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Review
. 2020 Apr 28:11:93-103.
doi: 10.2147/OAJSM.S246414. eCollection 2020.

Evaluation and Management of Hand, Wrist and Elbow Injuries in Ice Hockey

Liana J Tedesco  1 , Hasani W Swindell  1 , Forrest L Anderson  1 , Eugene Jang  1 , Tony T Wong  2 , Jonathan K Kazam  2 , R Kumar Kadiyala  3 , Charles A Popkin  1
Affiliations
Review

Evaluation and Management of Hand, Wrist and Elbow Injuries in Ice Hockey

Liana J Tedesco et al. Open Access J Sports Med. .

Abstract

Ice hockey continues to be a popular, fast-paced, contact sport enjoyed internationally. Due to the physicality of the game, players are at a higher risk of injury. In the 2010 Winter Olympics, men's ice hockey had the highest injury rate compared to any other sport. In this review, we present a comprehensive analysis of evaluation and management strategies of common hand, wrist, and elbow injuries in ice hockey players. Future reseach focusing on the incidence and outcomes of these hand, wrist and elbow injuries in ice hockey players is warranted.

Keywords: Os styloideum; dorsal ulnotriquetral ligament; gamekeeper’s thumb; ice hockey; olecranon bursitis.

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Conflict of interest statement

Charles A Popkin, MD is a member of the USA Hockey Safety and Protective Equipment Committee and team physician for USA Hockey. Dr. Popkin also reports educational and travel support from Arthrex and educational support from Smith and Nephew outside the submitted work. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
MRI image of Olecranon bursitis on sagittal view. Note: Courtesy of Dr. Marc Brown, Columbia University, New York, NY.
Figure 2
Figure 2
Coronal MRI image of ulnar collateral ligament tear of the elbow. Note: The orange arrow shows the location of the midsubstance tear in this player.
Figure 3
Figure 3
Axial cut of CT of hand. Note: Orange arrow denotes a transverse hook of the hamate fracture.
Figure 4
Figure 4
Coronal and Sagittal MRI images of the wrist. Note: White arrows point to the incongruous TFCC.
Figure 5
Figure 5
Coronal and sagittal MRI images of the wrist. Note: The orange arrow and white triangle show increased signal, consistent with dorsal ulnotriquetral ligament injury.
Figure 6
Figure 6
MRI image of thumb with orange arrow showing the avulsion fracture and white triangles indicating the Stener lesion.
Figure 7
Figure 7
Coronal CT image of hand. Note: Black arrow shows nondisplaced scaphoid fracture.
Figure 8
Figure 8
Sagittal and axial MRI images of the hand with white arrows show os stylodieum. Note: Greditzer et al, Sports Health, Volume 9, Issue 5, page 5. © 2017. Reprinted by Permission of SAGE Publications, Inc.
Figure 9
Figure 9
Posteroanterior radiograph of the hand. Note: Yellow arrows denote oblique, midshaft metacarpal fractures.
See this image and copyright information in PMC

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