Racquet Sports and Climbing Injuries to the Finger and Thumb

Description

In this educational presentation, Mike Hayton from Wrightington Hospital discusses common injuries related to racquet sports and climbing, specifically focusing on hook of hamate and ECU (extensor carpi ulnaris) injuries. He outlines the mechanisms of injury, typical symptoms, and diagnostic approaches for these conditions. Hayton emphasizes the surgical approach for the hook of hamate, highlighting how athletes often require excision of the fragment due to high non-union rates, whereas non-athletes may benefit from conservative treatment like splinting.



He provides insight into ECU instability, discussing the ice cream scoop test and differentiating between types of ECU subsheath injuries, which can lead to tendon instability. The presentation transitions to pulley injuries in climbers, detailing how specific grip techniques can lead to significant tendon stress. Hayton outlines the clinical presentation and diagnostic methods for these injuries, including the use of ultrasound for bowstringing assessment.



In terms of treatment, he explains both conservative management and surgical options, including a technique utilizing extensor retinaculum for pulley reconstruction that aims to restore function while minimizing complications. Hayton includes post-operative recovery expectations and emphasizes the importance of rehabilitation tailored for climbers. The presentation concludes with a success story of an athlete returning to competition, underscoring effective management strategies for these challenging injuries.

DOI: 10.1302/3114-210737

Specialties