Carpal fractures in athletes

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Athletic Training

Background:

• Hand and wrist injuries account for 3-9% of all athletic injuries.
• These injuries are more prevalent in adolescent athletes compared to adults.
• Despite being less common than knee or shoulder injuries, hand/wrist injuries can severely impact an athlete's performance.

Purpose of the Study:

• To review current literature on athletic hand and wrist injuries.
• To discuss modern management strategies for these injuries.
• To emphasize the importance of timely and appropriate rehabilitation for athletes.

Main Methods:

• Literature review of athletic hand and wrist injuries.
• Analysis of contemporary surgical fixation methods, including small-cannulated compression screws.
• Evaluation of arthroscopic techniques for wrist fracture management.
• Discussion of non-operative interventions like custom splints and protective padding.

Main Results:

• Advancements in fixation techniques, such as small-cannulated compression screws, reduce surgical morbidity and promote faster healing.
• Arthroscopic interventions offer a less invasive approach to stabilizing fractures like scaphoid fractures.
• Early excision is recommended for specific fractures (hook of hamate, trapezial ridge, pisiform) to ensure uncomplicated recovery.
• Protective gear and custom splints can expedite safe return to competition.

Conclusions:

• Effective management of athletic wrist injuries requires prompt diagnosis, anatomical alignment, and comprehensive rehabilitation.
• Minimally invasive surgical techniques and arthroscopy are improving outcomes and reducing recovery times.
• Prioritizing athlete safety is paramount when determining readiness for return to play.