gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Treatment of Hand and Wrist injuries in the Professional American Football Player: Return to Play

Meeting Abstract

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  • presenting/speaker Glenn Buterbaugh - Hand and UpperEx Center, University of Pittsburgh, Wexford, United States
  • Joseph Imbriglia - Hand and UpperEx Center, University of Pittsburgh, Wexford, United States
  • Kristin Buterbaugh - University of Pennsylvania, Philadelphia, United States

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1834

doi: 10.3205/19ifssh0142, urn:nbn:de:0183-19ifssh01424

Veröffentlicht: 6. Februar 2020

© 2020 Buterbaugh et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives: This study reviews the evaluation and treatment of fifty six professional American Football players' hand and wrist injuries and the strategies on return to play.

Methods: The medical records and radiographs of fifty six professional American Football players treated by a single fellowship-trained Orthopedic Hand Surgeon from 2000-2018 were reviewed. An analysis of the treatment results including nonoperative and operative management along with specific equipment modification will be presented.

Results: The injuries sustained included 14 Wrist injuries, 9 Thumb MP joint injuries, 3 fractures at the thumb metacarpal base, 3 metacarpal fractures of the fingers, 1 finger MP dislocation, 5 proximal phalangeal fractures, 11 PIP dislocations, 3 middle phalanx fractures and 2 distal phalanx fractures and 5 extensor avulsion injuries. All patients returned to their pre-injury position. Strategies were individualized for the player and position. 21 players were treated operatively and 32 players were treated nonoperatively. Various techniques in equipment modification such orthoplast splinting, custom glove inserts, and cast immobilization allowed earlier return to play.

Conclusions: A strategic use of nonoperative and operative treatment with the addition of equipment modification will allow the professional athlete to minimize lost time and safely return to play.