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一名水球运动员的钩骨应力性骨折

Stress Fracture of the Hamate Hook in a Water Polo Player.

作者信息

Ueda Hana, Hama Shunpei, Yasuda Masataka, Minato Kenta, Miyashita Masahiro, Shin Kishik

机构信息

Department of Orthopaedic Surgery, Baba Memorial Hospital, 4-244 Nishiku Hamadera Funao-cho Higashi, Sakai, Osaka 592-8555, Japan.

出版信息

Case Rep Orthop. 2019 Mar 13;2019:2483142. doi: 10.1155/2019/2483142. eCollection 2019.

DOI:10.1155/2019/2483142
PMID:31001439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6436461/
Abstract

Hamate hook fractures are usually caused by direct trauma while using a tennis racket or a baseball bat. We report stress fracture of the hamate hook in a water polo player without any specific trauma. We consider that the stress fracture occurred via indirect mechanisms through the flexor tendons. Strong ulnar deviation of the wrist during ball release and strong grip on a ball with outstretched fingers, which are unique to water polo, were the likely causes of the stress fracture of the hamate hook.

摘要

钩骨骨折通常是在使用网球拍或棒球棒时受到直接创伤所致。我们报告了一例水球运动员发生的钩骨应力性骨折，该运动员并无任何特定创伤。我们认为，应力性骨折是通过屈肌腱经间接机制发生的。水球特有的在传球时手腕强力尺侧偏斜以及手指伸展时紧握球的动作，可能是钩骨应力性骨折的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/3046134140d6/CRIOR2019-2483142.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/d0db376ddb17/CRIOR2019-2483142.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/8d64be44d49c/CRIOR2019-2483142.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/e27755bb041c/CRIOR2019-2483142.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/3046134140d6/CRIOR2019-2483142.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/d0db376ddb17/CRIOR2019-2483142.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/8d64be44d49c/CRIOR2019-2483142.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/e27755bb041c/CRIOR2019-2483142.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe05/6436461/3046134140d6/CRIOR2019-2483142.004.jpg

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本文引用的文献

1
Hamate hook stress fracture in a professional bowler: Case report of an unusual causal sport.职业保龄球运动员的钩骨应力性骨折：一项罕见致伤运动的病例报告
Hand Surg Rehabil. 2017 Feb;36(1):62-65. doi: 10.1016/j.hansur.2016.06.007. Epub 2016 Sep 20.
2
Pulling Harder than the Hamate Tolerates: Evaluation of Hamate Injuries in Rock Climbing and Bouldering.用力过猛超出钩骨承受范围：攀岩和抱石运动中钩骨损伤的评估
Wilderness Environ Med. 2016 Dec;27(4):492-499. doi: 10.1016/j.wem.2016.09.003. Epub 2016 Oct 26.
3
Carpal fractures.腕骨骨折
J Hand Surg Am. 2014 Apr;39(4):785-91; quiz 791. doi: 10.1016/j.jhsa.2013.10.030.
4
High incidence of hamate hook fractures in underwater rugby players: diagnostic and therapeutic implications.水下橄榄球运动员钩骨骨折的高发病率：诊断和治疗意义
Hand Surg. 2013;18(3):357-63. doi: 10.1142/S0218810413500391.
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Fracture of the hamate hook.钩骨钩骨折。
J Hand Surg Am. 1988 Jan;13(1):135-9. doi: 10.1016/0363-5023(88)90217-1.