Soft tissue injuries of the finger in athletes

El parmaklarinin yumusak doku yaralanmalari, elin kompleks anatomisi ve rutin klinik muayene ile degerlendirilmesinin zor olmasi nedeni ile fonksiyon ve klinik sonuclar acisindan onem tasimaktadir. Yapilan epidemiyolojik calismalarda el ve el bilegi yaralanmalarinin, tum spor yaralanmalari icerisinde %3 ila %25 oraninda oldugu gosterilmistir. Parmak yaralanmalarinin degerlendirilmesinde kapsamli bir oyku ve fizik muayene esastir. Meydana gelen travmanin olus mekanizmasi, patoloji siddetinin ongorulmesinde yardimcidir. El ve parmak yumusak doku yaralanmalari, akut travmalara bagli veya asiri kullanim sonucu olusur. Voleybol, hentbol, basketbol, boks, tirmanma ve kis sporlarinda bu doku yaralanmalari sikca gorulur. Ilk degerlendirmede parmak eklemlerindeki deformite, dolasim bozuklugu, parmaklarin posturu, duyu kaybi, odem, ciltte renk degisiklikleri ve fonksiyon kaybi kaydedilmeli ve sistematik olarak her parmak ayri ayri degerlendirilmelidir. Tendon yaralanmalarina ve eklem cikiklarina eslik edebilecek avulziyon kiriklari, direkt grafilerle tespit edilebilir. Meydana gelebilecek bag yaralanmalarinin siddetine gore, el ve parmak yumusak doku yaralanmalarinda konservatif veya cerrahi tedavi uygulanabilir. El ve parmak fonksiyonlarinin yaralanma sonrasi geri kazanilmasi amaci ile erken mobilizasyon ve rehabilitasyon da onemlidir.

[1]  C. Zeebregts,et al.  Treatment Options for Mallet Finger: A Review , 2010, Plastic and reconstructive surgery.

[2]  C. Rodner,et al.  Ulnar Collateral Ligament Injury of the Thumb Metacarpophalangeal Joint , 2010, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[3]  J. Jupiter,et al.  The treatment of complex fractures and fracture-dislocations of the hand. , 2010, Instructional Course Lectures.

[4]  R. Bindra,et al.  Management of proximal interphalangeal joint dislocations in athletes. , 2009, Hand clinics.

[5]  Jeff W Johnson,et al.  Acute ulnar collateral ligament injury in the athlete. , 2009, Hand clinics.

[6]  K. Takase,et al.  Triple joint injuries of the same digit. , 2009, Orthopedics.

[7]  Steve K. Lee,et al.  Radial collateral ligament injuries of the thumb. , 2008, The Journal of hand surgery.

[8]  P. Stern,et al.  Tendon avulsion injuries of the distal phalanx. , 2006, Clinical orthopaedics and related research.

[9]  M. Coyle.  Grade III radial collateral ligament injuries of the thumb metacarpophalangeal joint: treatment by soft tissue advancement and bony reattachment. , 2003, The Journal of hand surgery.

[10]  T. Trumble,et al.  Failure of cast immobilization for thumb ulnar collateral ligament avulsion fractures. , 1997, The Journal of hand surgery.

[11]  D J Giurintano,et al.  Thumb movements, motions, and moments. , 1995, Journal of hand therapy : official journal of the American Society of Hand Therapists.

[12]  A. Ratliff,et al.  Dislocations and Ligament Injuries in the Digits , 1989 .

[13]  G. Inoue,et al.  Locked Metacarpo-Phalangeal Joint of the Thumb , 1988 .

[14]  R. Gelberman,et al.  Complex dislocations of the metacarpophalangeal joint. , 1982, Clinical orthopaedics and related research.

[15]  B. Stener,et al.  DISPLACEMENT OF THE RUPTURED ULNAR COLLATERAL LIGAMENT OF THE METACARPO-PHALANGEAL JOINT OF THE THUMB , 1962 .