tailieunhanh - Chấn thương cổ tay cấp tính

Bàn tay và cổ tay chấn thương cấp tính ở các vận động viên tạo thành một thách thức chỉnh hình độc đáo. Bởi vì các nhu cầu đặc biệt về các vận động viên (ví dụ, những tác động tài chính, huấn luyện và quản lý áp lực, các vấn đề về lòng tự trọng), một phương pháp tiếp cận quản lý chuyên ngành thường là cần thiết. | Acute Hand and Wrist Injuries in Athletes Evaluation and Management William J. Morgan MD and Lisa Schulz Slowman OTR L CHT Abstract Acute hand and wrist injuries in the athlete constitute a unique orthopaedic challenge. Because of the particular demands on the athlete . financial implications coaching and administration pressures self-esteem issues a specialized management approach is often necessary. Common sites of injury include the ulnar collateral ligament of the thumb metacarpophalangeal joint proximal interphalangeal joint metacarpals and phalanges scaphoid hamate and distal radius. Treatment of these injuries varies depending on the patient s age sport position played and level of competition but departures from standard practice as regards surgery rehabilitation and return to competition should never compromise care. J Am Acad Orthop Surg 2001 9 389-400 Acute athletic injuries of the wrist and hand occur frequently and with variable presentations. Because these injuries are often sportspecific management requires an understanding of the sport and position played the competitive level of the athlete and future athletic requirements and expectations as well as the role of rehabilitation and the use of protective devices for return to competition. Furthermore there are unique philosophical issues inherent in the treatment of high-performance athletes that must be considered. Philosophy of Treatment The significance of acute upperextremity injuries in the athlete is often minimized by the athlete coaches and treating physicians leading to inadequate treatment and compromise of long-term outcome. A number of intercurrent factors may have to be addressed when treating acute injuries in athletes. There may be financial implications as well related to scholarship status for high school and college athletes and related to performance and compensation for professional athletes. In addition performance expectations by agents coaches trainers teammates parents fans