Phalanx fractures and dislocations in athletes

Hand and Wrist Sports Medicine (E Tolo and L Dwyer, section editors)
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Part of the following topical collections:
  1. Topical Collection on Hand and Wrist Sports Medicine

Abstract

Purpose of review

Phalangeal fractures, dislocations, and fracture-dislocations in the hand are common injuries. We review the current literature on the diagnosis and treatment of these injuries in the athlete. An understanding of the anatomy and its relationship to the mechanism of injury may help to direct appropriate management. Return to play remains an important concern to the patient-athlete.

Recent findings

Findings from recently published articles reinforce previously established treatment methods in the management of finger phalangeal fractures, dislocations, and fracture-dislocations. The majority of these injuries can be treated non-operatively. Technological advances in implant designs may conceivably allow for earlier rehabilitation and, in turn, a more expeditious return to sport. Management of phalangeal injuries in the elite athlete often necessitates special treatment considerations.

Summary

The majority of phalangeal bone and joint injuries in the athlete can be treated in a comparable manner to the non-athlete. The goals of treatment are restoration of bone and joint alignment and stability in order to hasten a return to competition. Surgery as a means to expedite return to play in the high-level athlete should be determined on a case by case basis. Technological improvements in surgical implants may enable accelerated postoperative recovery. However, to our knowledge, there are no published studies to definitively support this assumption.

Keywords

Hand fractures Phalangeal fractures Finger dislocations Finger fracture-dislocations Sports injuries 

Notes

Compliance with ethical standards

Conflict of interest

Franklin Chen reports royalties from Acumed, Inomed, and Biomet, outside of the submitted work.

David M. Kalainov reports product design consulting personal fees from Acumed and Skeletal Kinetics, as well as product design discussion with OsteoMed, outside of the submitted work.

Human and animal rights and informed consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Funding

There has been no financial support or sponsorship agreement for this work.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Edison-Metuchen Orthopaedic GroupEdisonUSA
  2. 2.Department of Orthopaedic SurgeryNorthwestern University Feinberg School of MedicineChicagoUSA

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