Isolated Fourth Carpometacarpal Joint Injury in High-Level Baseball Players: A Case Series.
| Autor: | Stults WP; WellStar Kennestone Hospital, Marietta, GA, USA., Lourie GM; WellStar Kennestone Hospital, Marietta, GA, USA.; The Hand & Upper Extremity Center of Georgia, Atlanta, USA., Royal JT; Northside Radiology Associates, Atlanta, GA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Hand (New York, N.Y.) [Hand (N Y)] 2024 Nov; Vol. 19 (8), pp. 1230-1234. Date of Electronic Publication: 2023 May 18. |
| DOI: | 10.1177/15589447231167584 |
| Abstrakt: | Background: We present a case series of high-level baseball players having sustained a rare, isolated injury to the fourth carpometacarpal joint of the nondominant or bottom hand during a jammed swing. Methods: Ten patients were evaluated for ulnar-sided wrist pain and were subsequently diagnosed with fourth carpometacarpal joint synovitis based on physical examination and magnetic resonance imaging revealing increased signal intensity within the joint. Results: Conservative treatment modalities including rest, nonsteroidal anti-inflammatory medications, splinting, and corticosteroid injections resulted in return to play within 4 weeks for all patients. Conclusions: We propose a mechanism of injury involving the bottom hand in relative pronation receiving a dorsally directed force from bat during a jammed swing resulting in isolated injury to the fourth carpometacarpal joint. This report serves to highlight this rare injury in high-level baseball players and recommend a treatment algorithm for early return to play. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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