Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
BMJ Case Rep. 2020 Dec 17;13(12):e238309. doi: 10.1136/bcr-2020-238309.
Volar plate injuries are typically caused by hyperextension of the proximal interphalangeal joint. These injuries are usually seen in sports where the ball comes in direct contact with the hands. Forceful dorsiflexion of the finger caused by the speeding ball leads to volar plate avulsion. In cricket, such finger injuries predominantly occur in fielders trying to catch or stop the speeding ball with bare hands. We report two unusual cases of volar plate avulsion injury occurring in batsmen that occurred during 'gully cricket' (street-cricket). We propose the possibility of a novel contrecoup-type mechanism causing this type of injury in the two cases. Both were successfully managed with splinting and had excellent recovery without any residual deformity or instability.
掌板损伤通常由近侧指间关节过度伸展引起。这些损伤通常发生在球类直接接触手部的运动中。球的快速冲击导致手指背屈,从而导致掌板撕脱。在板球运动中,这种手指损伤主要发生在试图用空手接住或阻止快速球的外野手中。我们报告了两名在“板球巷战”中击球手发生的罕见掌板撕脱伤病例。我们提出了一种新的对冲型机制导致这两种情况下发生这种类型损伤的可能性。两种情况均通过夹板固定成功治疗,并且恢复良好,没有任何残余畸形或不稳定。