Hand and Wrist Injuries in Mixed Martial Arts

  • M. Lucius Pomerantz


The sport of mixed martial arts is a blend of many martial arts resulting in a combination of striking and grappling in a fighting contest. A clear set of rules direct the sport’s action. Techniques include strikes with the extremities, throws and takedowns, as well as joint manipulation and chokes. Its popularity is rapidly growing worldwide. Just as with any combat sport, injuries are inevitable. However, research into the sport is still in its infancy. Given its surging popularity, surgeons who treat the hand and wrist should have an understanding of the sport, its potential causes of injury, and the current research that exists.


Mixed martial arts MMA Martial arts Finger injuries Hand injuries Wrist injuries 


  1. 1.
    Poliakoff MB. Combat sports in the ancient world: competition, violence, and culture. New Haven: Yale University Press; 1987.Google Scholar
  2. 2.
  3. 3.
    Keown T. MMA’s future. ESPN: The Mag. 2012.Google Scholar
  4. 4.
  5. 5.
    Pocecco E, Ruedl G, Stankovic N, Sterkowicz S, Del Vecchio FB, Gutierrez-Garcia C, et al. Injuries in judo: a systematic literature review including suggestions for prevention. Br J Sports Med. 2013;47(18):1139–43.CrossRefGoogle Scholar
  6. 6.
    Rettig AC. Epidemiology of hand and wrist injuries in sports. Clin Sports Med. 1998;17(3):401–6.CrossRefGoogle Scholar
  7. 7.
    Kim KS, Park KJ, Lee J, Kang BY. Injuries in national Olympic level judo athletes: an epidemiological study. Br J Sports Med. 2015;49(17):1144–50.CrossRefGoogle Scholar
  8. 8.
    Yard EE, Collins CL, Dick RW, Comstock RD. An epidemiologic comparison of high school and college wrestling injuries. Am J Sports Med. 2008;36(1):57–64.CrossRefGoogle Scholar
  9. 9.
    Pasque CB, Hewett TE. A prospective study of high school wrestling injuries. Am J Sports Med. 2000;28(4):509–15.CrossRefGoogle Scholar
  10. 10.
    Hewett TE, Pasque C, Heyl R, Wroble R. Wrestling injuries. Med Sport Sci. 2005;48:152–78.CrossRefGoogle Scholar
  11. 11.
    Scoggin JF 3rd, Brusovanik G, Izuka BH, Zandee van Rilland E, Geling O, Tokumura S. Assessment of injuries during Brazilian Jiu-Jitsu competition. Orthop J Sports Med. 2014;2(2):2325967114522184.CrossRefGoogle Scholar
  12. 12.
    McLatchie GR. Analysis of karate injuries sustained in 295 contests. Injury. 1976;8(2):132–4.CrossRefGoogle Scholar
  13. 13.
    Tuominen R. Injuries in national karate competitions in Finland. Scand J Med Sci Sports. 1995;5(1):44–8.CrossRefGoogle Scholar
  14. 14.
    Pieter W. Competition injuries in young karate athletes. Br J Sports Med. 1998;32:88.Google Scholar
  15. 15.
    Bledsoe GH, Li G, Levy F. Injury risk in professional boxing. South Med J. 2005;98(10):994–8.CrossRefGoogle Scholar
  16. 16.
    Zazryn TR, Finch CF, McCrory P. A 16 year study of injuries to professional boxers in the state of Victoria, Australia. Br J Sports Med. 2003;37(4):321–4.CrossRefGoogle Scholar
  17. 17.
    Zazryn TR, McCrory PR, Cameron PA. Injury rates and risk factors in competitive professional boxing. Clin J Sport Med. 2009;19(1):20–5.CrossRefGoogle Scholar
  18. 18.
    Zazryn TR, Finch CF, McCrory P. A 16 year study of injuries to professional kickboxers in the state of Victoria, Australia. Br J Sports Med. 2003;37(5):448–51.CrossRefGoogle Scholar
  19. 19.
    Gartland S, Malik MH, Lovell ME. Injury and injury rates in Muay Thai kick boxing. Br J Sports Med. 2001;35(5):308–13.CrossRefGoogle Scholar
  20. 20.
    Pieter W. Epidemiology of injury in Olympic sports. Oxford: Wiley-Blackwell; 2009.Google Scholar
  21. 21.
    Lystad RP, Graham PL, Poulos RG. Exposure-adjusted incidence rates and severity of competition injuries in Australian amateur taekwondo athletes: a 2-year prospective study. Br J Sports Med. 2013;47(7):441–6.CrossRefGoogle Scholar
  22. 22.
    Pomerantz M. Injury profile in Mixed Martial Arts. 2017. Unpublished.Google Scholar
  23. 23.
    Rainey CE. Determining the prevalence and assessing the severity of injuries in Mixed Martial Arts athletes. N Am J Sports Phys Ther. 2009;4(4):190–9.PubMedPubMedCentralGoogle Scholar
  24. 24.
    Ji M. Analysis of injury types for Mixed Martial Arts athletes. J Phys Ther Sci. 2016;28(5):1544–6.CrossRefGoogle Scholar
  25. 25.
    Otten MHC, Ghazarian N, Boura J. Ultimate fighting championship injuries; a two-year retrospective fight injury study. Osteopath Fam Phys. 2015:13–8.Google Scholar
  26. 26.
    Scoggin JF 3rd, Brusovanik G, Pi M, Izuka B, Pang P, Tokumura S, et al. Assessment of injuries sustained in Mixed Martial Arts competition. Am J Orthop (Belle Mead NJ). 2010;39(5):247–51.Google Scholar
  27. 27.
    Lystad RP, Gregory K, Wilson J. The epidemiology of injuries in Mixed Martial Arts: a systematic review and meta-analysis. Orthop J Sports Med. 2014;2(1):2325967113518492.CrossRefGoogle Scholar
  28. 28.
    Bledsoe GH, Hsu EB, Grabowski JG, Brill JD, Li G. Incidence of injury in professional Mixed Martial Arts competitions. J Sports Sci Med. 2006;5(CSSI):136–42.PubMedPubMedCentralGoogle Scholar
  29. 29.
    Murray S. Boxing gloves of the ancient world. J Combat Sport. 2010:1492–650.Google Scholar
  30. 30. Unified Rules and Regulations of Mixed Martial Arts.
  31. 31.
    Noble C. Hand injuries in boxing. Am J Sports Med. 1987;15(4):342–6.CrossRefGoogle Scholar
  32. 32.
    Diesselhorst MM, Rayan GM, Pasque CB, Peyton Holder R. Survey of upper extremity injuries among martial arts participants. Hand Surg. 2013;18(02):151–7.CrossRefGoogle Scholar
  33. 33.
    Lee B, McGill SM. Striking dynamics and kinetic properties of boxing and MMA gloves. Revista de Artes Marciales Asiáticas. 2014;9(2):106–15.CrossRefGoogle Scholar
  34. 34.
    Schwartz ML, Hudson AR, Fernie GR, Hayashi K, Coleclough AA. Biomechanical study of full-contact karate contrasted with boxing. J Neurosurg. 1986;64(2):248–52.CrossRefGoogle Scholar
  35. 35.
    Ngai KM, Levy F, Hsu EB. Injury trends in sanctioned Mixed Martial Arts competition: a 5-year review from 2002 to 2007. Br J Sports Med. 2008;42(8):686–9.CrossRefGoogle Scholar
  36. 36.
    Karpman S, Reid P, Phillips L, Qin Z, Gross DP. Combative sports injuries: an Edmonton retrospective. Clin J Sport Med. 2016;26(4):332–4.CrossRefGoogle Scholar
  37. 37.
    Drury BT, Lehman TP, Rayan G. Hand and wrist injuries in boxing and the martial arts. Hand Clin. 2017;33(1):97–106.CrossRefGoogle Scholar
  38. 38.
    Destombe C, Lejeune L, Guillodo Y, Roudaut A, Jousse S, Devauchelle V, et al. Incidence and nature of karate injuries. Joint Bone Spine. 2006;73(2):182–8.CrossRefGoogle Scholar
  39. 39.
    McLatchie G. Karate and karate injuries. Br J Sports Med. 1981;15(1):84–6.CrossRefGoogle Scholar
  40. 40.
    Porter M, O’Brien M. Incidence and severity of injuries resulting from amateur boxing in Ireland. Clin J Sport Med. 1996;6(2):97–101.CrossRefGoogle Scholar
  41. 41.
    Green CM, Petrou MJ, Fogarty-Hover MLS, Rolf CG. Injuries among judokas during competition. Scand J Med Sci Sports. 2007;17(3):205–10.PubMedGoogle Scholar
  42. 42.
    Russo MT, Maffulli N. Dorsal dislocation of the distal end of the ulna in a judo player. Acta Orthop Belg. 1991;57(4):442–6.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • M. Lucius Pomerantz
    • 1
  1. 1.Orthopedic Surgeon, Upper Extremity/Hand SubspecializationSynergy Specialists Medical GroupSan DiegoUSA

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