Humeral fractures sustained during arm wrestling

Karadeniz, Emre; Demiröz, Serdar; Oktem, Ferhat; Memişoğlu, Kaya; Kesemenli, Cumhur

doi:10.1007/s00068-021-01852-4

Cited by 6 publications

(22 citation statements)

References 18 publications

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“…118 Humeral shaft fractures are reported in throwing athletes (so-called "throwers fracture") and arm wrestlers. [119][120][121] In the general population, the incidence of radial nerve palsy following humeral shaft fracture is 8.5%, 118 although the incidence has not been investigated exclusively among athletes. In one study of 90 baseball players with humeral shaft fractures sustained during throwing, 16% had concomitant radial nerve palsy.…”

Section: Radial Neuropathymentioning

confidence: 99%

“…122 Studies of arm wrestlers with humeral shaft fractures suggest a 26%-28% incidence of radial nerve palsy. 120,121 One series found that no athlete had residual neurologic deficits at the final follow-up, 121 however, Kim et al reported that nearly half had persistent neurologic symptoms at 6 months. 120 Isolated proximal radial neuropathies related to muscle overexertion and compression under the triceps have also been rarely described in the athlete.…”

Section: Radial Neuropathymentioning

confidence: 99%

“…Such injuries may arise in the setting of humeral shaft fractures 118 . Humeral shaft fractures are reported in throwing athletes (so‐called “throwers fracture”) and arm wrestlers 119–121 . In the general population, the incidence of radial nerve palsy following humeral shaft fracture is 8.5%, 118 although the incidence has not been investigated exclusively among athletes.…”

Section: Neuropathies Of the Elbow Forearm And Handmentioning

confidence: 99%

“…In one study of 90 baseball players with humeral shaft fractures sustained during throwing, 16% had concomitant radial nerve palsy 122 . Studies of arm wrestlers with humeral shaft fractures suggest a 26%–28% incidence of radial nerve palsy 120,121 . One series found that no athlete had residual neurologic deficits at the final follow‐up, 121 however, Kim et al reported that nearly half had persistent neurologic symptoms at 6 months 120 .…”

Section: Neuropathies Of the Elbow Forearm And Handmentioning

confidence: 99%

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Sports‐related peripheral nerve injuries of the upper limb

Dutton,

Norbury,

Colorado

2024

Muscle and Nerve

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Peripheral nerve injuries in athletes affect the upper limb more commonly than the lower limb. Common mechanisms include compression, traction, laceration, and ischemia. Specific sports can have unique mechanisms of injury and are more likely to be associated with certain neuropathies. Familiarity with these sport‐specific variables and recognition of the common presentations of upper limb neuropathic syndromes are important in assessing an athlete with a suspected peripheral nerve injury. Evaluation may require imaging modalities and/or electrodiagnostic testing to confirm a nerve injury. In some cases, diagnostic injections may be needed to differentiate neuropathic versus musculoskeletal etiology. Early and accurate diagnosis is essential for treatment/management and increases the likelihood of a safe return‐to‐sport and avoidance of long‐term functional consequences. Most nerve injuries can be treated conservatively, however, severe or persistent cases may require surgical intervention. This monograph reviews key diagnostic, management, and preventative strategies for sports‐related peripheral nerve injuries involving the upper limb.

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Section: Radial Neuropathymentioning

confidence: 99%

Section: Radial Neuropathymentioning

confidence: 99%

Section: Neuropathies Of the Elbow Forearm And Handmentioning

confidence: 99%

Section: Neuropathies Of the Elbow Forearm And Handmentioning

confidence: 99%

See 2 more Smart Citations

Sports‐related peripheral nerve injuries of the upper limb

Dutton,

Norbury,

Colorado

2024

Muscle and Nerve

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“…Although several researchers have attempted to determine the potential risk factors and mechanisms involved in arm wrestling‐related fractures, 5 there is still no consensus. Some authors hypothesize that forceful contraction causes fractures, 6 whereas others have identified other factors, such as the kinetic forces of the wrestler's body weight or an unbalanced posture during competition, as possible causes.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics, Mechanism, and Outcome of Humeral Shaft Fractures Sustained during Arm Wrestling in Young Men: A Retrospective Study

Shen

Pei

Yang

et al. 2023

Orthopaedic Surgery

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Objective: Humeral fractures are common in arm wrestling and other sports and military activities requiring similar movements; however, the precise mechanism is poorly understood. Here, we present an overview of the characteristics, possible mechanisms, and treatment of humeral shaft fractures sustained during arm wrestling. Methods:We reviewed 8 years (January 2013 to January 2021) of medical records and retrospectively analyzed data from 27 patients with humeral shaft fractures sustained during arm wrestling. The clinical data included sex, age, affected arm, alcohol consumption, muscle warm-up, history of competitive participation, opponents' characteristics, wrist position, and post-fracture radial nerve injuries. The fracture configurations were radiographically assessed and analyzed. Surgical management included single or dual plating. Scores on the Disability of the Arm, Shoulder, and Hand questionnaire (DASH) were evaluated preoperatively and postoperatively at the last follow-up visit.Results: All fractures sustained during arm wrestling were spiral fractures of the distal third of the humerus. Of these, 11 were 12-A1 type and 16 were 12-B2 type with a wedge fragment. The two subtypes differed in the total fracture line length (12-A1: 0.18 AE 0.04; 12-B2: 0.23 AE 0.04; P < 0.001). The radial nerve injury rate was 0/11 (0%) in patients with 12-A1 type fractures and 7/16 (43.8%) in patients with 12-B2 type fractures (P = 0.011). Most patients were young men (mean age, $25 years) with a history of competitively participating in arm wrestling for >2 years. Cold seasonal temperatures and a lack of warm-ups increased the risk of injury. All patients showed improved DASH scores at the last follow-up (

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Humerus shaft fracture caused by arm wrestling injury: examination of mechanism through radiological analysis

Oh,

Chung,

et al. 2024

aosm

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Humeral fractures sustained during arm wrestling

Cited by 6 publications

References 18 publications

Sports‐related peripheral nerve injuries of the upper limb

Sports‐related peripheral nerve injuries of the upper limb

Clinical Characteristics, Mechanism, and Outcome of Humeral Shaft Fractures Sustained during Arm Wrestling in Young Men: A Retrospective Study

Humerus shaft fracture caused by arm wrestling injury: examination of mechanism through radiological analysis

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