A variety of injuries occur to the joints of the hand in athletes ranging from skin
abrasions to displaced intra-articular fractures. Common abrasions and contusions
should not be quickly dismissed as trivial. Local swelling, ecchymosis, and tenderness
may indicate a more serious injury to underlying structures. This article discusses
serious injuries involving ligaments, volar plate, and bones at specific anatomic
regions of the hand, including the carpometacarpal joint at the base of the fingers
and thumb, the metacarpophalangeal joints of the fingers and thumb, the proximal interphalangeal
joints of the fingers, the interphalangeal joint of the thumb, and the distal interphalangeal
joint of the fingers.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.
Content published before 2002 is available via pay-per-view purchase only.
Subscribe:
Subscribe to Clinics in Sports MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Complete disruption of the collateral mechanism of the proximal interphalangeal joints of the fingers.J Hand Surg (Br). 1984; 9B: 191-193
- Fractures of the metacarpal bone of the thumb.BMJ. 1986; 2: 12
- The treatment and prognosis of uncomplicated dislocated fractures of the metacarpals and phalanges.Arch Chir Neerl. 1971; 23: 55-36
- A study of the pathologic findings and treatment in soft tissue injuries of the thumb metacarpophalangeal joint.J Bone Joint Surg (Am). 1968; 50A
- The proximal interphalangeal joints: A study of the para-articular fibrous structures.in: Tubiana R. The Hand, vol 2. WB Saunders, Philadelphia1985: 869
- The digital joints.in: Tubiana R. The Hand, vol 1. WB Saunders, Philadelphia1981: 191
Dray G, Eaton RG: Dislocations in the digits. In Green DP (ed): Operative Hand Surgery, vol 1. 1988, pp 779–782
- Joint Injuries of the Hand. Charles C. Thomas, Springfield, IL1971: 15
- A study of the basalar joint of the thumb: Treatment of its disabilities by fusion.J Bone Joint Surg (Am). 1969; 51A: 661-668
- Ligamentous reconstruction for the painful thumb carpometacarpal joint.J Bone Joint Surg (Am). 1973; 55A: 1655-1666
- Fractures at the base of the thumb: Treatment with oblique traction.J Bone Joint Surg (Am). 1979; 61A: 260-262
- Fractures of the base of the thumb: A new method of fixation.JAMA. 1944; 126: 27
- Further studies of the metacarpophalangeal and interphalangeal joint of the thumb.J Anat. 1951; 85: 221
- Athletic injuries of the proximal interphalangeal joint requiring surgical treatment.J Bone Joint Surg (Am). 1970; 52A: 937-956
- Fractures of the hand.Orthop Clin North Am. 1983; 14: 779
- Ligamentous stability at the base of the thumb.Hand. 1981; 13: 29-35
Palmer RE. Hyperextension injuries of the proximal interphalangeal joint of the fingers: Instructional Course Lectures.
- Injuries to the dorsal aspect MCP joint of the thumb.Orthop Rev. 1982; II
- The conservative treatment of bennett fractures and subluxations of the thumb metacarpal.J Bone Joint Surg (Br). 1968; 50B
- Osseous and ligamentous structures.in: Spinner M. Kaplan's Functional and Surgical Anatomy of the Hand. JB Lippincott, Philadelphia1984: 23-51
- Hand injuries.in: Nicholas J.A. Hershman E.B. The Upper Extremity in Sports Medicine. CV Mosby, St. Louis1990
- The boxer's knuckle: Dorsal capsule rupture of the metacarpophalangeal joint of the finger.J Hand Surg (Am). 1989; 14A
- Palmer dislocation of the proximal interphalangeal joint.J Hand Surg. 1984; 9A: 39-48
- Rupture of a collateral ligament of the proximal interphalangeal joint of the finger: Analysis of 18 cases.J Bone Joint Surg (Am). 1967; 49A: 322-326
- Injuries of the collateral ligaments of the proximal interphalangeal joints.Hand. 1973; 5: 55-57
- Dislocations of the carpometacarpal joints.in: Tubiana R. The Hand, vol 2. WB Saunders, Philadelphia1985: 926
- Dislocations of the metacarpophalangeal joint.in: Tubiana R. The Hand, vol 2. WB Saunders, Philadelphia1985: 915
- Fractures of the hand.in: Weber B.G. Brunner C. Freuler F. Treatment of Fractures in Children and Adolescents. Springer-Verglag, New York1980
- Dislocations of the carpometacarpal joint of the thumb: A report of four cases.Clin Orthop. 1983; 175: 166-169
- Posttraumatic instability of the metacarpophalangeal joint of the thumb.J Bone Joint Surg (Am). 1977; 59A
- Bennett's fractures: A new method of treatment with oblique traction.J Bone Joint Surg (Am). 1963; 45A
- Troublesome fractures and dislocations of the hand. AAOS Instructional Course Lectures. vol 19. CV Mosby, St. Louis1970: 130-149
- Volar dislocation of the proximal interphalangeal joint.J Hand Surg. 1977; 2: 232
- A new method of extension treatment in bennett's fractures.ACTA Chir Scand. 1956; 110: 485
- Methods of treatment of bennett's fracture-dislocations.Am J Surg. 1950; 80: 230
- A method of treatment of fracture-dislocations of the first metacarpal bone.J Bone Joint Surg (Am). 1954; 36A
Article info
Footnotes
Address reprint requests to Ronald E. Palmer, MD, Orthopedic Institute of Illinois, 303 N. Kumpf Boulevard, Peoria, IL 61605
Identification
Copyright
© 1998 W. B. Saunders Company. Published by Elsevier Inc. All rights reserved.
