Abstract:
Hand injuries from surfing tend to be severe and require medical attention. Follow-up of a surfing injury is difficult because many patients are visiting and go home after treatment. We report a case of a surfing hand injury sustained abroad, which was treated upon the patient\'s return, allowing for follow-up. The mechanism of injury was traction and torsion from the surfboard leash while surfing. The patient was initially treated for nailbed injury but presented later back home after persistent pain, for which an unstable distal phalanx fracture in their right ring finger was found by x-ray. This was surgically reduced with K-wire insertion and nailbed repair. Postoperatively, the injured finger was kept in a splint, and the patient had physiotherapy. Pain was significantly reduced, and the patient regained sufficient function. Considering a fracture as a differential for finger injury caused by the surfboard leash may prevent management delays. Injury may be prevented through education and redesign of the surfboard leash.
摘要:
冲浪造成的手部受伤往往很严重,需要医疗护理。冲浪损伤的后续行动很困难,因为许多患者在治疗后正在探望并回家。我们报告了一例在国外冲浪手受伤的病例,在病人返回后得到治疗,允许后续行动。受伤的机制是冲浪时冲浪板皮带的牵引和扭转。该患者最初接受了钉床损伤的治疗,但后来在持续疼痛后回到家中,X线检查发现右无名指远端指骨骨折不稳定。通过插入K线和钉床修复手术减少了这种情况。术后,受伤的手指被夹在夹板上,病人接受了物理治疗。疼痛明显减轻,患者恢复了足够的功能。将骨折视为由冲浪板皮带引起的手指受伤的差异,可以防止管理延误。可以通过教育和重新设计冲浪板皮带来防止伤害。