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Related Experiment Videos

Boxer's knuckle in the professional athlete.

S L Hame1, C P Melone

  • 1Beth Israel Medical Center, New York, New York, USA.

The American Journal of Sports Medicine
|December 2, 2000
PubMed
Summary

Extensor mechanism injuries in athletes require prompt repair. Centralizing the extensor tendon and repairing the sagittal band allows athletes to return to sport with full motion.

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Hand clinics·2000

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Hand Surgery

Background:

  • Extensor mechanism injuries in the hand can significantly impact a professional athlete's career.
  • Metacarpophalangeal (MCP) joint injuries, specifically to the extensor mechanism, require precise surgical intervention.

Purpose of the Study:

  • To evaluate the efficacy of extensor tendon centralization and sagittal band repair for MCP joint extensor mechanism injuries in professional athletes.
  • To determine the functional outcomes and return-to-sport rates following this surgical technique.

Main Methods:

  • Retrospective review of 8 professional athletes undergoing 11 MCP joint extensor mechanism repairs.
  • Surgical technique involved extensor tendon centralization and sagittal band repair; capsular repair was not performed.
  • Success criteria included full range of motion, return to professional sport, and no further surgery.

Main Results:

  • All 8 athletes regained full MCP joint range of motion.
  • All athletes returned to professional sports within an average of 5 months post-surgery.
  • No additional surgical interventions were required for any of the athletes.

Conclusions:

  • Extensor tendon centralization and sagittal band repair is a highly effective treatment for MCP joint extensor mechanism injuries in athletes.
  • This technique allows for successful return to high-level sports participation without the need for capsular repair.

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