Abstract：
UNASSIGNED: Stress fractures in general are common injuries; however, there is limited literature on metacarpal stress fractures in athletes. Our objective is to contribute the first systematic review of metacarpal stress fractures in athletes, with a particular focus on epidemiology, presentation, and outcomes.
UNASSIGNED: A systematic review regarding metacarpal stress fractures in athletes was performed via PubMed, EMBASE, MedLine, Cochrane, and Web of Science. Inclusion criteria consisted of case reports and case series of metacarpal stress fractures in athletes. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed.
UNASSIGNED: A total of 11 studies (29 cases) were included. The mean patient age was 17 years, with 12 men and 15 women. The most common sports were tennis and badminton. The most common presentation was pain in the dorsal aspect of the hand related to activity. All patients underwent successful nonoperative management, with mean return to play of 9 weeks.
UNASSIGNED: Metacarpal stress fractures can present with significant pain and impact performance in athletes who perform sports involving repetitive movements of the hand and wrist. Nonoperative treatment, consisting of abstinence from sport until the patient was pain free combined with gradual return to play, was successful for all patients. The addition of proper technique and training load can result in satisfactory return to play. For patients who present with hand pain related to exercise, particularly a young racquet sport player, metacarpal stress fractures are a \"can\'t miss\" diagnosis associated with significant functional impairment.
UNASSIGNED: A systematic review regarding metacarpal stress fractures in athletes was performed via PubMed, EMBASE, MedLine, Cochrane, and Web of Science. Inclusion criteria consisted of case reports and case series of metacarpal stress fractures in athletes. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed.
UNASSIGNED: A total of 11 studies (29 cases) were included. The mean patient age was 17 years, with 12 men and 15 women. The most common sports were tennis and badminton. The most common presentation was pain in the dorsal aspect of the hand related to activity. All patients underwent successful nonoperative management, with mean return to play of 9 weeks.
UNASSIGNED: Metacarpal stress fractures can present with significant pain and impact performance in athletes who perform sports involving repetitive movements of the hand and wrist. Nonoperative treatment, consisting of abstinence from sport until the patient was pain free combined with gradual return to play, was successful for all patients. The addition of proper technique and training load can result in satisfactory return to play. For patients who present with hand pain related to exercise, particularly a young racquet sport player, metacarpal stress fractures are a \"can\'t miss\" diagnosis associated with significant functional impairment.
摘要：
■应力性骨折通常是常见的损伤；然而，关于运动员掌骨应力性骨折的文献有限。我们的目标是对运动员掌骨应力性骨折进行首次系统评价，特别关注流行病学，介绍,和结果。
■通过PubMed对运动员掌骨应力性骨折进行了系统评价，EMBASE,MedLine,科克伦,和WebofScience。纳入标准包括运动员掌骨应力性骨折的病例报告和病例系列。遵循系统审查和荟萃分析（PRISMA）指南的首选报告项目。
■共纳入11项研究（29例）。病人的平均年龄是17岁,有12个男人和15个女人。最常见的运动是网球和羽毛球。最常见的表现是与活动有关的手部背侧疼痛。所有患者都接受了成功的非手术治疗，平均返回9周。
■掌骨应力性骨折可在进行涉及手和手腕重复运动的运动的运动员中表现出明显的疼痛和冲击力。非手术治疗,包括对运动的禁欲，直到患者无痛为止，再加上逐渐恢复游戏，对所有患者都是成功的。添加适当的技术和训练负荷可以获得令人满意的比赛回报。对于出现与运动相关的手部疼痛的患者，特别是一个年轻的球拍运动运动员，掌骨应力性骨折是一种“不能错过”的诊断，与显著的功能障碍有关。
■通过PubMed对运动员掌骨应力性骨折进行了系统评价，EMBASE,MedLine,科克伦,和WebofScience。纳入标准包括运动员掌骨应力性骨折的病例报告和病例系列。遵循系统审查和荟萃分析（PRISMA）指南的首选报告项目。
■共纳入11项研究（29例）。病人的平均年龄是17岁,有12个男人和15个女人。最常见的运动是网球和羽毛球。最常见的表现是与活动有关的手部背侧疼痛。所有患者都接受了成功的非手术治疗，平均返回9周。
■掌骨应力性骨折可在进行涉及手和手腕重复运动的运动的运动员中表现出明显的疼痛和冲击力。非手术治疗,包括对运动的禁欲，直到患者无痛为止，再加上逐渐恢复游戏，对所有患者都是成功的。添加适当的技术和训练负荷可以获得令人满意的比赛回报。对于出现与运动相关的手部疼痛的患者，特别是一个年轻的球拍运动运动员，掌骨应力性骨折是一种“不能错过”的诊断，与显著的功能障碍有关。
