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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Progression of Hamate Hook Stress Reactions in Elite Baseball Players
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Progression of Hamate Hook Stress Reactions in Elite Baseball Players

机译：精英棒球运动员Hamate Hook压力反应的进展

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Background: Hamate hook fractures can occur as a result of repetitive contact with the knob of the bat used in the sport of baseball. Hamate hook excision has resulted in excellent outcomes and return to sport (RTS) in elite baseball players. The ideal treatment for hamate stress response before the development of a fracture line is unknown. Purpose: To report the outcomes of elite baseball players with hamate bone edema. Study Design: Case series; Level of evidence, 4. Methods: We reviewed the medical records of all elite baseball players with hamate bone edema consistent with a stress response at 2 institutions. Players were eligible for inclusion if they played collegiate or professional baseball at the time of initial injury, had magnetic resonance imaging (MRI) showing hamate bone edema, and had no radiographic evidence of acute fracture lines at initial presentation. Results: A total of 4 players with a mean age of 22.8 years were included. All injuries occurred in the nondominant hand. All athletes had normal initial wrist radiographs and MRI showing hamate edema but no fracture line. Patients returned to play as tolerated and developed an acute injury at an average of 25.8 days (range, 10-56 days) from the initial presentation. Repeat radiographs demonstrated acute hamate hook fractures in all 4 (100%) athletes. All 4 athletes underwent hamate hook excision. There were no postoperative complications. All athletes returned to sport at their previous level of competition at a mean of 5.3 weeks (range, 3.6-7.3 weeks). Conclusion: There is a high rate of hamate bone edema progression to acute hamate hook fracture in elite baseball players, with 100% RTS at preinjury level after hamate hook excision. We therefore recommend against prolonged rest. Continuation of play with hamate bone edema followed by hamate hook excision for acute fracture limits the time missed and obtains a faster RTS in elite baseball players.
机译：背景：由于与棒球运动中使用的蝙蝠旋钮的重复接触，可以发生哈马特钩骨折。 Hamate Hook Excionion导致了优秀的结果，并在精英棒球运动员中返回运动（RTS）。在裂缝线的发展之前，哈马特应激反应的理想治疗是未知的。目的：报告用哈马特骨水肿的精英棒球运动员的结果。研究设计：案例系列;证据水平，4.方法：我们审查了所有精英棒球运动员的医疗记录，其中哈马特骨水肿符合2个机构的压力反应。如果他们在初始损伤时播放大学或专业棒球，玩家有资格包含，并且具有磁共振成像（MRI），显示Hamate Bone水肿，并且在初始介绍中没有急性骨折线的放射线表明。结果：共有4名均为22.8岁年满228岁的球员。所有伤害都发生在非常牙手中。所有运动员都有正常的初始手腕射线照片和MRI，显示Hamate水肿，但没有骨折线。患者以初始介绍，平均每平均发挥耐受性并开发急性损伤，平均25.8天（范围，10-56天）。重复射线照片在所有4（100％）运动员中展示了急性Hamate钩骨折。所有4名运动员都接受了HOBATE HOOK CEXISION。没有术后并发症。所有运动员的所有运动员都以前的竞争水平归还5.3周（范围，3.6-7.3周）。结论：在精英棒球运动员中，Hamate骨水肿进展急性Hamate钩部骨折，在Hamate Hook Excisioner后在Preinjury水平上有100％RTS。因此，我们建议延长休息。继续与Hamate Bone Dema一起玩，然后是Hamate Hook切除急性骨折限制，在精英棒球运动员中错过并获得了更快的RTS。

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