Carpal contusions in an elite platform diver.
Wrist and hand injuries are common in elite divers, as all correctly performed dives end with a head first entry into the water with the hands extended above the head. This case presentation was an Olympic level diver with 3 months of persistent dorsal wrist pain. MRI findings showed contiguous contusions to the lunate, capitate, hamate and distal radius and also a peripheral tear of the ulnar attachment of the triangular fibrocartilage complex (TFCC). The repeated dorsiflexion stress of entry into the water likely caused these injuries. Although the authors had suspected a TFCC injury and did find an isolated ulnar-sided peripheral tear, the complicating carpal contusions led us to choose a conservative treatment plan, which was the only intervention the patient ultimately required.
Department of Sports/Emergency Medicine, Duke University, Durham, North Carolina, USA. david.berkoff@duke.edu
David
D
Berkoff
Blake
B
Boggess
D000293:Adolescent; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D003288:Contusions / Q000000981:diagnostic imaging / Q000628:therapy; D004242:Diving / Q000293:injuries*; D006801:Humans; D008297:Male; D011859:Radiography