Abstract
Wrist injuries are commonly encountered in both the amateur and professional sports communities. They can occur through a single traumatic event or from repetitive episodes leading to overuse injuries. As the wrist is a complex structure encompassing many bones, joints, and ligaments, early recognition and diagnosis of these injuries play a vital role in directing treatment and preserving wrist function. A sound understanding of the anatomy and biomechanics of the wrist is required for this. Specific injury patterns are also associated with specific sports activities and knowledge of this will enable the diagnostician to arrive at an accurate diagnosis. This chapter aims to review the patterns of injuries encountered in the wrist among the more popular and emerging sports, along with the biomechanics and pathophysiology of these injuries that help to explain the imaging findings.
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References
Aicale R, Tarantino D, Maffulli N (2018) Overuse injuries in sport: a comprehensive overview. J Orthop Surg Res 13:309
Aronowitz ER, Leddy JP (1998) Closed tendon injuries of the hand and wrist in athletes. Clin Sports Med 17:449–467
Bak K, Boeckstyns M (1997) Epiphysiodesis for bilateral irregular closure of the distal radial physis in a gymnast. Scand J Med Sci Sports 7:363–366
Bateni CP, Bartolotta RJ, Richardson ML et al (2013) Imaging key wrist ligaments: what the surgeon needs the radiologist to know. Am J Roentgenol 200:1089–1095
Batt ME (1992) A survey of golf injuries in amateur golfers. Br J Sports Med 26:63–65
Batt ME (1993) Golfing injuries. An overview. Sports Med 16:64–71
Baugh CM, Kerr ZY (2016) High school rowing injuries: National Athletic Treatment, Injury and Outcomes Network (NATION). J Athl Train 51:317–320
Bencardino JT (2004) MR imaging of tendon lesions of the hand and wrist. Magn Reson Imaging Clin N Am 12:333–347
Beunen G, Malina RM, Claessens AL et al (1999) Ulnar variance and skeletal maturity of radius and ulna in female gymnasts. Med Sci Sports Exerc 31:653–657
Bladin C, McCrory P, Pogorzelski A (2004) Snowboarding injuries: current trends and future directions. Sports Med 34:133–139
Blum AG, Zabel JP, Kohlmann R et al (2006) Pathologic conditions of the hypothenar eminence: evaluation with multidetector CT and MR imaging. Radiographics 26:1021–1044
Boer BC, Vestering M, van Raak SM et al (2018) MR arthrography is slightly more accurate than conventional MRI in detecting TFCC lesions of the wrist. Eur J Orthop Surg Traumatol 28:1549–1553
Bottinelli O, Campani R (2001) Ultrasound of the hand. In: Guglielmi G, Van Kuijk C, Genant HK (eds) Fundamentals of hand and wrist imaging. Springer, Berlin Heidelberg New York, pp 63–74
Boutin RD, Fritz RC (2005) MRI of snow skiing and snowboarding injuries. Semin Musculoskelet Radiol 9:360–378
Breitenseher MJ, Metz VM, Gilula LA et al (1997) Radiographically occult scaphoid fractures: value of MR imaging in detection. Radiology 203:245–250
Brudvik C, Hove LM (2003) Childhood fractures in Bergen, Norway: identifying high-risk groups and activities. J Pediatr Orthop 23:629–634
Burnham RS, Steadward RD (1994) Upper extremity peripheral nerve entrapments among wheelchair athletes: prevalence, location, and risk factors. Arch Phys Med Rehabil 75:519–524
Butterwick DJ, Meeuwisse WH (2002) Effect of experience on rodeo injury. Clin J Sport Med 12:30–35
Bylak J, Hutchinson MR (1998) Common sports injuries in young tennis players. Sports Med 26:119–132
Caine DJ, Nassar L (2005) Gymnastics injuries. Med Sport Sci 48:18–58
Caine D, Roy S, Singer KM et al (1992) Stress changes of the distal radial growth plate. A radiographic survey and review of the literature. Am J Sports Med 20:290–298
Carlisle JC, Goldfarb CA, Mall N et al (2008) Upper extremity injuries in the national football league: part II: elbow, forearm, and wrist injuries. Am J Sports Med 36:1945–1952
Carneiro RS, Fontana R, Mazzer N (2005) Ulnar wrist pain in athletes caused by erosion of the floor of the sixth dorsal compartment: a case series. Am J Sports Med 33:1910–1913
Carter SR, Aldridge MJ, Fitzgerald R et al (1988) Stress changes of the wrists in adolescent gymnasts. Br J Radiol 61:109–112
Chan RC, Chiu JW, Chou CL et al (1991) Median nerve lesions at wrist in cyclists. Zhonghua Yi Xue Za Zhi (Taipei) 48:121–124
Cockenpot E, Lefebvre G, Demondion X et al (2016) Imaging of sports-related hand and wrist injuries: sports imaging series. Radiology 279:674–692
Cohen MS (1998) Ligamentous injuries of the wrist in the athlete. Clin Sports Med 17:533–552
Cohen AR, Metzl JD (2000) Sports-specific concerns in the young athlete: basketball. Pediatr Emerg Care 16:462–468
Cole A, Hiatt JL, Arnold C et al (2017) Chronic exertional compartment syndrome in the forearm of a collegiate softball pitcher. Sports Med Open 3:11
Damore DT, Metzl JD, Ramundo M et al (2003) Patterns in childhood sports injury. Pediatr Emerg Care 19:65–67
De Mooij T, Duncan AA, Kakar S (2015) Vascular injuries in the upper extremity in athletes. Hand Clin 31:39–52
De Smet L, Clasessens A, Fabry G (1993) Gymnast wrist. Acta Orthop Belg 59:377–380
De Smet L, Claessens A, Lefevre J et al (1994) Gymnast wrist: an epidemiologic survey of ulnar variance and stress changes of the radial physis in elite female gymnasts. Am J Sports Med 22:846–850
Desser TS, McCarthy S, Trumble T (1990) Scaphoid fracture and Kienbock’s disease of the lunate: MR imaging with histopathologic correlation. Magn Reson Imaging 8:357–361
DiFiori JP, Puffer JC, Mandelbaum BR et al (1996) Factors associated with wrist pain in the young gymnast. Am J Sports Med 24:9–14
DiFiori JP, Puffer JC, Mandelbaum BR et al (1997) Distal radial growth plate injury and positive ulnar variance in nonelite gymnasts. Am J Sports Med 25:763–768
DiFiori JP, Puffer JC, Aish B et al (2002a) Wrist pain in young gymnasts: frequency and effects upon training over 1 year. Clin J Sport Med 12:348–353
DiFiori JP, Puffer JC, Aish B et al (2002b) Wrist pain, distal radial physeal injury, and ulnar variance in young gymnasts: does a relationship exist? Am J Sports Med 30:879–885
DiFiori JP, Caine DJ, Malina RM (2006) Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast. Am J Sports Med 34:840–849
Du Toit P, Sole G, Bowerbank P et al (1999) Incidence and causes of tenosynovitis of the wrist extensors in long distance canoeists. Br J Sports Med 33:105–109
Dwek JR, Cardoso F, Chung CB (2009) MR imaging of overuse injuries in the skeletally immature gymnast: a spectrum of soft-tissue and osseous lesions in the hand and wrist. Pediatr Radiol 39:1310–1316
Egawa M, Asai T (1983) Fractures of the hook of the hamate: report of six cases and the suitability of computerised tomography. J Hand Surg Am 8:393
Ek ET, Suh N, Weiland AJ (2013) Hand wrist injuries in golf. J Hand Surg Am 38:2029–2033
Ellis JA, Kierulf JC, Klassen TP (1995) Injuries associated with in-line skating from the Canadian hospitals injury reporting and prevention program database. Can J Public Health 86:133–136
Ellsasser JC, Stein AH (1979) Management of hand injuries in a professional football team. Review of 15 years of experience with one team. Am J Sports Med 7:178–182
Fernandez-Fernandez J, Ellenbecker T, Sanz-Rivas D et al (2013) Effects of a 6-week junior tennis conditioning program on service velocity. J Sports Sci Med 12:232–239
Flynn JM, Lou JE, Ganley TJ (2002) Prevention of sports injuries in children. Curr Opin Pediatr 14:719–722
Forsman L, Eriksson A (2001) Skateboarding injuries of today. Br J Sports Med 35:325–328
Fountain JL, Meyers MC (1996) Skateboarding injuries. Sports Med 22:360–366
Geissler WB (2001) Carpal fractures in athletes. Clin Sports Med 20:167–188
Gilula LA (1979) Carpal injuries: analytic approach and case exercises. AJR 133:503–517
Gilula LA, Yin Y (1996) Imaging of the wrist. WB Saunders, Philadelphia London Toronto
Gosheger G, Liem D, Ludwig K et al (2003) Injuries and overuse syndromes in golf. Am J Sports Med 31:438–443
Halikis MN, Taleisnik J (1996) Soft-tissue injuries of the wrist. Clin Sports Med 15:235–259
Hart E, Meehan WP 3rd, Bae DS et al (2018) The young injured gymnast: a literature review and discussion. Curr Sports Med Rep 17:366–375
Hassan I, Dorani BJ (2001) Sports related fractures in children in north East England. Emerg Med J 18:167–171
Howse C (1994) Wrist injuries in sport. Sports Med 17:163–175
Israeli A, Engel J, Ganel A (1982) Possible fatigue fracture of the pisiform bone in volleyball players. Int J Sports Med 3:56–57
Jacobsen JA (1999) Musculoskeletal sonography and MR imaging. A role for both imaging methods. Radiol Clin N Am 37:713–735
Jacobson JA, Miller BS, Morag Y (2005) Golf and racquet sports injuries. Semin Musculoskeletal Radiol 9:346–359
Jerosch J, Heck C (2005) Injury patterns and prophylaxis in inline skating. Orthopade 34:441–447
Kim DK, Kim BS, Kim MJ et al (2017) Electrophysiologic and ultrasonographic assessment of carpal tunnel syndrome in wheelchair basketball athletes. Ann Rehabil Med 41:58–65
Kox LS, Kuijer PP, Kerkhoffs GM et al (2015) Prevalence, incidence and risk factors for overuse injuries of the wrist in young athletes: a systematic review. Br J Sports Med 49:1189–1196
Kraan RBJ, Kox LS, Mens MA et al (2019) Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker? Eur Radiol 29:6364–6371
Kumar S, O’Coonor A, Despois M, Galloway H (2005) Use of early magnetic resonance imaging in the diagnosis of occult scaphoid fractures: the CAST study (Canberra Area Scaphoid Trial). N Z Med J 118:U1296
Kyle SB, Nance ML, Rutherford GW Jr et al (2002) Skateboard-associated injuries: participation-based estimates and injury characteristics. J Trauma 53:686–690
Lichtman DM, Alexander AH (1997) The wrist and its disorders. WB Saunders, Philadelphia
Lilley J, Halikis M, Taleisnik J (2000) Fractures of the carpal bones. In: Weinzweig J (ed) Hand and wrist surgery secrets. Hanley and Blefus, Philadelphia, pp 197–203
Lindner KJ, Caine DJ (1990) Injury patterns of female competitive club gymnasts. Can J Sport Sci 15:254–261
Linscheid RL, Dobyns JH, Beabout JW (1972) Traumatic instability of the wrist. Diagnosis, classification, and pathomechanics. J Bone Joint Surg Am 54:1612–1632
Lorei MP, Hershman EB (1993) Peripheral nerve injuries in athletes. Treatment and prevention. Sports Med 16:130–147
Lund SS, Myklebust G (2011) High incidence in TeamGym competition: a prospective cohort study. Scand J Med Sci Sports 21:439–444
Lyons RA, Delahunty AM, Kraus D et al (1999) Children’s fractures: a population based study. Inj Prev 5:129–132
MacGregor DM (2003) Don’t save the ball! Br J Sports Med 37:351–353
Made C, Elmqvist LG (2004) A 10-year study of snowboard injuries in Lapland Sweden. Scand J Med Sci Sports 14:128–133
Maffuli N, Bundoc RC, Chan KM et al (1996) Paediatric sports injuries in Hong Kong: a seven year survey. Br J Sports Med 30:218–221
Mandelbaum BR, Bartolozzi AR, Davis CA et al (1989) Wrist pain syndrome in the gymnast. Pathogenetic, diagnostic, and therapeutic considerations. Am J Sports Med 17:305–317
Masciocchi C, Catalucci A, Barile A et al (2001) Trauma of the hand and wrist. In: Guglielmi G, Van Kuijk C, Genant HK (eds) Fundamentals of hand and wrist imaging. Springer, Berlin Heidelberg New York, pp 97–421
Matsumoto K, Miyamoto K, Sumi H et al (2002) Upper extremity injuries in snowboarding and skiing: a comparative study. Clin J Sport Med 12:354–359
Matsumoto K, Sumi H, Sumi Y et al (2004) Wrist fractures from snowboarding: a prospective study for 3 seasons from 1998 to 2001. Clin J Sport Med 14:64–71
McCarroll JR (1986) Golf: common injuries from a supposedly benign activity. J Musculoskelet Med 3:9–16
McCarroll JR (1996) The frequency of golf injuries. Clin Sports Med 15:1–7
Mellion MB (1991) Common cycling injuries. Management and prevention. Sports Med 11:52–70
Melone CP Jr, Polatsch DB, Flink G et al (2012) Scapholunate interosseous ligament disruption in professional basketball players: treatment by direct repair and dorsal ligamentoplasty. Hand Clin 28:253–260
Meyer MC, Sterling JC, Souryal TO (2003) Radiographic findings of the upper extremity in collegiate rodeo athletes. Med Sci Sports Exerc 35:543–547
Moraux A, Lefebvre G, Pansini V et al (2014) Pisotriquetral joint disorders: an underrecognized cause of ulnar side wrist pain. Skelet Radiol 43:761–773
Morgan WJ, Slowman LS (2001) Acute hand and wrist injuries in the athlete require individualized management, depending on athlete’s age, sport, and level of competition. J Am Acad Orthop Surg 9:389–400
Moss PS, Wan A, Whitlock MR (2002) A changing pattern of injuries to horse riders. Emerg Med J 19:412–414
Mulder S, Hutten A (2002) Injuries associated with inline skating in the European region. Accid Anal Prev 34:65–70
Murray PM, Cooney WP (1996) Golf-induced injuries of the wrist. Clin Sports Med 15:85–109
Nguyen D, Letts M (2001) In-line skating injuries in children: a 10-year review. J Pediatr Orthop 21:613–618
Nuber GW, Assenmacher J, Bowen MK (1998) Neurovascular problems in the forearm, wrist, and hand. Clin Sports Med 17:585–610
O’Neill DF (2003) Wrist injuries in guarded versus unguarded first time snowboarders. Clin Orthop Relat Res 409:91–95
Orenstein JB (1996) Injuries and small-wheel skates. Ann Emerg Med 27:204–209
Osterman AL, Moskow L, Low DW (1988) Soft-tissue injuries of the hand and wrist in racquet sports. Clin Sports Med 7:329–348
Palmer AK (1989) Triangular fibrocartilage lesions: a classification. J Hand Surg Am 14:594–606
Pang EQ, Yao J (2017) Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU). Curr Rev Musculoskelet Med 19:53–61
Peh WCG, Gilula LA (1996) Normal disruption of carpal arcs. J Hand Surg Am 21:561–566
Peh WCG, Gilula LA, Wilson AJ (1996) Detection of occult wrist fractures by magnetic resonance imaging. Clin Radiol 51:285–292
Potter HG, Asnis-Ernberg L, Weiland AJ et al (1997) The utility of high-resolution magnetic resonance imaging in the evaluation of the triangular fibrocartilage complex of the wrist. J Bone Joint Surg Am 79:1675–1684
Pulos N, Kakar S (2018) Hand and wrist injuries: common problems and solutions. Clin Sports Med 37:217–243
Raab DJ, Fischer DA, Quick DC (1994) Lunate and perilunate dislocations in professional football players. A five-year retrospective analysis. Am J Sports Med 22:841–845
Rettig AC (1990) Neurovascular injuries in the wrists and hands of athletes. Clin Sports Med 9:389–417
Rettig AC (1994) Wrist problems in the tennis player. Med Sci Sports Exerc 26:1207–1212
Rettig AC (1998) Elbow, forearm and wrist injuries in the athlete. Sports Med 25:115–130
Rettig AC (2003) Athletic injuries of the wrist and hand: part 1—traumatic injuries of the wrist. Am J Sports Med 31:1038–1048
Richmond DR (1994) Handlebar problems in bicycling. Clin Sports Med 13:165–173
Rossi C, Cellocco P, Margaritondo E et al (2005) De Quervain’s disease in volleyball players. Am J Sports Med 33:424–427
Roy S, Caine D, Singer KM (1985) Stress changes of the distal radial epiphysis in young gymnasts. A report of twenty-one cases and a review of the literature. Am J Sports Med 13:301–308
Rumball JS, Lebrun CM, Di Ciacca SR et al (2005) Rowing injuries. Sports Med 35:537–555
Saito T, Sterbenz JM, Chung KC (2017) Chronological and geographic trends of TFCC repair. Hand Clin 33:593–605
Schapiro AH, Lall NU, Anton CG et al (2017) Hoverboards: spectrum of injury and association with an uncommon fracture. Pediatr Radiol 47:437–441
Scheck RJ, Kubitzek C, Hierner R et al (1997) The scapholunate interosseous ligament in MR arthrography of the wrist: correlation with nonenhanced MRI and wrist arthroscopy. Skelet Radiol 26:263–271
Schieber RA, Branche-Dorsey CM, Ryan GW (1994) Comparison of in-line skating injuries with roller-skating and skateboarding injuries. JAMA 15:1856–1858
Schlegel TF, Boublik M, Ho CP et al (1999) Role of MR imaging in the management of injuries in professional football players. Magn Reson Imaging Clin N Am 7:175–190
Schmid MR, Schertler T, Pfirrmann CW et al (2005) Interosseous ligament tears of the wrist: comparison of multi-detector row CT arthrography and MR imaging. Radiology 237:1008–1013
Shih C, Chang CY, Penn IW et al (1995) Chronically stressed wrists in adolescent gymnasts: MR imaging appearance. Radiology 195:855–859
Smoljanovic T, Bohacek I, Hannafin J et al (2018) Sports injuries in international masters rowers: a cross sectional study. Croat Med J 59:258–266
Taylor BL, Attia MW (2000) Sports-related injuries in children. Acad Emerg Med 7:1376–1382
Tehranzadeh J, Labosky DA (1984) Detection of intra-articular loose osteochondral fragments by double-contrast wrist arthrography. A case report of a basketball injury. Am J Sports Med 12:77–79
Theriault G, Lachance P (1998) Golf injuries. An overview. Sports Med 26:43–57
Thornton JS, Vinther A, Wilson F et al (2017) Rowing injuries: an updated review. Sports Med 47:641–661
Tischler BT, Diaz LE, Murakami AM et al (2014) Scapholunate advanced collapse: a pictorial review. Insights Imaging 5:407–417
Tolat AR, Sanderson PL, De Smet L et al (1992) The gymnast’s wrist: acquired positive ulnar variance following chronic epiphyseal injury. J Hand Surg Br 17:678–681
Webb BG, Rettig LA (2008) Gymnastic wrist injuries. Curr Sports Med Rep 7:289–295
Wechsler RJ, Wehbe MA, Rifkin MD et al (1987) Computed tomography diagnosis of distal radioulnar subluxation. Skelet Radiol 25:1–5
Weinstein SM, Herring SA (1992) Nerve problems and compartment syndromes in the hand, wrists, and forearm. Clin Sports Med 11:161–188
Weiss LE, Taras JS, Sweet S et al (2000) Lunotriquetral injuries in the athlete. Hand Clin 16:433–438
Westermann RW, Giblin M, Vaske A et al (2015) Evaluation of men’s and women’s gymnastics injuries: a 10-year observational study. Sports Health 7:161–165
Wiesler ER, Lumsden B (2005) Golf injuries of the upper extremity. J Surg Orthop Adv 14:1–7
Wolf MR, Avery D, Wolf JM (2017) Upper extremity injuries in gymnasts. Hand Clin 33:187–197
Yamagiwa T, Fuijoka H, Okuno H et al (2009) Surgical treatment of stress fracture of the scaphoid of an adolescent gymnast. J Sports Sci Med 8:702–704
Young CC, Seth A, Mark DH (1998) In-line skating: use of protective equipment, falling patterns, and injuries. Clin J Sport Med 8:111–114
Zalavras C, Nikolopoulou G, Essin D et al (2005) Pediatric fractures during skateboarding, roller skating, and scooter riding. Am J Sports Med 33:568–573
Zlatkin MB, Rosner J (2004) MR imaging of ligaments and triangular fibrocartilage complex of the wrist. Magn Reson Imaging Clin N Am 12:301–331
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Chin, T.Y., Peh, W.C.G., Galloway, H.R. (2020). Imaging of Wrist Injuries. In: Vanhoenacker, F.M., Maas, M., Gielen, J.L. (eds) Imaging of Orthopedic Sports Injuries. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2020_242
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