By Grégoire Chick MD, Karsten Knobloch MD, FACS (auth.), Grégoire Chick (eds.)
Neglected finger accidents could lead to continual lesions that frequently have harmful results for the perform of a ball game, no matter if at a leisure point or on the best athlete point. The preliminary damage administration is essential. reckoning on the sort and the severity of the lesions, various humans may perhaps become involved: the avid gamers themselves or their entourage, physiotherapists, membership medical professionals, emergency physicians, relations medical professionals, activities medical professionals or hand surgeons. remedy is generally conservative: the lengthy palms require fast mobilization to avoid stiffness and opposite to that, the thumb calls for balance. surgical procedure should be essential to succeed in those targets specially for athletes, end result of the calls for in their activity. continual lesions also are partially on the topic of repeated trauma, requiring really expert long term multidisciplinary remedy. they could usually bring about the tip of a carrying occupation, but in addition may possibly restrict the performance of the arms on the time of conversion.
Dr Chick is advisor Hand health practitioner in Hôpital de los angeles travel (Geneva) and Clinique de Genolier, Switzerland, and vacationing physician in Aspetar, Orthopaedic and activities drugs sanatorium, Doha, Qatar.
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Additional resources for Acute and Chronic Finger Injuries in Ball Sports
46] Bahr and Bahr  Thigh/ Other lower Other upper Ankle Knee groin extremity Back Shoulder Finger extremity Other 31 17 2 11 16 12 8 1 2 26 30 – 2 17 2 22 0 – 16 19 – 6 10 24 22 – 4 7 17 17 7 22 12 7 9 9 46 54 19 8 0 4 7 – 5 11 10 8 6 7 1 – 4 8 30 G. Chick and K. 4 %) were the most commonly injured body parts. 2 %). In contrast to field soccer players, the goalkeeper is potentially prone to finger injuries. Case reports show that mallet fingers can occur in goalkeepers . An acute spontaneous rupture of the extensor pollicis longus (EPL) tendon in a 16-yearold professional goalkeeper without a radial fracture was repaired end to end with a return to sports in 4 months .
The contact with the ball is made with the palm of the hand, and the fingers should be spread out and not touching the ball (Fig. 25). The positioning enables the wrist to keep rigid and avoid the ball to spin over itself. a b Fig. 24 Positioning of the digits for a forearm pass (a) and the contact between the ball and the forearms (b) a b Fig. 25 During the spike, the palm of the hand (a) is in contact with the ball. Then, the hand goes along the movement of the arm (b) 22 G. Chick and K. Knobloch Fig.
The palm is stuck to the ground, underneath the ball before it rebounds (Fig. 26). 4 The Hand Without the Ball Finger injuries during ball sports also occur without any contact with the ball, such as during falls or contact with other players. Some injuries are typical to one particular sport. In rugby, the jersey finger is a common injury, which is often caused by tackles or by the way players pull their shirts in the scrum (Fig. 27). In basketball as well as handball, obstruction can be a source of finger injuries.