。
