Advertisement

Wrist and Hand Injuries in Handball

  • Lionel Pesquer
  • Grégoire Chick
Chapter

Abstract

Wrist and hand injuries are frequent in handball, and correct management can optimize an athlete’s return to competitive play. Scaphoid fractures are the most common bone injuries and should be diagnosed rapidly because of potentially serious complications. The severity of thumb and finger sprains varies and may require surgical treatment. While standard X-rays and ultrasound (US) are the primary imaging modalities, magnetic resonance imaging (MRI) or computerized tomography (CT) scans should be discussed when necessary. The choice between conservative and surgical treatment depends upon the severity of the injury, the athlete’s level of play, and time of injury from the end of the season.

References

  1. 1.
    Engebretsen L, Soligard T, Steffen K, et al. Sports injuries and illnesses during the London summer Olympic games 2012. Br J Sports Med. 2013;47(7):407–14.  https://doi.org/10.1136/bjsports-2013-092380.CrossRefPubMedGoogle Scholar
  2. 2.
    Bere T, Alonso J-M, Wangensteen A, et al. Injury and illness surveillance during the 24th men’s Handball World Championship 2015 in Qatar. Br J Sport Med. 2015;49(17):1151–6.  https://doi.org/10.1136/bjsports-2015-094972.CrossRefGoogle Scholar
  3. 3.
    Giroto N, Hespanhol Junior LC, Gomes MR, Lopes AD. Incidence and risk factors of injuries in Brazilian elite handball players: a prospective study. Scand J Med Sci Sports. 2017;27:195–202.  https://doi.org/10.1111/sms.12636. CrossRefPubMedGoogle Scholar
  4. 4.
    Fagerli UM, Lereim I, Sahlin Y. Injuries in handball players. Tidsskr Nor Laegeforen. 1990;110(4):475–8.PubMedGoogle Scholar
  5. 5.
    Jørgensen U. Epidemiology of injuries in typical Scandinavian team sports. Br J Sports Med. 1984;18(2):59–63.CrossRefGoogle Scholar
  6. 6.
    Seil R, Rupp S, Tempelhof S, Kohn D. Sports injuries in team handball. A one-year prospective study of sixteen men's senior teams of a superior nonprofessional level. Am J Sports Med. 1998;26(5):681–7.CrossRefGoogle Scholar
  7. 7.
    Langevoort G, Myklebust G, Dvorak J, Junge A. Handball injuries during major international tournaments. Scand J Med Sci Sports. 2007;17(4):400–7.PubMedGoogle Scholar
  8. 8.
    Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury pattern in youth team handball: a comparison of two prospective registration methods. Scand J Med Sci Sports. 2006 Dec;16(6):426–32.CrossRefGoogle Scholar
  9. 9.
    Nielsen AB, Yde J. An epidemiologic and traumatologic study of injuries in handball. Int J Sports Med. 1988;9(5):341–4.CrossRefGoogle Scholar
  10. 10.
    Wedderkopp N, Kaltoft M, Lundgaard B, Rosendahl M, Froberg K. Injuries in young female players in European team handball. Scand J Med Sci Sports. 1997;7(6):342–7.CrossRefGoogle Scholar
  11. 11.
    Moller M, Attermann J, Myklebust G, Wedderkopp N. Injury risk in Danish youth and senior elite handball using a new SMS text messages approach. Br J Sports Med. 2012;46(7):531–7.  https://doi.org/10.1136/bjsports-2012-091022.CrossRefPubMedGoogle Scholar
  12. 12.
    Hove LM. Epidemiology of scaphoid fractures in Bergen, Norway. Scand J Plast Reconstr Surg Hand Surg. 1999;33(4):423–6.CrossRefGoogle Scholar
  13. 13.
    Sendher R, Ladd AL. The scaphoid. Orthop Clin North Am. 2013;44(1):107–20.CrossRefGoogle Scholar
  14. 14.
    Blum A, Sauer B, Detreille R, et al. Le diagnostic des fractures récentes du scaphoïde : revue de la littérature. J Radiol. 2007;88(5 Pt 2):741–59.CrossRefGoogle Scholar
  15. 15.
    Steinmann SP, Adams JE. Scaphoid fractures and nonunions: diagnosis and treatment. J Orthop Sci. 2006;11(4):424–31.CrossRefGoogle Scholar
  16. 16.
    Dias JJ, Singh HP. Displaced fracture of the waist of the scaphoid. J Bone Joint Surg Br. 2011;93(11):1433–9.  https://doi.org/10.1302/0301-620X.93B11.26934. CrossRefPubMedGoogle Scholar
  17. 17.
    Pesquer L, Paris G. Fractures du scaphoide. In: Imagerie de la main et du poignet. Montpellier: Sauramps Médical; 2013. p. 108–22.Google Scholar
  18. 18.
    Taljanovic MS, Karantanas A, Griffith JF, et al. Imaging and treatment of scaphoid fractures and their complications. Semin Musculoskelet Radiol. 2012;16(2):159–73.  https://doi.org/10.1055/s-0032-1311767.CrossRefPubMedGoogle Scholar
  19. 19.
    Geissler WB, Adams JE, Bindra RR, Lanzinger WD, Slutsky DJ. Scaphoid fractures: what’s hot, what’s not. J Bone Joint Surg Am. 2012;94(2):169–81.  https://doi.org/10.2106/JBJS.942icl.CrossRefPubMedGoogle Scholar
  20. 20.
    Memarsadeghi M, Breitenseher MJ, Schafer-Prokop C, et al. Occult scaphoid fractures: comparison of multidetector CT and MR imaging—initial experience. Radiology. 2006;240(1):169–76.CrossRefGoogle Scholar
  21. 21.
    Thavarajah D, Syed T, Shah Y, Wetherill M. Does scaphoid bone bruising lead to occult fracture? A prospective study of 50 patients. Injury. 2011;42(11):1303–6.  https://doi.org/10.1016/j.injury.2011.02.020.CrossRefPubMedGoogle Scholar
  22. 22.
    Welling RD, Jacobson JA, Jamadar DA, Chong S, Caoli EM, Jebson PJ. MDCT and radiography of wrist fractures: radiographic sensitivity and fracture patterns. Am J Roentgenol. 2008;190(1):10–6.CrossRefGoogle Scholar
  23. 23.
    Fusetti C, Poletti PA, Pradel PH, et al. Diagnosis of occult scaphoid fracture with high-spatial-resolution sonography: a prospective blind study. J Trauma. 2005;59(3):677–81.PubMedGoogle Scholar
  24. 24.
    Hauger O, Bonnefoy O, Moinard M, Bersani D, Diard F. Occult fractures of the waist of the scaphoid early diagnosis by high-spatial_resolution sonography. Am J Roentgenol. 2002;178:1239–45.CrossRefGoogle Scholar
  25. 25.
    Platon A, Poletti PA, Van Aaken J, et al. Occult fractures of the scaphoid: the role of ultrasonography in the emergency department. Skelet Radiol. 2011;40(7):869–75.CrossRefGoogle Scholar
  26. 26.
    Senall JA, Failla JM, Bouffard JA, Van Hosbeeck M. Ultrasound for the early diagnosis of clinically suspected scaphoid fracture. J Hand Surg Am. 2004;29(3):400–5.CrossRefGoogle Scholar
  27. 27.
    Kawamura K, Chung KC. Treatment of scaphoid fractures and nonunions. J Hand Surg Am. 2008;33(6):988–97.  https://doi.org/10.1016/j.jhsa.2008.04.026.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Herbert TJ, Fisher WE. Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg Br. 1984;66(1):114–23.CrossRefGoogle Scholar
  29. 29.
    Singh HP, Taub N, Dias JJ. Management of displaced fractures of the waist of the scaphoid: meta-analyses of comparative studies. Injury. 2012;43(6):933–9.  https://doi.org/10.1016/j.injury.2012.02.012.CrossRefPubMedGoogle Scholar
  30. 30.
    Buijze GA, Goslings JC, Rhemrev SJ, et al. Cast immobilization with and without immobilization of the thumb for nondisplaced and minimally displaced scaphoid waist fractures: a multicenter, randomized, controlled trial. J Hand Surg Am. 2014;39(4):621–7.  https://doi.org/10.1016/j.jhsa.2013.12.039.CrossRefPubMedGoogle Scholar
  31. 31.
    Rettig AC, Weidenbener EJ, Gloyeske R. Alternative management of midthird scaphoid fractures in the athlete. Am J Sports Med. 1994;22(5):711–4.CrossRefGoogle Scholar
  32. 32.
    Merrell G, Slade J. Technique for percutaneous fixation of displaced and nondisplaced acute scaphoid fractures and select nonunions. J Hand Surg Am. 2008;33(6):966–73.  https://doi.org/10.1016/j.jhsa.2008.04.023.CrossRefPubMedGoogle Scholar
  33. 33.
    Haddad FS, Goddard NJ. Acute percutaneous scaphoid fixation. A pilot study. J Bone Joint Surg Br. 1998;80(1):95–9.CrossRefGoogle Scholar
  34. 34.
    Modi CS, Nancoo T, Powers D, Ho K, Boer R, Turner SM. Operative versus nonoperative treatment of acute undisplaced and minimally displaced scaphoid waist fractures—a systematic review. Injury. 2009;40(3):268–73.  https://doi.org/10.1016/j.injury.2008.07.030.CrossRefPubMedGoogle Scholar
  35. 35.
    Knobloch K, Krämer R, Redeker J, Spies M, Vogt PM. Scaphoid fracture in motocross riders. Sportverletz Sportschaden. 2009;23(4):217–20.  https://doi.org/10.1055/s-0028-1109927. CrossRefPubMedGoogle Scholar
  36. 36.
    Ahmed U, Malik S, David M, et al. The headless compression screw—technical challenges in scaphoid fracture fixation. J Orthop. 2015;12(Suppl 2):S211–6.  https://doi.org/10.1016/j.jor.2015.10.003.CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Bushnell BD, McWilliams AD, Messer TM. Complications in dorsal percutaneous cannulated screw fixation of nondisplaced scaphoid waist fractures. J Hand Surg Am. 2007;32(6):827–33.CrossRefGoogle Scholar
  38. 38.
    Bond CD, Shin AY, McBride MT, Dao KD. Percutaneous screw fixation or cast immobilization for nondisplaced scaphoid fractures. J Bone Joint Surg Am. 2001;83-A(4):483–8.CrossRefGoogle Scholar
  39. 39.
    Dias JJ, Wildin CJ, Bhowal B, Thompson JR. Should acute scaphoid fractures be fixed? A randomized controlled trial. J Bone Joint Surg Am. 2005;87(10):2160–8.PubMedGoogle Scholar
  40. 40.
    MM MQ, Gelbke MK, Wakefield A, Will EM, Gaebler C. Percutaneous screw fixation versus conservative treatment for fractures of the waist of the scaphoid: a prospective randomised study. J Bone Joint Surg Br. 2008;90(1):66–71.Google Scholar
  41. 41.
    Grewal R, King GJ. An evidence-based approach to the management of acute scaphoid fractures. J Hand Surg Am. 2009;34(4):732–4.  https://doi.org/10.1016/j.jhsa.2008.12.027.CrossRefPubMedGoogle Scholar
  42. 42.
    Mack GR, Bosse MJ, Gelberman RH, Yu E. The natural history of scaphoid non-union. J Bone Joint Surg Am. 1984;66(4):504–9.CrossRefGoogle Scholar
  43. 43.
    Hackney LA, Dodds SD. Assessment of scaphoid fracture healing. Curr Rev Musculoskelet Med. 2011;4(1):16–22.  https://doi.org/10.1007/s12178-011-9072-0.CrossRefPubMedPubMedCentralGoogle Scholar
  44. 44.
    Cerezal L, Abascal F, Canga A, Garcia-Valtuille R, Bustamante M, de Piñal F. Usefulness of gadolinium-enhanced MR imaging in the evaluation of the vascularity of scaphoid nonunions. Am J Roentgenol. 2000;174(1):141–9.CrossRefGoogle Scholar
  45. 45.
    Meyer P, Pesquer L. Entorse de l’articulation métacarpophalangienne du pouce et effet Stener. In: Pesquer L, Dallaudiere B, Meyer P, editors. Imagerie de la main et du poignet. Montpellier: Sauramps Médical; 2013. p. 211–20.Google Scholar
  46. 46.
    Moberg E, Stener B. Injuries to the ligaments of the thumb and fingers; diagnosis, treatment and prognosis. Acta Chir Scand. 1953;106(2–3):166–86.PubMedGoogle Scholar
  47. 47.
    Heyman P, Gelberman RH, Duncan K, Hipp JA. Injuries of the ulnar collateral ligament of the thumb metacarpophalangeal joint. Biomechanical and prospective clinical studies on the usefulness of valgus stress testing. Clin Orthop Relat Res. 1993;292:165–71.Google Scholar
  48. 48.
    Hergan K, Mittler C. Sonography of the injured ulnar collateral ligament of the thumb. J Bone Joint Surg Br. 1995;77(1):77–83.CrossRefGoogle Scholar
  49. 49.
    Melville D, Jacobson JA, Haase S, et al. Ultrasound of displaced ulnar collateral ligament tears of the thumb: the Stener lesion revisited. Skelet Radiol. 2013;42(5):667–73.  https://doi.org/10.1007/s00256-012-1519-x.CrossRefGoogle Scholar
  50. 50.
    Milner CS, Manon-Matos Y, Thirkannad SM. Gamekeeper’s thumb—a treatment-oriented magnetic resonance imaging classification. J Hand Surg Am. 2015;40(1):90–5.  https://doi.org/10.1016/j.jhsa.2014.08.033.CrossRefPubMedGoogle Scholar
  51. 51.
    Ebrahim FS, De Maeseneer M, Jager T, Marcelis S, Jamadar DA, Jacobson DA. Diagnosis of UCL tears of the thumb and Stener lesions: technique, pattern based approach, and differential diagnosis. Radiographics. 2006;26(4):1007–20.CrossRefGoogle Scholar
  52. 52.
    Lutsky K, Levi D, Beredjiklian P. Utility of MRI for diagnosing complete tears of the collateral ligaments of the metacarpophalangeal joints of the lesser digits. Hand (N Y). 2014;9(1):112–6.  https://doi.org/10.1007/s11552-013-9558-x.CrossRefGoogle Scholar
  53. 53.
    Haramati N, Hiller N, Dowdle J, et al. MRI of the Stener lesion. Skelet Radiol. 1995;24(7):515–8.CrossRefGoogle Scholar
  54. 54.
    Patel S, Potty A, Taylor EJ, Sorene ED. Collateral ligament injuries of the metacarpophalangeal joint of the thumb: a treatment algorithm. Strategies Trauma Limb Reconstr. 2010;5(1):1–10.  https://doi.org/10.1007/s11751-010-0079-7.CrossRefPubMedPubMedCentralGoogle Scholar
  55. 55.
    Pichora DR, McMurtry RY, Bell MJ. Gamekeepers thumb: a prospective study of functional bracing. J Hand Surg Am. 1989;14(3):567–73.CrossRefGoogle Scholar
  56. 56.
    Martin-ferrero M, de Pedro JA, Ferandes CH, et al. Acute finger injuries. In: Chick G, editor. Acute and chronic finger injuries in ball sports. Paris: Springer; 2013. p. 342–7.Google Scholar
  57. 57.
    Katolik LI, Friedrich J, Trumble TE. Repair of acute ulnar collateral ligament injuries of the thumb metacarpophalangeal joint: a retrospective comparison of pull-out sutures and bone anchor techniques. Plast Reconstr Surg. 2008;122(5):1451–6.  https://doi.org/10.1097/PRS.0b013e31818.CrossRefPubMedGoogle Scholar
  58. 58.
    Lee AT, Carlson MG. Thumb metacarpophalangeal joint collateral ligament injury management. Hand Clin. 2012;28(3):361–70. ix-x.  https://doi.org/10.1016/j.hcl.2012.05.024.CrossRefPubMedGoogle Scholar
  59. 59.
    Freiberg A, Pollard BA, Macdonald MR, Duncan MJ. Management of proximal interphalangeal joint injuries. Hand Clin. 2006;22(3):235–42.CrossRefGoogle Scholar
  60. 60.
    Pesquer L, Dehaut FX, Dallaudiere B, Moreau-durieux MH. Les doigts du sportif. In: Pesquer L, Dallaudiere B, Meyer P, editors. Imagerie de la main et du poignet. Montpellier: Sauramps Medical; 2013. p. 221–40.Google Scholar
  61. 61.
    Westerheide E, Failla JM, Van Hoolsbeeck M. Ultrasound visualization of central slip injuries of the finger extensor mechanism. J Hand Surg. 2003;23:1009–13.CrossRefGoogle Scholar

Copyright information

© ESSKA 2018

Authors and Affiliations

  • Lionel Pesquer
    • 1
  • Grégoire Chick
    • 2
    • 3
  1. 1.MSK Imaging DepartmentClinique du Sport de BordeauxBordeauxFrance
  2. 2.Hand and Wrist UnitLatour HospitalGenevaSwitzerland
  3. 3.Aspetar, Orthopedic and Sports MedicineDohaQatar

Personalised recommendations