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[Hand injuries in mountain sports]
K-J Prommersberger1, M Mühldorfer-Fodor, K Kalb
1Klinik für Handchirurgie, Rhön-Klinikum, Salzburger Leite 1, 97615, Bad Neustadt, Deutschland, hael@handchirurgie.de.
Der Unfallchirurg
|May 20, 2015
Summary
Accurate diagnosis is key for treating common hand injuries in winter sports, such as skier's thumb and pulley system injuries. Prompt and precise diagnostics ensure effective, often non-operative, treatment for these conditions.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Traumatology
Background:
- Mountain and winter sports present diverse hand injuries, with skier's thumb and climber's pulley system injuries being particularly prevalent.
- These common injuries, alongside frostbite, are frequently misdiagnosed and inadequately treated.
Purpose of the Study:
- To outline diagnostic and treatment strategies for skier's thumb.
- To detail the diagnosis and management of pulley system injuries in sport climbers.
- To describe the approach to frostbite of the fingers.
Main Methods:
- Radiography and ultrasound are crucial for diagnosing skier's thumb, identifying bony avulsions and Stener lesions.
- Ultrasound and MRI aid in assessing the severity of pulley system injuries.
- Delayed surgical intervention is advised for frostbite unless infection is present, due to the difficulty in estimating tissue damage.
Main Results:
- Skier's thumb with bony avulsion or Stener lesion necessitates surgery.
- Most pulley system injuries can be managed conservatively; operative treatment is reserved for severe cases like multiple ruptures.
- Frostbite management requires patience to accurately gauge the extent of injury before amputation.
Conclusions:
- Effective non-operative treatment is achievable for most skier's thumb and pulley system injuries.
- Precise diagnostics are essential for successful conservative management of these sports-related hand injuries.
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