York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.
University Hospitals Plymouth NHS Trust, Plymouth, UK.
Wilderness Environ Med. 2024 Mar;35(1):74-77. doi: 10.1177/10806032231223323. Epub 2024 Jan 17.
Hand injuries from surfing tend to be severe and require medical attention. Follow-up of a surfing injury is difficult because many patients are visiting and go home after treatment. We report a case of a surfing hand injury sustained abroad, which was treated upon the patient's return, allowing for follow-up. The mechanism of injury was traction and torsion from the surfboard leash while surfing. The patient was initially treated for nailbed injury but presented later back home after persistent pain, for which an unstable distal phalanx fracture in their right ring finger was found by x-ray. This was surgically reduced with K-wire insertion and nailbed repair. Postoperatively, the injured finger was kept in a splint, and the patient had physiotherapy. Pain was significantly reduced, and the patient regained sufficient function. Considering a fracture as a differential for finger injury caused by the surfboard leash may prevent management delays. Injury may be prevented through education and redesign of the surfboard leash.
冲浪导致的手部损伤往往较为严重，需要医疗关注。由于许多患者在接受治疗后会离开并回家，因此对冲浪损伤的随访较为困难。我们报告了一例在国外发生的冲浪手部损伤病例，该患者在回国后接受了治疗并接受了随访。损伤机制是冲浪板安全带的牵引和扭转。患者最初因甲板损伤接受治疗，但后来因持续疼痛返回，通过 X 光检查发现其右无名指的末节指骨不稳定骨折。通过插入 K 线和甲板修复对其进行了手术复位。术后，受伤的手指被固定在夹板中，并接受物理治疗。疼痛明显减轻，患者恢复了足够的功能。考虑到骨折是由冲浪板安全带引起的手指损伤的鉴别诊断，可能会避免治疗延误。通过教育和重新设计冲浪板安全带，可以预防损伤。
