背景:在全球范围内,业余和专业参与运动和体育锻炼的普及程度越来越高,这反过来又增加了运动员受伤的数量和类型。确保这些损伤得到适当和有效的治疗对于运动员的康复和及时安全地恢复运动至关重要。
方法:范围审查,以绘制有关治疗的证据,手的结果和管理,手腕,手指,以及接触运动导致的专业/业余运动员的拇指受伤。搜索七个电子数据库;SPORTdiscus,CINAHL,Medline,Scopus,WebofScience,Embase和Cochrane图书馆和灰色文献于2024年1月进行。审查的报告与系统审查和Meta分析扩展的首选报告项目一致。使用归纳内容分析来检查数据,并使用关键评估技能计划来评估纳入研究的质量。
结果:八篇论文符合入选标准,出现了三个主题,涉及重返游戏/运动,手术和保守治疗以及最常见/复发的接触性运动损伤。
结论:管理手,手腕,手指,运动员的拇指受伤需要根据受伤类型的不同采取不同的方法,治疗方案,和外部压力。虽然保守治疗是常见和有效的,在某些情况下,手术干预可能是必要的,以改善恢复并促进更快的恢复运动。高风险运动环境中的预防措施可以帮助减少这些伤害的发生率。
BACKGROUND: Amateur and professional participation in sport and physical activity worldwide is increasing in popularity, which in turn is increasing the volume and types of injuries sustained by athletes. Ensuring these injuries are treated appropriately and efficiently is paramount for athletes\' recovery and return to sport in a timely and safe manner.
METHODS: A scoping
review to map the evidence regarding the treatment, outcomes and management of hand, wrist, finger, and
thumb injuries in the professional/amateur athlete from contact sports. A search of seven electronic databases; SPORTdiscus, CINAHL, Medline, Scopus, Web of Science, Embase and Cochrane Library and grey literature was conducted in January 2024. The reporting of the
review is in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews Checklist. Inductive content analysis was used to examine the data and the Critical Appraisal Skills Programme was used to appraise the quality of the included studies.
RESULTS: Eight papers met the inclusion criteria and three themes emerged addressing the return to play/sport, surgical and conservative treatment and the most common/reoccurring injuries sustained from contact sports.
CONCLUSIONS: Managing hand, wrist, finger, and
thumb injuries in athletes requires a varied approach depending on the type of injury, treatment options, and external pressures. While conservative treatment is common and effective, surgical intervention may be necessary in certain cases to improve recovery and facilitate a faster return to sport. Preventive measures in high-risk sports settings could help reduce the incidence of these injuries.