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Published on: May 18, 2015
[Hand injuries from combat sports].
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
Summary
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.
- 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.
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