kämpfen sports injuries in hand 20152 - crr suva · weightlifting 4.8 % diving 4.8 % . ulnar wrist...
TRANSCRIPT
![Page 1: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/1.jpg)
SPORTS INJURIES IN
HAND
Dr S. K�mpfen
Grundkurs SGSM-SSMS Sion 2015
![Page 2: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/2.jpg)
EPIDEMIOLOGY
Incidence of hand, finger and wrist injuries in
sports :
3% Ð 9 %
![Page 3: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/3.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
2)! Scaphoid Fractures
3)! Rotatory Subluxation of the scaphoid
4)! Kienbock Disease
5)! De Quervain Tenosynovitis
6)! Intersection Syndrome
7)! Wartenberg Syndrome
![Page 4: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/4.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 5: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/5.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 6: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/6.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 7: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/7.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 8: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/8.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 9: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/9.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 10: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/10.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 11: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/11.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 12: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/12.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 13: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/13.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 14: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/14.jpg)
RADIAL-SIDED WRIST PAIN
1)! Distal Radius Fractures
![Page 15: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/15.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
![Page 16: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/16.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
- 70% of all carpal fractures
- Most frequent wrist fracture in the athlete
- Hockey, football, boxing, basketball
![Page 17: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/17.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
![Page 18: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/18.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
![Page 19: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/19.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
![Page 20: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/20.jpg)
2) Scaphoid Fractures
RADIAL-SIDED WRIST PAIN
Non-union
![Page 21: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/21.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Pathomechanics :
- Wrist hyperextension
- Ulnar deviation
- Intracarpal supination
![Page 22: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/22.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Mayfield's stages of progressive
perilunate instability
![Page 23: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/23.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Watson's maneuver :
Pressure applied over scaphoid tubercle
while moving the wrist from an ulnar to radial direction.
A positive test elicits pain and a palpable clunk or
snapping
![Page 24: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/24.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Measurement of the scapholunate angle
(30 Ð 60 ¡ = normal)
![Page 25: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/25.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Treatment options :
- Acute injuries (< 3 weeks) ! open reduction + repair of the ligament
- Subacute (between 3 weeks and 3 months) ! controversial
- Chronic ! Ligamentoplasty, full or partial wrist fusion or proximal
row carpectomy
![Page 26: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/26.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid ?
![Page 27: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/27.jpg)
RADIAL-SIDED WRIST PAIN
3) Perilunate dislocation
![Page 28: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/28.jpg)
RADIAL-SIDED WRIST PAIN
3) Trans scapho perilunate fracture dislocation
![Page 29: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/29.jpg)
RADIAL-SIDED WRIST PAIN
3) Trans scapho perilunate fracture dislocation
![Page 30: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/30.jpg)
RADIAL-SIDED WRIST PAIN
3) Trans scapho perilunate fracture dislocation
![Page 31: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/31.jpg)
RADIAL-SIDED WRIST PAIN
4) Kienbock Disease
- Avascular necrosis of the lunate
- Etiology (controversial) : trauma, poor blood supply
- Active individual between 20 and 25 years
- Examination : swelling, tenderness, " ROM, " strength
![Page 32: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/32.jpg)
RADIAL-SIDED WRIST PAIN
4) Kienbock Disease
![Page 33: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/33.jpg)
RADIAL-SIDED WRIST PAIN
4) Kienbock Disease
Treatment :
¥! Ulna minus ! radial shortening procedure
¥! Ulna positive / neutral wrist ! revascularization, STT
fusion, capitate shortening
¥! Arthritic changes / carpal collapse ! PRC or
radiocarpal fusion
![Page 34: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/34.jpg)
RADIAL-SIDED WRIST PAIN
5) De Quervain Tenosynovitis
¥! Most common form of tenosynovitis reported
in the athlete
¥! Most often racquet sport
¥! Repetitive ulnar deviation
![Page 35: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/35.jpg)
RADIAL-SIDED WRIST PAIN
5) De Quervain Tenosynovitis
Finkelstein test
![Page 36: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/36.jpg)
RADIAL-SIDED WRIST PAIN
5) De Quervain Tenosynovitis
Treatment :
¥! Splinting and steroid injection (80% successful)
¥! Operative decompression
![Page 37: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/37.jpg)
RADIAL-SIDED WRIST PAIN
6) Intersection Syndrome
¥! Repetitive wrist flexion and extension
against resistance
¥! Rowing, weight lifting, gymnastics
![Page 38: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/38.jpg)
RADIAL-SIDED WRIST PAIN
6) Intersection Syndrome
Treatment :
¥! Nonoperative treatment is usually successful
¥! Splinting, NSAID and steroid injection
¥! Surgical exploration and debridement
![Page 39: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/39.jpg)
RADIAL-SIDED WRIST PAIN
7) Wartenberg Syndrome
¥! Pain, numbness and tingling (dorsoradial
aspect of the hand and thumb)
¥! # symptoms during wrist flexion and ulnar
deviation
![Page 40: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/40.jpg)
RADIAL-SIDED WRIST PAIN
7) Wartenberg Syndrome
Treatment :
¥! Nonoperative management : rest, ice, splinting
¥! Surgical decompression of the nerve
¥! Early motion to prevent adhesions
![Page 41: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/41.jpg)
ULNAR WRIST PAIN
1)! TFCC Tears
2)! Ulnar impaction Syndrome
3)! Hamate Fractures
4)! Lunotriquetral Instability
5)! Extensor carpi ulnaris (ECU) tendonitis
6)! Pisotriquetral arthrosis
![Page 42: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/42.jpg)
ULNAR WRIST PAIN
1)! TFCC Tears
¥! Fall on an outstretched, pronated
hand
¥! Popping with forearm rotation
![Page 43: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/43.jpg)
ULNAR WRIST PAIN
1)! TFCC Tears
![Page 44: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/44.jpg)
ULNAR WRIST PAIN
1)! TFCC Tears
¥! PA and lateral view (ulnar variance)
¥! MRI with arthrography
¥! Arthroscopy
![Page 45: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/45.jpg)
ULNAR WRIST PAIN
1)! TFCC Tears
¥! Most common of the traumatic tears
in athletes are central tears (Palmer 1A)
![Page 46: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/46.jpg)
ULNAR WRIST PAIN
1)! TFCC Tears
Arthroscopic
debridement
![Page 47: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/47.jpg)
ULNAR WRIST PAIN
1)! TFCC Tears
1A 1B 1C 1D
![Page 48: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/48.jpg)
ULNAR WRIST PAIN
2) Ulnar impaction Syndrome
Fraying of the articular disc but no perforation
2A + chondromalacia of the ulnar head,
lunate, and triquetrum
2B + perforation of the TFC in the center of the disc
2C + lunotriquetral tear
2D + degenerative arthritis of the ulnocarpal joint
and distal radioulnar joint
![Page 49: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/49.jpg)
ULNAR WRIST PAIN
2) Ulnar impaction Syndrome
Arthroscopic wafer procedure
![Page 50: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/50.jpg)
ULNAR WRIST PAIN
2) Ulnar impaction Syndrome
ulnar-shortening procedure
![Page 51: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/51.jpg)
ULNAR WRIST PAIN
3) Hamate Fractures
Small proportion of
all carpal fractures
![Page 52: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/52.jpg)
ULNAR WRIST PAIN
3) Hamate Fractures
Distribution :
Golf 33 %
Baseball 9.5 %
Tennis 4.8 %
Weightlifting 4.8 %
Diving 4.8 %
![Page 53: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/53.jpg)
ULNAR WRIST PAIN
3) Hamate Fractures
¥! Pain in the hypothenar eminence aggravated by grasp
¥! Loss of grip strength
¥! Dorsal wrist pain
¥! Ulnar nerve paresthesias
¥! Rx : PA, lateral, carpal tunnel view
¥! Ct scan
![Page 54: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/54.jpg)
ULNAR WRIST PAIN
3) Hamate Fractures
Treatment :
If nondisplaced and without neurologic symptoms : cast immobilization
(Back to sporting activities : fracture union)
Otherwise : Excision of the hook of the hamate
(Back to sporting activities : 3 weeks)
![Page 55: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/55.jpg)
ULNAR WRIST PAIN
4) Lunotriquetral Instability
![Page 56: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/56.jpg)
ULNAR WRIST PAIN
4) Lunotriquetral Instability
Ballottement test Kleinman's shear test Lateral compression test
![Page 57: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/57.jpg)
ULNAR WRIST PAIN
4) Lunotriquetral Instability
![Page 58: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/58.jpg)
ULNAR WRIST PAIN
4) Lunotriquetral Instability
¥! Immobilization (long arm immobilization 4 weeks
+ short arm cast for an additional 4 weeks )
¥! Debridement
¥! Ligament reconstruction
¥! Ulnar shortening
¥! Lunotriquetral fusion
Treatment :
![Page 59: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/59.jpg)
ULNAR WRIST PAIN
5) Extensor carpi ulnaris (ECU) tendonitis
¥! Frequently follows a twisting sprain of the wrist
¥! May be difficult to differentiate due to traumatic disruption of
the TFCC ligament
¥! Paresthesia can be frequently found
¥! Ultrasound examination
¥! MRI in doubtful cases
![Page 60: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/60.jpg)
ULNAR WRIST PAIN
5) Extensor carpi ulnaris (ECU) tendonitis
¥! Conservative treatment consist of ice application, wrist extension
splinting and antiinflammatory medication
¥! Steroid injection rarely gives complete relief of symptoms
¥! Surgical treatment : The pathologic tendon sheath must be totally
removed
![Page 61: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/61.jpg)
ULNAR WRIST PAIN
6) Pisotriquetral arthrosis
¥! Racquet-type sports
¥! Tenderness of the palmar ulnar side of the wrist
¥! Oblique view, CT scan
¥!Treatment : rest, steroid injections, pisiform excision
![Page 62: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/62.jpg)
METACARPAL FRACTURES
Many different types
Goals :
Restoration of articular incongruity, length, rotation, prevention of joint stiffness
PA, lateral, oblique views
![Page 63: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/63.jpg)
METACARPAL FRACTURES
![Page 64: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/64.jpg)
METACARPAL FRACTURES
Jahss maneuver
![Page 65: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/65.jpg)
METACARPAL FRACTURES
![Page 66: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/66.jpg)
METACARPAL FRACTURES
![Page 67: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/67.jpg)
METACARPAL FRACTURES
![Page 68: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/68.jpg)
METACARPAL FRACTURES
![Page 69: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/69.jpg)
METACARPAL FRACTURES
![Page 70: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/70.jpg)
CARPOMETACARPAL JOINT
DISLOCATIONS
![Page 71: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/71.jpg)
CARPOMETACARPAL JOINT
DISLOCATIONS
![Page 72: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/72.jpg)
CARPOMETACARPAL JOINT
DISLOCATIONS
![Page 73: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/73.jpg)
METACARPOPHALANGEAL JOINT
DISLOCATIONS
![Page 74: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/74.jpg)
METACARPOPHALANGEAL JOINT
DISLOCATIONS
![Page 75: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/75.jpg)
METACARPOPHALANGEAL JOINT
OF THE THUMB
Skiers, ball-handling athletes
![Page 76: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/76.jpg)
METACARPOPHALANGEAL JOINT
OF THE THUMB
![Page 77: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/77.jpg)
METACARPOPHALANGEAL JOINT
OF THE THUMB
![Page 78: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/78.jpg)
METACARPOPHALANGEAL JOINT
OF THE THUMB
![Page 79: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/79.jpg)
METACARPOPHALANGEAL JOINT
OF THE THUMB
1 month
![Page 80: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/80.jpg)
PROXIMAL INTERPHALANGEAL
JOINT INJURIES
Football, Wrestling,
Baseball
> 20¡ = complete
ligamentous tear
![Page 81: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/81.jpg)
PROXIMAL INTERPHALANGEAL
JOINT INJURIES
![Page 82: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/82.jpg)
PROXIMAL INTERPHALANGEAL
JOINT INJURIES
Syndactily Beasley
![Page 83: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/83.jpg)
PROXIMAL INTERPHALANGEAL
JOINT INJURIES
Dorsal and axial load : ball handling sports
![Page 84: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/84.jpg)
PROXIMAL INTERPHALANGEAL
JOINT INJURIES
![Page 85: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/85.jpg)
PROXIMAL INTERPHALANGEAL
JOINT INJURIES
Limited extension during 3 weeks
![Page 86: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/86.jpg)
DISTAL INTERPHALANGEAL
JOINT INJURIES
Hyperextension force on a flexed DIP joint
![Page 87: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/87.jpg)
DISTAL INTERPHALANGEAL
JOINT INJURIES
Rugby Finger or Jersey Finger
![Page 88: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/88.jpg)
DISTAL INTERPHALANGEAL
JOINT INJURIES
![Page 89: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/89.jpg)
DISTAL INTERPHALANGEAL
JOINT INJURIES
![Page 90: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/90.jpg)
DISTAL INTERPHALANGEAL
JOINT INJURIES
Hyperflexion force on an extended DIP joint
![Page 91: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/91.jpg)
DISTAL INTERPHALANGEAL
JOINT INJURIES
Mallet Finger
![Page 92: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/92.jpg)
DISTAL INTERPHALANGEAL
JOINT INJURIES
![Page 93: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/93.jpg)
PHALANGEAL
FRACTURES
![Page 94: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/94.jpg)
PHALANGEAL
FRACTURES
![Page 95: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/95.jpg)
PHALANGEAL
FRACTURES
![Page 96: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/96.jpg)
NERVE COMPRESSION SYNDROME
Carpal tunnel Syndrome
Repetitive grasping activities
![Page 97: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/97.jpg)
NERVE COMPRESSION SYNDROME
Carpal tunnel Syndrome
Tinel's sign
Phalen's test
![Page 98: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/98.jpg)
NERVE COMPRESSION SYNDROME
Ulnar nerve Compression : Wrist
¥! CyclistÕs palsy : Gloves, handlebars, vibration, prolonged grasping
¥! Racquet-type sports
![Page 99: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/99.jpg)
PULLEY
Climbing
![Page 100: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/100.jpg)
PULLEY
Climbing
![Page 101: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/101.jpg)
PULLEY
Climbing
A1+A2+A3+A4 A2+A3+A4 A2+A4
A1+A4 A2 A4
![Page 102: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/102.jpg)
PULLEY
Climbing
![Page 103: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/103.jpg)
PULLEY
Climbing
MRI
![Page 104: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/104.jpg)
PULLEY
Climbing
Conservative treatment
¥! Rest 6 weeks
¥! Protection
![Page 105: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/105.jpg)
PULLEY
Surgical treatment
![Page 106: Kämpfen Sports injuries in hand 20152 - CRR Suva · Weightlifting 4.8 % Diving 4.8 % . ULNAR WRIST PAIN 3) Hamate Fractures ¥! Pain in the hypothenar eminence aggravated by grasp](https://reader034.vdocuments.us/reader034/viewer/2022050512/5f9cfd0c26f1cc5dcb4565c7/html5/thumbnails/106.jpg)
Thank you for your attention
Reference : SPORTS INJURIES
Freddie H. FU, David A. STONE
Lippincot Williams & Wilkins