Disabling hand injuries in boxing: boxer's knuckle and traumatic carpal boss.
This article describes the treatment of the two most debilitating hand-related boxing injuries: boxer's knuckle and traumatic carpal boss. Recognition of the normal anatomy as well as the predictable pathology facilitates an accurate diagnosis and precision surgery. For boxer's knuckle, direct repair of the disrupted extensor hood, without the need for tendon augmentation, has been consistently employed; for traumatic carpal boss, arthrodesis of the destabilized carpometacarpal joints has been the preferred method of treatment. Precisely executed operative treatment of both injuries has resulted in a favorable outcome, as in the vast majority of cases the boxers have experienced relief of pain, restoration of function, and an unrestricted return to competition.
Melone
Charles P
CP
Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Hand Surgery Center, Beth Israel Medical Center, 321 East 34th Street, New York, NY 10016, USA.
Polatsch
Daniel B
DB
Beldner
Steven
S
D001265:Athletic Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001914:Boxing / Q000293:injuries*; D052737:Carpometacarpal Joints / Q000293:injuries* / Q000601:surgery; D006230:Hand Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012307:Risk Factors; D013178:Sports Medicine; D014947:Wounds and Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery