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Hurling-related hand injuries
P D Kiely1, M Ashraff, P O'Grady
1Department of Orthopaedic Surgery, The Adelaide and Meath Hospital (AMNCH), Tallaght, 24, Dublin, Ireland. paul.kiely@amnch.ie
Insights
Hurling causes frequent hand injuries, primarily fractures, with significant costs. Mandatory hand protection could reduce these sports injuries.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Trauma Care
Background:
- Hurling is a high-contact sport with a notable incidence of player morbidity.
- Hand injuries represent a significant concern for participants in hurling.
- Understanding the economic and functional impact of these injuries is crucial for player welfare.
Purpose of the Study:
- To identify and categorize specific hand injuries sustained by hurling players.
- To quantify the functional and financial implications associated with these injuries.
- To evaluate the effectiveness of current hand protection usage in preventing hurling-related injuries.
Main Methods:
- Prospective study of all hand injuries presenting to a regional trauma unit over a 3-month period.
- Analysis of injury data specifically for participants involved in hurling.
- Documentation of injury types, surgical interventions, hand protection use, and associated costs.
Main Results:
- Of 123 hand injuries, 41 (33%) occurred during hurling.
- Metacarpal (47%) and proximal phalangeal (37%) fractures were the most common injuries.
- Only 10% of injured players wore hand protection; 20% required surgery, with an average cost of £615 per player.
Conclusions:
- Hand injuries, particularly fractures, are prevalent in hurling and impose substantial costs.
- Current hand protection use is low among players sustaining injuries.
- Mandatory hand protection is recommended to mitigate injury rates and associated burdens in hurling.
Abstract:
Hurling is a contact sport, associated with significant morbidity. We have identified specific hand injuries sustained by participants and quantified the functional and financial implications of these injuries. Over a 3-month period, all hand injuries seen in the fracture clinic of our regional trauma unit were studied prospectively. Of the 123 consecutive injuries, 41 (33%) were sustained during hurling matches. Metacarpal (47%) and proximal phalangeal (37%) fractures were the most frequent. Eight hurlers (20%) required surgical intervention. Only four (10%) of the injured players were wearing hand protection. The mean cost of injury to the player was pound 615. We suggest the introduction of the mandatory use of hand protection for hurling.
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