Management of Metacarpal and Phalangeal Fractures in the Athlete

Wahl, Elizabeth P; Richard, Marc J.

doi:10.1016/j.csm.2019.12.002

Cited by 19 publications

(20 citation statements)

References 43 publications

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“…Division I athletes missed the fewest days overall, had the highest rates of NTL injuries yet the highest rate of surgery. While most hand and wrist injuries can be managed non-operatively (Wahl and Richard 2020 ; Geissler 2009 ), general indications for operative intervention exist such as displaced fractures, degree of angulation or malalignment. In certain settings, surgical intervention can be recommended for elite athletes with fractures that do not meet classical radiologic indications for surgery; it can offer faster recovery, decrease periods of joint immobilization and ultimately allow for faster return to play (Wahl and Richard 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…While most hand and wrist injuries can be managed non-operatively (Wahl and Richard 2020 ; Geissler 2009 ), general indications for operative intervention exist such as displaced fractures, degree of angulation or malalignment. In certain settings, surgical intervention can be recommended for elite athletes with fractures that do not meet classical radiologic indications for surgery; it can offer faster recovery, decrease periods of joint immobilization and ultimately allow for faster return to play (Wahl and Richard 2020 ). It is possible that the internal pressure to play in elite college athletes could drive them to pursue surgery vs. athletes in other divisions with less incentive and pressures to return to the field.…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that the internal pressure to play in elite college athletes could drive them to pursue surgery vs. athletes in other divisions with less incentive and pressures to return to the field. The options to pursue more aggressive management aimed at faster return to play should consider an athlete’s desires, demands and level of play (Wahl and Richard 2020 ; Halim and Weiss 2016 ). Also, in those divisions with more available trainers and physical therapists, athletes can receive the consistent rehabilitation that is required after pursuing such treatments (Geissler 2009 ).…”

Section: Discussionmentioning

confidence: 99%

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Hand and wrist injuries among collegiate athletes vary with athlete division

et al. 2021

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Background The rates, severity and consequences of hand and wrist injuries sustained by National Collegiate Athletic Association athletes are not well characterized. This study describes the epidemiology of hand and wrist injuries among collegiate athletes competing in different divisions. Methods The National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) was accessed from 2004 to 2015 for the following sports: baseball, basketball, football, ice hockey, lacrosse, soccer, wrestling, field hockey, gymnastics, softball and volleyball. The data were used to identify all hand and wrist injuries, the specific injury diagnosis, mean time loss of activity following injury, and need for surgery following injury. These were then stratified by gender. Descriptive statistics were performed to examine the association between sports, event type and division. Student's t test was used to calculate p-values for independent variables. Chi-Square test was used to calculate odds ratio. P < 0.05 was considered significant. Results 103,098 hand and wrist injuries were reported in in the studied NCAA sports from 2004 to 2015. Male athletes sustained 72,423 injuries (6.01/10,000 athlete exposure) and female athletes sustained 30,675 injuries (4.13/10,000 athlete exposure). Division I athletes sustained significantly more injuries compared to divisions II and III. Overall, 3.78% of hand and wrist injuries required surgical intervention. A significantly higher percentage of division I athletes (both male and female) underwent surgical intervention compared to divisions II and III. The mean time lost due to hand and wrist injury was 7.14 days for all athletes. Division I athletes missed the fewest days due to injury at 6.29 days though this was not significant. Conclusions Hand and wrist injuries are common among collegiate athletes. Division I athletes sustain higher rates of injuries and higher surgical intervention rates, while tending to miss fewer days due to injury. Improved characterization of divisional differences in hand and wrist injuries can assist injury management and prevention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Hand and wrist injuries among collegiate athletes vary with athlete division

et al. 2021

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“…Fractures of the fourth metacarpal make up about 6% of all hand fractures and 18% of metacarpal fractures; fractures of the fifth metacarpal make up 59% 5 . Reduction and splinting of metacarpal neck fractures were performed initially 6 . Given persistent significant displacement, an open reduction and pinning of the fracture were performed.…”

Section: Diagnosismentioning

confidence: 99%

Man with hand injury

2020

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“…Unstable or displaced metacarpal diaphyseal fractures, or fractures prone to displacement, and comminuted fractures require surgical treatment (Taghinia and Talbot, 2019), the aim of which is to restore length and correct rotational alignment (Wong and Higgins, 2017). Many techniques for stabilization of metacarpal shaft fractures have been used, including plates, screws and intramedullary or transverse K-wires with pinning, with K-wires being most popular (Tang et al., 2015; Wahl and Richard, 2020). Early postoperative movement is also important for hand function.…”

Section: Introductionmentioning

confidence: 99%

A comparison of intramedullary cannulated screws versus miniplates for fixation of unstable metacarpal diaphyseal fractures

Kibar

Cavit

Örs

2021

J Hand Surg Eur Vol

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We carried out a prospective randomized study to compare the clinical and radiological results of metacarpal diaphyseal fractures treated with retrograde intramedullary headless cannulated screws (IHCS) and plates. Fractures were fixed with IHCS in 34 patients (37 metacarpals) and locked miniplates in 35 patients (40 metacarpals). The mean age was 33 years (range 18–61) in the IHCS group and 32 years (range 17–68) in plate group. All patients were followed up for 1 year. All fractures in the IHCS group united but there was one nonunion in the plate group. At final follow-up, there was no significant difference between the groups in total active movement, visual analogue pain score, Disabilities of the Arm, Shoulder, and Hand score and grip strength, although the study was not sufficiently powered to exclude differences with certainty. IHCS is a safe and fast technique that is a good alternative to plate fixation in metacarpal diaphyseal fractures. Level of evidence: I

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Management of Metacarpal and Phalangeal Fractures in the Athlete

Cited by 19 publications

References 43 publications

Hand and wrist injuries among collegiate athletes vary with athlete division

Hand and wrist injuries among collegiate athletes vary with athlete division

Man with hand injury

A comparison of intramedullary cannulated screws versus miniplates for fixation of unstable metacarpal diaphyseal fractures

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