Course

Hand and Wrist

15 Lessons

Hand and finger injuries comprise up to half of all sporting injuries presenting for treatment in the general population and are quite common in football. They require accurate diagnosis and treatment to avoid long-term dysfunction, which can be debilitating. Football goalkeepers represent a challenging subgroup as they may have higher rates of hand and finger injuries and different management requirements.

In this module we review the assessment of hand and finger injuries, the common diagnoses, and the management of each.

Presented by

Learning outcomes

After completing this module you should know:

  • How to recognize and diagnose common wrist, hand and finger injuries in football players.
  • How to perform and interpret the clinical examination techniques that are used to assess the hand and wrist.
  • Be able to arrange (and interpret) appropriate imaging in wrist, hand and finger injuries.
  • How to develop and appropriate treatment strategy for the different wrist, hand and finger injuries in athletes.
  • Know when to refer hand and wrist injuries for further assessment.

Tasks

  • Complete the required reading.
  • Review the suggested reading
  • View, or listen to, any relevant multimedia content
  • Complete the course quiz

Suggested Reading

Brukner and Khan’s

Clinical Sports Medicine – 4th Edition

Chapter 23 (pages 413-434)

Chapter 24 (pages 435-448)

References

  1. Lee SG, Jupiter JB. Phalangeal and metacarpal fractures of the hand. Hand Clin. 2000;16(3):323-32, vii.
  2. Walsh JJ,4th. Fractures of the hand and carpal navicular bone in athletes. South Med J. 2004;97(8):762-765.
  3. Seaberg DC, Angelos WJ, Paris PM. Treatment of subungual hematomas with nail trephination: A prospective study. Am J Emerg Med. 1991;9(3):209-210.
  4. Peterson JJ, Bancroft LW. Injuries of the fingers and thumb in the athlete. Clin Sports Med. 2006;25(3):527-42, vii-viii.
  5. Hong E. Hand injuries in sports medicine. Prim Care. 2005;32(1):91-103.
  6. Kaplan SJ. The stener lesion revisited: A case report. J Hand Surg Am. 1998;23(5):833-836.
  7. Parvizi J, Wayman J, Kelly P, Moran CG. Combining the clinical signs improves diagnosis of scaphoid fractures. A prospective study with follow-up. J Hand Surg Br. 1998;23(3):324-327.
  8. Phillips TG, Reibach AM, Slomiany WP. Diagnosis and management of scaphoid fractures. Am Fam Physician. 2004;70(5):879-884.
  9. Fowler JR, Hughes TB. Scaphoid fractures. Clin Sports Med. 2015;34(1):37-50.
  10. Belsky MR, Leibman MI, Ruchelsman DE. Scaphoid fracture in the elite athlete. Hand Clin. 2012;28(3):269-78, vii.
  11. Lewis DM, Osterman AL. Scapholunate instability in athletes. Clin Sports Med. 2001;20(1):131-40, ix.
  12. Suen M, Fung B, Lung CP. Treatment of ganglion cysts. ISRN Orthop. 2013;2013:940615.
  13. Lester B, Halbrecht J, Levy IM, Gaudinez R. “Press test” for office diagnosis of triangular fibrocartilage complex tears of the wrist. Ann Plast Surg. 1995;35(1):41-45.
  14. Moser T, Khoury V, Harris PG, Bureau NJ, Cardinal E, Dosch JC. MDCT arthrography or MR arthrography for imaging the wrist joint? Semin Musculoskelet Radiol. 2009;13(1):39-54.
  15. Nagle DJ. Triangular fibrocartilage complex tears in the athlete. Clin Sports Med. 2001;20(1):155-166.
  16. Nuber GW, Assenmacher J, Bowen MK. Neurovascular problems in the forearm, wrist, and hand. Clin Sports Med. 1998;17(3):585-610.