Injuries to the Wrist, Hand, and Fingers

  • Donald S. Bae


Wrist and hand injuries in the adolescent athlete present many unique challenges for treating physicians, therapists, trainers, and coaches. The spectrum of injuries, varying degrees of acuity and chronicity, and involvement of multiple anatomic systems (e.g., bone, ligament, tendon, and nerve) add to their complexity. Furthermore, injuries to the adolescent athlete must be managed in the context of continued musculoskeletal growth and development. The use of protective and/or assistive devices (e.g., tape, braces, splints, and casts), timing of return-to-play, and postinjury performance expectations must be carefully weighed in the treatment of these injuries. Finally, the psychosocial and financial consequences of these injuries cannot be ignored.


Distal Radius Fracture Scaphoid Fracture Ulnar Collateral Ligament Ulnar Variance Middle Phalanx 
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  1. 1.
    Adickes MS, Stuart MJ. Youth football injuries. Sports Med 2004;34: 201–207.PubMedCrossRefGoogle Scholar
  2. 2.
    Bergfeld JA, Weiker GC, Andrish JT, et al. Soft playing splint for protection of significant hand and wrist injuries in sports. Am J Sports Med 1982; 10:293–296.PubMedCrossRefGoogle Scholar
  3. 3.
    Boyce SH, Quigley MA. An audit of sports injuries in children attending an accident and emergency department. Scott Med J 2003;48:88–90.PubMedGoogle Scholar
  4. 4.
    DeHaven KE, Lintner DM. Athletic injuries: comparison by age, sport, and gender. Am J Sports Med 1986;14:218–224.PubMedCrossRefGoogle Scholar
  5. 5.
    Jacobson BH, Hubbard M, Redus B, et al. An assessment of high school cheerleading: injury distribution, frequency, and associated factors. J Orthop Sports Phys Ther 2004;34:261–265.PubMedCrossRefGoogle Scholar
  6. 6.
    McKay GD, Goldie PA, Payne WR, et al. A prospective study of injuries in basketball: a total profile and comparison by gender and standard of competition. J Sci Med Sport 2001;4:196–211.PubMedCrossRefGoogle Scholar
  7. 7.
    Rettig AC. Athleticinjuries of the wrist and hand. Am J Sports Med 2003;31:1038–1048PubMedGoogle Scholar
  8. 8.
    Rettig AC, Ryan RO, Stone JA. Epidemiology of hand injuries in sports. In: Strickland JW, Rettig AC, eds. Hand Injuries in Athletes. Philadelphia: WB Saunders; 1992:37–44.Google Scholar
  9. 9.
    Torjussen J, Bahr R. Injuries among competitive snowboarders at the national elite level. Am J Sports Med 2005;33:370–377.PubMedCrossRefGoogle Scholar
  10. 10.
    Zalavras C, Nikolopoulou G, Essin D, et al. Pediatric fractures during skateboarding, roller skating, and scooter riding. Am J Sports Med 2005;33:568–573PubMedCrossRefGoogle Scholar
  11. 11.
    Boyd KT, Brownson P, Hunter JB. Distal radial fractures in young goalkeepers: a case for an appropriately sized soccer ball. Br J Sports Med 2001;35:409–411PubMedCrossRefGoogle Scholar
  12. 12.
    Damore DT, Metzl JD, Ramundo M, et al. Patterns in childhood sports injury. Pediatr Emerg Care 2003;19:65–67.PubMedCrossRefGoogle Scholar
  13. 13.
    Ryu JY, Cooney WP, Askew JL, et al. Functional ranges of motion of the wrist joint. J Hand Surg Am 1991;16:409–419.PubMedCrossRefGoogle Scholar
  14. 14.
    Pappas AM, Morgan WJ, Schulz LA, et al. Wrist kinematics during pitching. A preliminary report. Am J Sports Med 1995;23:312–315.PubMedCrossRefGoogle Scholar
  15. 15.
    Fleisig G, Nicholls R, Elliott B, et al. Kinematics used by world class tennis players to produce high-velocity serves. Sports Biomech 2003;2:51–64.PubMedCrossRefGoogle Scholar
  16. 16.
    Davidson PL, Mahar B, Chalmers DJ, et al. Impact modeling of gymnastic back-handsprings and dive-rolls in children. J Appl Biomech 2005;21:115–128.PubMedGoogle Scholar
  17. 17.
    Markolf KL, Shapiro MS, Mandelbaum BR, et al. Wrist loading patterns during pommel horse exercises. J Biomech. 1990;23(10)1001–1011PubMedCrossRefGoogle Scholar
  18. 18.
    Cheng JCY, Shen WY. Limb fracture pattern in different age groups: a study of 3,350 children. J Orthop Trauma 1993;7:15–22.PubMedGoogle Scholar
  19. 19.
    Landin LA. Fracture patterns in children. Acta Orthop Scand 1983; 202:1–109Google Scholar
  20. 20.
    Worlock P, Stower M. Fracture patterns in Nottingham children. J Pediatr Orthop Am 1986;6:656–660.Google Scholar
  21. 21.
    Mann DC, Rajmaira S. Distribution of physeal and nonphyseal fractures of long bones in children aged 0 to 16 years. J Pediatr Orthop Am 1990;10:713–716Google Scholar
  22. 22.
    Peterson HA, Madhok R, Benson JT, et al. Physeal fractures: part 1. Epidemiology in Olmsted County, Minnesota, 1979–1988. J Pediatr Orthop Am 1994;14:423–430.Google Scholar
  23. 23.
    Taylor BL, Attia MW. Sports-related injuries in children. Acad Emerg Med 2000;7:1376–1382.PubMedCrossRefGoogle Scholar
  24. 24.
    Khosla S, Melton LJ, Dekutoski MB, et al. Incidence of childhood distal forearm fractures over 30 years: a population-based study. JAMA 2003;290:1479–1485PubMedCrossRefGoogle Scholar
  25. 25.
    Skaggs DL, Loro ML, Pitukcheewanont P, et al. Increased body weight and decreased radial cross-sectional dimensions in girls with forearm fractures. J Bone Miner Res 2001;16:1337–1342.PubMedCrossRefGoogle Scholar
  26. 26.
    Friberg KS. Remodelling after distal forearm fractures in children. III. Correction of residual angulation in fractures of the radius. Acta Orthop Scand 1979;50:741–749.PubMedCrossRefGoogle Scholar
  27. 27.
    Houshian S, Holst AK, Larsen MS, et al. Remodeling of Salter-Harris type II epiphyseal plate injury of the distal radius. J Pediatr Orthop Am 2004;24:472–476CrossRefGoogle Scholar
  28. 28.
    Younger ASE, Tredwell SJ, Mackenzie WG. Factors affecting fracture position at cast removal after pediatric forearm fracture. J Pediatr Orthop Am 1997;17:332–336.CrossRefGoogle Scholar
  29. 29.
    Zimmermann R, Gschwentner M, Pechlaner S, et al. Remodeling capacity and functional outcome of palmarly versus dorsally displaced pediatric radius fractures in the distal one-third. Arch Orthop Trauma Surg 2004;124:42–48.PubMedCrossRefGoogle Scholar
  30. 30.
    Davidson JS, Brown DJ, Barnes SN, et al. Simple treatment for torus fractures of the distal radius. J Bone Joint Surg Br 2001;83:1173–1175.PubMedCrossRefGoogle Scholar
  31. 31.
    Solan MC, Rees R, Daly K. Current management of torus fractures7 of the distal radius. Injury 2002;33:503–505.PubMedCrossRefGoogle Scholar
  32. 32.
    Symons S, Rowsell M, Bhowal B, et al. Hospital versus home management of children with buckle fractures of the distal radius. A prospective, randomized trial. J Bone Joint Surg Br 2001;83:556–560.PubMedCrossRefGoogle Scholar
  33. 33.
    West S, Andrews J, Bebbington A, et al. Buckle fractures of the distal radius are safely treated in a soft bandage: a randomized prospective trial of bandage versus plaster cast. J Pediatr Orthop Am 2005;25:322–325.CrossRefGoogle Scholar
  34. 34.
    Bohm ER, Bubbar V, Yong Hing K, Dzus A. Above and below-the-elbow plaster casts for distal forearm fractures in children. A randomized controlled trial. J Bone Joint Surg Am 2006;88:1–8.PubMedCrossRefGoogle Scholar
  35. 35.
    Webb GR, Galpin RD, Armstrong DG. Comparison of short and long arm plaster casts for displaced fractures in the distal third of the forearm in children. J Bone Joint Surg Am 2006;88:9–17.PubMedCrossRefGoogle Scholar
  36. 36.
    Gibbons CL, Woods DA, Pailthorpe C, et al. The management of isolated distal radius fractures in children. J Pediatr Orthop Am 1994;14:207–210.Google Scholar
  37. 37.
    Miller BS, Taylor B, Widmann RF, et al. Cast immobilization versus percutaneous pin fixation of displaced distal radius fractures in children: a prospective, randomized study. J Pediatr Orthop Am 2005;25:490–494.CrossRefGoogle Scholar
  38. 38.
    Proctor MT, Moore DJ, Paterson JM. Redisplacement after manipulation of distal radial fractures in children. J Bone Joint Surg Br 1993;75:453–454.PubMedGoogle Scholar
  39. 39.
    Abbaszadegan H, Jonsson U, von Sivers K. Prediction of instability of Colles’ fractures. Acta Orthop Scand. 1989;60:646–650.PubMedCrossRefGoogle Scholar
  40. 40.
    Altissimi M, Mancini GB, Azzara A, et al. Early and late displacement of fractures of the distal radius. The prediction of instability. Int Orthop. 1994;18: 61–65.PubMedCrossRefGoogle Scholar
  41. 41.
    Hove LM, Solheim E, Skjeie R, et al. Prediction of secondary displacement in Colles’ fracture. J Hand Surg Br 1994;19:731–736.PubMedCrossRefGoogle Scholar
  42. 42.
    Lafontaine M, Hardy D, Delince P. Stability assessment of distal radius fractures. Injury. 1989;20:208–210.PubMedCrossRefGoogle Scholar
  43. 43.
    McLauchlan GJ, Cowan B, Annan IH, et al. Management of completely displaced metaphyseal fractures of the distal radius in children. A prospective, randomized controlled trial. J Bone Joint Surg Br 2002;84:413–417.PubMedCrossRefGoogle Scholar
  44. 44.
    Gleberman RH, Worlock BS, Siegel DB. Fractures and nonunions of the carpal scaphoid. J Bone Joint Surg Am 1989;71:1560–1565.Google Scholar
  45. 45.
    Gelberman RH, Menon J. The vascularity of the scaphoid. J Hand Surg Am 1980;5:508–513.PubMedGoogle Scholar
  46. 46.
    Amadio PC, Berquist TH, Smith DK, et al. Scaphoid malunion. J Hand Surg Am 1989;14:679–687.PubMedCrossRefGoogle Scholar
  47. 47.
    Burgess RC. The effect of a simulated scaphoid malunion on wrist motion. J Hand Surg Am 1987;12(2 pt 1):774–776.PubMedGoogle Scholar
  48. 48.
    Vender MI, Watson HK, Wiener BD, et al. Degenerative change in symptomatic scaphoid nonunion. J Hand Surg Am 1987;12:514–519.PubMedGoogle Scholar
  49. 49.
    Grover R. Clinical assessment of scaphoid injuries and the detection of fractures. J Hand Surg Br 1996;21:341–343.PubMedCrossRefGoogle Scholar
  50. 50.
    Cheung GC, Lever CJ, Morris AD. X-ray diagnosis of acute scaphoid fractures. J Hand Surg Br 2005;in press.Google Scholar
  51. 51.
    Cooney WP, Dobyns JH, Linscheid RL. Fractures of the scaphoid: a rational approach to management. Clin Orthop 1980;149:90–97.PubMedGoogle Scholar
  52. 52.
    Dorsay TA, Major NM, Helms CA. Cost-effectiveness of immediate MR imaging versus traditional follow-up for revealing radiographically occult scaphoid fractures. Am J Roentgenol 2001;177:1257–1263.Google Scholar
  53. 53.
    Gooding A, Coates M, Rothwell A. Accident Compensation Corporation. Cost analysis of traditional follow-up protocol versus MRI for radiographically occult scaphoid fractures: a pilot study for the Accident Compensation Corporation. N Z Med J. 2004;117:U1049.PubMedGoogle Scholar
  54. 54.
    Clay NR, Dias JJ, Costigan PS, et al. Need the thumb be immobilised in scaphoid fractures? A randomised prospective trial. J Bone Joint Surg Br 1991;73:828–832.PubMedGoogle Scholar
  55. 55.
    Falkenberg P. An experimental study of instability during supination and pronation of the fractured scaphoid. J Hand Surg Br 1985;10:211–213.PubMedCrossRefGoogle Scholar
  56. 56.
    Gellman H, Caputo RJ, Carter V, et al. Comparison of short and long thumbspica casts for non-displaced fractures of the carpal scaphoid. J Bone Joint Surg Am 1989;71:354–357.PubMedGoogle Scholar
  57. 57.
    Hambidge JE, Desai VV, Schranz PJ, et al. Acute fractures of the scaphoid. Treatment by cast immobilisation with the wrist in flexion or extension? J Bone Joint Surg Br 1999;81:91–92.PubMedCrossRefGoogle Scholar
  58. 58.
    Haddad FS, Goddard NJ. Acute percutaneous scaphoid fixation: a pilot study. J Bone Joint Surg Br 1998;80:95–99.PubMedCrossRefGoogle Scholar
  59. 59.
    Kamineni S, Lavy CBD. Percutaneous fixation of scaphoid fractures: an anatomical study. J Hand Surg Br 1999;24:85–88.PubMedCrossRefGoogle Scholar
  60. 60.
    Slade JF, Gutow AP, Geissler WB. Percutaneous internal fixation of scaphoid fractures via an arthroscopically assisted dorsal approach. J Bone Joint Surg Am 2002;84(suppl 2):21–36.PubMedGoogle Scholar
  61. 61.
    Yip HSF, Wu WC, Chang RYP, et al. Percutaneous cannulated screw fixation of acute scaphoid waist fracture. J Hand Surg Br 2002;27:42–46.PubMedCrossRefGoogle Scholar
  62. 62.
    Bond CD, Shin AY, McBride MT, et al. Percutaneous screw fixation or cast immobilization for nondisplaced scaphoid fractures. J Bone Joint Surg Am 2001;83:483–488.PubMedGoogle Scholar
  63. 63.
    Adolfsson L, Lindau T, Arner M. Acutrak screw fixation versus cast immobilization for undisplaced scaphoid waist fractures. J Hand Surg Br 2001;26:192–195.PubMedCrossRefGoogle Scholar
  64. 64.
    Dias JJ, Wildin CJ, Bhowal B, et al. Should acute scaphoid fractures be fixed? J Bone Joint Surg Am 2005;87;2160–2168.PubMedCrossRefGoogle Scholar
  65. 65.
    Walsh JJ, Bishop AT. Diagnosis and management of hamate hook fractures. Hand Clin 2000;16:397–403.PubMedGoogle Scholar
  66. 66.
    Stark HH, Jobe FW, Boyes JH, et al. Fracture of the hook of the hamate in athletes. J Bone Joint Surg Am 1977;59:575–582.PubMedGoogle Scholar
  67. 67.
    Hart V, Graynor V. Roentogenographic study of the carpal canal. J Bone Joint Surg 1941;23:382–383.Google Scholar
  68. 68.
    Papilion JD, DuPuy TE, Aulicine PL, et al. Radiographic evaluation of the hook of the hamate. J Hand Surg Am 1988;13:437–439.PubMedCrossRefGoogle Scholar
  69. 69.
    Whalen JL, Bishop AT, Linscheid RL. Nonoperative treatment of acute hamate hook fractures. J Hand Surg Am 1992;17:507–511.PubMedCrossRefGoogle Scholar
  70. 70.
    Bishop AT, Beckenbaugh RD. Fracture of the hamate hook. J Hand Surg Am 1988;13:135–139.PubMedCrossRefGoogle Scholar
  71. 71.
    Foucher G, Schuind F, Merle M, et al. Fractures of the hook of the hamate. J Hand Surg Br 1985;10:205–210.PubMedCrossRefGoogle Scholar
  72. 72.
    Watson HK, Rogers WD. Nonunion of the hook of the hamate: an argument for bone grafting the non-union. J Hand Surg Am 1989;14:486–490.PubMedCrossRefGoogle Scholar
  73. 73.
    Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist: anatomy and function. J Hand Surg Am 1981;6:153–162.PubMedGoogle Scholar
  74. 74.
    Terry CL, Waters PM. Triangular fibrocartilage injuries in pediatric and adolescent patients. J Hand Surg Am 1998;23:626–634.PubMedCrossRefGoogle Scholar
  75. 75.
    Kato H, Nakamura R, Shionoya K, et al. Does high-resolution MR imaging have better accuracy than standard MR imaging for evaluation of the triangular fibrocartilage complex? J Hand Surg Br 2000;25:487–491.PubMedGoogle Scholar
  76. 76.
    Saupe N, Prussmann KP, Luechinger R, et al. MR imaging of the wrist: comparison between 1.5-and 3-T MR imaging—preliminary experience. Radiology 2005;234:256–264.PubMedCrossRefGoogle Scholar
  77. 77.
    Palmer AK, Werner FW. Biomechanics of the distal radioulnar joint. Clin Orthop 1984;187:26–35.PubMedGoogle Scholar
  78. 78.
    Palmer AK. The distal radioulnar joint: anatomy, biomechanics, and triangular fibrocartilage complex abnormalities. Hand Clin 1987;3:31–40.PubMedGoogle Scholar
  79. 79.
    Steyers CM, Blair WF. Measuring ulnar variance: a comparison of techniques. J Hand Surg Am 1989;14:607–612.PubMedCrossRefGoogle Scholar
  80. 80.
    Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 1989;14:594–606.PubMedCrossRefGoogle Scholar
  81. 81.
    Cooney WP, Linscheid RL, Dobyns JH. Triangular fibrocartilage tears. J Hand Surg Am 1994;19:143–154.PubMedCrossRefGoogle Scholar
  82. 82.
    Bae DS, Waters PM. Pediatric distal radius fractures and triangular fibrocartilage complex injuries. Hand Clin 22:43–53.Google Scholar
  83. 83.
    Cooney WP, Bussey R, Dobyns JH, Linscheid RL. Difficult wrist fractures: perilunate fracture-dislocations of the wrist. Clin Orthop 1987;214:136–147PubMedGoogle Scholar
  84. 84.
    De Smet L, Claessens A, Lefevre J, et al. Gymnast wrist: an epidemiologic survey of ulnar variance and stress changes of the radial physis in elite female gymnasts. Am J Sports Med. 1994;22:846–850.PubMedCrossRefGoogle Scholar
  85. 85.
    DiFiori JP, Puffer JC, Mandelbaum BR, et al. Distal radial growth plate injury and positive ulnar variance in nonelite gymnasts. Am J Sports Med. 1997;25:763–768PubMedCrossRefGoogle Scholar
  86. 86.
    Waters PM, Bae DS, Montgomery KD. Surgical management of posttraumatic distal radial growth arrest in adolescents. J Pediatr Orthop. 2002;22:717–724.PubMedCrossRefGoogle Scholar
  87. 87.
    Stern PJ. Fractures of the metacarpals and phalanges. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW, eds. Green’s Operative Hand Surgery. 5th ed. Philadelphia: Elsevier; 2005: 277–342.Google Scholar
  88. 88.
    Toronto R, Donovan PJ, Macintyre J. An alternative method of treatment for metacarpal fractures in athletes. Clin J Sport Med 1996;6:4–8.PubMedCrossRefGoogle Scholar
  89. 89.
    Tavassoli J, Ruland RT, Hogan CJ, et al. Three cast techniques for the treatment of extra-articular metacarpal fractures. Comparison of short-term outcomes and final fracture alignments. J Bone Joint Surg Am 2005;87:2196–2201.PubMedCrossRefGoogle Scholar
  90. 90.
    Al-Qattan MM. Juxta-epiphyseal fractures of the base of the proximal phalanx of the fingers in children and adolescents. J Hand Surg Br 2002;27:24–30.PubMedCrossRefGoogle Scholar
  91. 91.
    Seymour N. Juxta-epiphyseal fracture of the terminal phalanx of the finger. J Bone Joint Surg Br 1966;48:347–349.PubMedGoogle Scholar
  92. 92.
    Heyman P, Gelbermann RH, Duncan K, et al. 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 1993;292:165–171.PubMedGoogle Scholar
  93. 93.
    Stener B. Displacement of the ruptured ulnar collateral ligament of the metacarpo-phalangeal joint of the thumb: a clinical and anatomical study. J Bone Joint Surg Br 1962;44:869–879.Google Scholar
  94. 94.
    Coonrad RW, Goldner JL. A study of the pathological findings and treatment in soft-tissue injury of the thumb metacarpophalangeal joint. With a clinical study of the normal range of motion in one thousand thumbs and a study of post mortem findings of ligamentous structures in relation to function. J Bone Joint Surg Am 1968;50:439–451.PubMedGoogle Scholar
  95. 95.
    Bendre AA, Hartigan BJ, Kalainov DM. Mallet finger. J Am Acad Orthop Surg 2005;13:336–344.PubMedGoogle Scholar
  96. 96.
    Brzezienski MA, Schneider LH. Extensor tendon injuries at the distal interphalangeal joint. Hand Clin 1995;11:373–386.PubMedGoogle Scholar
  97. 97.
    Katzman BM, Klein DM, Mesa J, et al. Immobilization of the mallet finger: effects on the extensor tendon. J Hand Surg Br 1999;24:80–84.PubMedCrossRefGoogle Scholar
  98. 98.
    Okafor B, Mbubaegbu C, Munshi I, et al. Mallet deformity of the finger: five-year follow-up of conservative treatment. J Bone Joint Surg Br 1997;79: 544–547.PubMedCrossRefGoogle Scholar
  99. 99.
    Foucher G, Binhamer P, Cange S, et al. Long term results of splintage for mallet finger. Int Orthop 1996;20:129–131.PubMedCrossRefGoogle Scholar
  100. 100.
    Wehbe MA, Schnieder LH. Mallet fractures. J Bone Joint Surg Am 1984;66: 658–669.PubMedGoogle Scholar
  101. 101.
    Garberman SF, Diao E, Peimer CA. Mallet finger: results of early versus delayed closed treatment. J Hand Surg Am 1994;19:850–852.PubMedCrossRefGoogle Scholar
  102. 102.
    Patel MR, Desai SS, Bassini-Lipson L. Conservative treatment of chronic mallet finger. J Hand Surg Am 1986;11:570–573.PubMedGoogle Scholar
  103. 103.
    De Boeck H, Jaeken R. Treatment of chronic mallet finger deformity in children by tenodermodesis. J Pediatr Orthop 1992;12:351–354.PubMedGoogle Scholar
  104. 104.
    Ferrari GP, Fama G, Maran R. Dermatotenodesis in the treatment of “mallet finger.” Arch Putti Chir Organi Mov. 1991;39:315–319.PubMedGoogle Scholar
  105. 105.
    Thompson JS, Littler JW, Upton J. The spiral oblique retinacular ligament (SORL). J Hand Surg Am 1978;3:482–487.PubMedGoogle Scholar
  106. 106.
    Kleinman WB, Petersen DP. Oblique retinacular ligament reconstruction for chronic mallet finger deformity. J Hand Surg Am 1984;9:399–404.PubMedGoogle Scholar
  107. 107.
    Houpt P, Dijkstra R, Storm Van Leeuwen JB. Fowler’s tenotomy for mallet deformity. J Hand Surg Br 1993;18:499–500.PubMedGoogle Scholar
  108. 108.
    Grundberg AB, Reagan DS. Central slip tenotomy for chronic mallet finger deformity. J Hand Surg Am 1987;12:545–547.PubMedGoogle Scholar
  109. 109.
    Katzman SS, Gibeault JD, Dickson K, Thompson JD. Use of a Herbert screw for interphalangeal joint arthrodesis. Clin Orthop 1993;296:127–132.PubMedGoogle Scholar
  110. 110.
    Leddy JP, Packer JW. Avulsion of the profundus insertion in athletes. J Hand Surg Am 1977;2:66–69.PubMedGoogle Scholar
  111. 111.
    Gunter GS. Traumatic avulsion of the insertion of flexor digitorum profundus. Aust N Z J Surg 1960;30:1.CrossRefGoogle Scholar
  112. 112.
    Manske PR, Lesker PA. Avulsion of the ring finger digitorum profundus tendon: an experimental study. Hand 1978;10:52–55.PubMedCrossRefGoogle Scholar
  113. 113.
    Idzikowski JR, Janes PC, Abbott PJ. Upper extremity snowboarding injuries. Ten-year results from the Colorado snowboard injury survey. Am J Sports Med 2000;28(6)825–832.PubMedGoogle Scholar
  114. 114.
    Ronning R, Ronning I, Gerner T, et al. The efficacy of wrist protectors in preventing snowboarding injuries. Am J Sports Med 2001;29:581–585.PubMedGoogle Scholar
  115. 115.
    Schieber RA, Branche-Dorsey CM, Ryan GW, et al. Risk factors for injuries from in-line skating and the effectiveness of safety gear. N Engl J Med 1996;28: 1630–1635.CrossRefGoogle Scholar
  116. 116.
    Beirness DJ, Foss RD, Desmond KJ. Use of protective equipment by in-line skaters: an observational study. Inj Prev 2001;7:51–55.PubMedCrossRefGoogle Scholar
  117. 117.
    Matsumoto K, Sumi H, Sumi Y, et al. Wrist fractures from snowboarding: a prospective study for 3 seasons from 1998 to 2001. Clin J Sport Med 2004;14: 64–71.PubMedCrossRefGoogle Scholar
  118. 118.
    Schuster M, Israeli A. Survey of injuries and protective gear worn by in-line skaters in public parks. Am J Phys Med Rehabil 1999;78:7–10.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Donald S. Bae
    • 1
    • 2
  1. 1.Department of Orthopaedic SurgeryHarvard Medical SchoolUSA
  2. 2.Associate in Orthopaedic SurgeryHarvard Medical School, Children’s Hospital BostonBostonUSA

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