Combined joint fusion for index and middle carpometacarpal instability in elite boxers

Nazarian, N., Page, R. S., Hoy, G. A., Hayton, M. J. and Loosemore, M. 2014, Combined joint fusion for index and middle carpometacarpal instability in elite boxers, Journal of hand surgery (European volume), vol. 39, no. 3, pp. 242-248, doi: 10.1177/1753193413487469.

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Title Combined joint fusion for index and middle carpometacarpal instability in elite boxers
Author(s) Nazarian, N.
Page, R. S.ORCID iD for Page, R. S.
Hoy, G. A.
Hayton, M. J.
Loosemore, M.
Journal name Journal of hand surgery (European volume)
Volume number 39
Issue number 3
Start page 242
End page 248
Total pages 7
Publisher SAGE Publications
Place of publication London, England
Publication date 2014
ISSN 1753-1934
Keyword(s) Carpometacarpal joint
Sports trauma
Summary Isolated instability of the index and middle finger carpometacarpal joints is uncommon. An unpublished injury pattern in a consecutive series of 13 elite boxers is described, with mid-term radiological and functional results of two novel surgical treatments. All the boxers (from Australia and the UK) were unable to compete owing to pain and weakness. Four boxers were managed initially by open reduction and temporary K-wire fixation. Nine boxers underwent primary carpometacarpal arthrodesis. All were able to return to their previous level of competition. One boxer who had undergone a soft tissue reconstruction competed at international level but required an arthrodesis because of recurrent symptoms. In elite boxers, simple reduction and wiring may be appropriate for an acute injury causing index or middle finger carpometacarpal joint instability, however, arthrodesis is the treatment of choice when instability and degenerative changes are present.

Language eng
DOI 10.1177/1753193413487469
Field of Research 110314 Orthopaedics
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, SAGE Publications
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Document type: Journal Article
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School of Medicine
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