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Acute hand injuries in athletes.

Yoseph A Rosenbaum1, Hisham M Awan1

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Summary

Acute hand and wrist injuries are frequent in athletes, affecting up to 25% of all sports-related injuries. This review covers diagnosis, pathophysiology, and athlete-specific treatment for bone, muscle/tendon, ligament, and neurovascular injuries, including return-to-play considerations.

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Acute injuriesfingerhandthumbwrist

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Athletic Training

Background:

  • Hand and wrist injuries constitute a significant portion of athletic injuries, ranging from 3% to 25% of all sports-related incidents.
  • Approximately one-quarter of all sports injuries specifically involve the hand or wrist.
  • Understanding the unique biomechanics and injury patterns in athletes is crucial for effective management.

Purpose of the Study:

  • To provide a comprehensive review of recent literature on acute hand and wrist injuries in athletes.
  • To focus on athlete-specific aspects of diagnosis, pathophysiology, treatment, and return to play.
  • To categorize injuries based on the anatomical structures involved: bone, muscle/tendon, ligament, and neurovascular.

Main Methods:

  • Systematic review of recent scientific literature.
  • Analysis of studies focusing on acute hand and wrist injuries in athletic populations.
  • Categorization of injuries by affected anatomical structures (bone, muscle/tendon, ligament, neurovascular).

Main Results:

  • Detailed review of diagnostic approaches and pathophysiology for various acute hand and wrist injuries in athletes.
  • Discussion of athlete-specific treatment considerations, including surgical and non-surgical options.
  • Compilation of available evidence and expert opinions regarding return-to-play timelines and criteria.

Conclusions:

  • Acute hand and wrist injuries are prevalent in athletes and require specialized management.
  • A thorough understanding of injury mechanisms, diagnosis, and athlete-tailored treatments is essential for optimal outcomes.
  • Evidence-based return-to-play guidelines are critical for safe and timely reintegration of athletes into their sport.