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[Hand injuries from combat sports].

W A Hanna1, P Laier

  • 1Klinik für Unfall-, Hand- und Orthopädische Chirurgie, Städtisches Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Deutschland, wadih.hanna@klinikum-karlsruhe.de.

Der Unfallchirurg
|May 28, 2015
PubMed
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Combat sports carry a lower overall injury risk than other sports, but boxing poses a significant threat to hands. The study details common hand and finger injuries in combat athletes, particularly fractures from punching.

Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Trauma Surgery

Background:

  • Sports-related accidents affect 3.1% of German adults annually, with upper limb injuries common.
  • Hand and finger injuries constitute one-third of all upper limb sports trauma.
  • Combat sports participation is rising in Germany, fueling concerns about hand injury risks.

Purpose of the Study:

  • To investigate the hypothesis that combat sports have a high risk of hand injuries.
  • To characterize the typical hand injuries sustained in combat sports.
  • To compare combat sports injury rates with other athletic activities.

Main Methods:

  • A systematic literature review was conducted using PubMed/Medline and The Cochrane Library.
  • Searches were limited to literature published up to January 2015.

Related Experiment Videos

  • Reference lists of relevant articles were also screened for additional studies.

    • Main Results:

    • No conclusive comparative studies directly linking combat sports actions to hand injury incidence or severity were found.
    • Combat sports appear to have a lower overall risk of injury compared to other sports.
    • Boxing emerged as the most hazardous sport for upper extremity and hand injuries.

    Conclusions:

    • Boxing-related punching frequently causes 5th metacarpal fractures (boxer's fracture), unlike other sports where phalangeal fractures are more common.
    • Carpal bossing and boxer's knuckle are rare conditions associated with repetitive punching in combat sports.
    • Surgical interventions show excellent outcomes for carpal bossing and boxer's knuckle.