Skip to main content
Top
Published in: Current Reviews in Musculoskeletal Medicine 2/2019

01-06-2019 | Ulnar Impaction Syndrome | Injuries in Overhead Athletes (J Dines and C Camp, Section Editors)

Hand and Wrist Injuries in Tennis Players

Authors: Joseph A. Gil, Sanjeev Kakar

Published in: Current Reviews in Musculoskeletal Medicine | Issue 2/2019

Login to get access

Abstract

Purpose of Review

The purpose of this article is to review common hand and wrist injuries experienced by tennis players.

Recent Findings

A myriad of different wrist pathologies can be seen in tennis players ranging from metacarpal and carpal stress fractures to triangular fibrocartilage injuries and ulnar impaction. These vary depending upon the nature of the player, stroke mechanics, and time point within the season.

Summary

A broad differential should guide work-up and management of wrist pain in tennis players.
Literature
21.
go back to reference •• Sole JS, Wisniewski SJ, Newcomer KL, Maida E, Smith J. Sonographic evaluation of the extensor carpi ulnaris in asymptomatic tennis players. PM&R. 2015;7(3):255–63. https://doi.org/10.1016/j.pmrj.2014.08.951. This article emphasizes that the evaluation of patients with ulnar wrist pain must be guided by physical examination because tests are sometimes overly sensitive and pick up abnormalities in normal wrists. CrossRef •• Sole JS, Wisniewski SJ, Newcomer KL, Maida E, Smith J. Sonographic evaluation of the extensor carpi ulnaris in asymptomatic tennis players. PM&R. 2015;7(3):255–63. https://​doi.​org/​10.​1016/​j.​pmrj.​2014.​08.​951. This article emphasizes that the evaluation of patients with ulnar wrist pain must be guided by physical examination because tests are sometimes overly sensitive and pick up abnormalities in normal wrists. CrossRef
22.
24.
27.
go back to reference •• Skalski, MR WEA, Patel DB, Schein AJ, RiveraMelo H, Matcuk GR. The traumatized TFCC: an illustrated review of the anatomy and injury patterns of the triangular fibrocartilage complex. Curr Probl Diagn Radiol. 2016;45(1):39–50. https://doi.org/10.1067/j.cpradiol.2015.05.004 . This article highlights the complexity of the TFCC, which is a common site of injury in tennis players. CrossRefPubMed •• Skalski, MR WEA, Patel DB, Schein AJ, RiveraMelo H, Matcuk GR. The traumatized TFCC: an illustrated review of the anatomy and injury patterns of the triangular fibrocartilage complex. Curr Probl Diagn Radiol. 2016;45(1):39–50. https://​doi.​org/​10.​1067/​j.​cpradiol.​2015.​05.​004 . This article highlights the complexity of the TFCC, which is a common site of injury in tennis players. CrossRefPubMed
29.
go back to reference • Hyatt BT, Rhee PC. Longitudinal split tears of the ulnotriquetral ligament. Oper Tech Sports Med. 2016;24(2):126–30. https://doi.org/10.1053/J.OTSM.2016.01.004. This article brings attention to a diagnosis that is often overlooked in athletes—partly because the examiner is not aware of this as a possible source of ulnar wrist pain and it is often not readily apparent on advanced imaging. CrossRef • Hyatt BT, Rhee PC. Longitudinal split tears of the ulnotriquetral ligament. Oper Tech Sports Med. 2016;24(2):126–30. https://​doi.​org/​10.​1053/​J.​OTSM.​2016.​01.​004. This article brings attention to a diagnosis that is often overlooked in athletes—partly because the examiner is not aware of this as a possible source of ulnar wrist pain and it is often not readily apparent on advanced imaging. CrossRef
34.
go back to reference •• Kirchberger MC, Unglaub F, Mühldorfer-Fodor M, et al. Update TFCC: histology and pathology, classification, examination and diagnostics. Arch Orthop Trauma Surg. 2015;135(3):427–37. https://doi.org/10.1007/s00402-015-2153-6. The article highlights the complexity of the TFCC, which is a common site of injury in tennis players. CrossRefPubMed •• Kirchberger MC, Unglaub F, Mühldorfer-Fodor M, et al. Update TFCC: histology and pathology, classification, examination and diagnostics. Arch Orthop Trauma Surg. 2015;135(3):427–37. https://​doi.​org/​10.​1007/​s00402-015-2153-6. The article highlights the complexity of the TFCC, which is a common site of injury in tennis players. CrossRefPubMed
45.
go back to reference • França Bisneto E de N. Dynamic ulnar impaction syndrome in tennis players: report of two cases. Rev Bras Ortop. 2017;52(5):621–4. https://doi.org/10.1016/j.rboe.2017.08.003. This areticle brings attention to the fact that ulnar impaction could be missed with imaging modalities that do not account for the dynamic nature of this pathology. CrossRef • França Bisneto E de N. Dynamic ulnar impaction syndrome in tennis players: report of two cases. Rev Bras Ortop. 2017;52(5):621–4. https://​doi.​org/​10.​1016/​j.​rboe.​2017.​08.​003. This areticle brings attention to the fact that ulnar impaction could be missed with imaging modalities that do not account for the dynamic nature of this pathology. CrossRef
46.
go back to reference •• Stockton DJ, Pelletier M-E, Pike JM. Operative treatment of ulnar impaction syndrome: a systematic review. J Hand Surg Eur Vol. 2015;40(5):470–6. https://doi.org/10.1177/1753193414541749. This article reports the outcomes of procedures used to take care of ulnar impaction. Therefore, it helps the clinician counsel the patient regarding the optimal intervention for ulnar impaction syndrome. CrossRefPubMed •• Stockton DJ, Pelletier M-E, Pike JM. Operative treatment of ulnar impaction syndrome: a systematic review. J Hand Surg Eur Vol. 2015;40(5):470–6. https://​doi.​org/​10.​1177/​1753193414541749​. This article reports the outcomes of procedures used to take care of ulnar impaction. Therefore, it helps the clinician counsel the patient regarding the optimal intervention for ulnar impaction syndrome. CrossRefPubMed
47.
go back to reference • Josipovic M, Bozic D, Bohacek I, Smoljanovic T, Bojanic I. Hamate hook nonunion initially mistaken for ulnar nerve compression: a case report with review of literature. Wien Klin Wochenschr. 2017;129(3–4):136–40. https://doi.org/10.1007/s00508-016-1114-6. This article reminds the clinician of the significance of routinely obtaining standard wrist radiographs to rule out osseous etiology of the patients pain. CrossRefPubMed • Josipovic M, Bozic D, Bohacek I, Smoljanovic T, Bojanic I. Hamate hook nonunion initially mistaken for ulnar nerve compression: a case report with review of literature. Wien Klin Wochenschr. 2017;129(3–4):136–40. https://​doi.​org/​10.​1007/​s00508-016-1114-6. This article reminds the clinician of the significance of routinely obtaining standard wrist radiographs to rule out osseous etiology of the patients pain. CrossRefPubMed
49.
go back to reference • Lutter C, Schweizer A, Hochholzer T, Bayer T, Schöffl V. Pulling harder than the hamate tolerates: evaluation of hamate injuries in rock climbing and bouldering. Wilderness Environ Med. 2016;27(4):492–9. https://doi.org/10.1016/j.wem.2016.09.003. This article reminds the clinician of the significance of routinely obtaining standard wrist radiographs to rule out osseous etiology of the patients pain. CrossRefPubMed • Lutter C, Schweizer A, Hochholzer T, Bayer T, Schöffl V. Pulling harder than the hamate tolerates: evaluation of hamate injuries in rock climbing and bouldering. Wilderness Environ Med. 2016;27(4):492–9. https://​doi.​org/​10.​1016/​j.​wem.​2016.​09.​003. This article reminds the clinician of the significance of routinely obtaining standard wrist radiographs to rule out osseous etiology of the patients pain. CrossRefPubMed
50.
go back to reference • Kadar A, Bishop AT, Suchyta MA, Moran SL. Diagnosis and management of hook of hamate fractures. J Hand Surg Eur Vol. 2018;43(5):539–45. https://doi.org/10.1177/1753193417729603. This article reminds the clinician of the significance of routinely obtaining standard wrist radiographs to rule out osseous etiology of the patients pain. CrossRefPubMed • Kadar A, Bishop AT, Suchyta MA, Moran SL. Diagnosis and management of hook of hamate fractures. J Hand Surg Eur Vol. 2018;43(5):539–45. https://​doi.​org/​10.​1177/​1753193417729603​. This article reminds the clinician of the significance of routinely obtaining standard wrist radiographs to rule out osseous etiology of the patients pain. CrossRefPubMed
52.
go back to reference • Nam YS, Doh G, Hong KY, Lim S, Eo S. Anatomical study of the first dorsal extensor compartment for the treatment of de Quervain’s disease. Ann Anat. 2018;218:250–5. https://doi.org/10.1016/j.aanat.2018.04.007. This article described the compartmentalization of the first dorsal compartment. If an injection or surgery neglects to address all compartments, the intervention may fail. CrossRefPubMed • Nam YS, Doh G, Hong KY, Lim S, Eo S. Anatomical study of the first dorsal extensor compartment for the treatment of de Quervain’s disease. Ann Anat. 2018;218:250–5. https://​doi.​org/​10.​1016/​j.​aanat.​2018.​04.​007. This article described the compartmentalization of the first dorsal compartment. If an injection or surgery neglects to address all compartments, the intervention may fail. CrossRefPubMed
55.
go back to reference FINKELSTEIN H. Stenosing Tendovaginitis at the radial styloid process. J Bone Jt Surg. 1930;12(3):509–40. FINKELSTEIN H. Stenosing Tendovaginitis at the radial styloid process. J Bone Jt Surg. 1930;12(3):509–40.
56.
go back to reference •• Chang CY, Kheterpal AB, Vicentini JRT, Huang AJ. Variations of anatomy on MRI of the first extensor compartment of the wrist and association with DeQuervain tenosynovitis. Skelet Radiol. 2017;46(8):1047–56. https://doi.org/10.1007/s00256-017-2639-0. This article describes the compartmentalization of the first dorsal compartment. If an injection or surgery neglects to address all compartments, the intervention may fail. CrossRef •• Chang CY, Kheterpal AB, Vicentini JRT, Huang AJ. Variations of anatomy on MRI of the first extensor compartment of the wrist and association with DeQuervain tenosynovitis. Skelet Radiol. 2017;46(8):1047–56. https://​doi.​org/​10.​1007/​s00256-017-2639-0. This article describes the compartmentalization of the first dorsal compartment. If an injection or surgery neglects to address all compartments, the intervention may fail. CrossRef
57.
go back to reference •• Kutsikovich J, Merrell G. Accuracy of injection into the first dorsal compartment: a cadaveric ultrasound study. J Hand Surg Am. 2018. https://doi.org/10.1016/j.jhsa.2018.01.020. This article described the compartmentalization of the first dorsal compartment. If an injection or surgery neglects to address all compartments, the intervention may fail. •• Kutsikovich J, Merrell G. Accuracy of injection into the first dorsal compartment: a cadaveric ultrasound study. J Hand Surg Am. 2018. https://​doi.​org/​10.​1016/​j.​jhsa.​2018.​01.​020. This article described the compartmentalization of the first dorsal compartment. If an injection or surgery neglects to address all compartments, the intervention may fail.
Metadata
Title
Hand and Wrist Injuries in Tennis Players
Authors
Joseph A. Gil
Sanjeev Kakar
Publication date
01-06-2019
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 2/2019
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-019-09550-w

Other articles of this Issue 2/2019

Current Reviews in Musculoskeletal Medicine 2/2019 Go to the issue

Outcomes Research in Orthopedics (O Ayeni, Section Editor)

The Hip Labrum Reconstruction: Indications and Outcomes—an Updated Systematic Review

Pediatric Orthopedics (B Heyworth, Section Editor)

Outcomes of Meniscus Repair in Children and Adolescents

Distal Radius and Wrist Fractures (E Shin, Section Editor)

Fragment-Specific Fixation in Distal Radius Fractures