Wrist Injuries in Nonprofessional Tennis Players: Relationships With Different Grips
Wrist Injuries in Nonprofessional Tennis Players: Relationships With Different Grips
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DOI：
10.1177/0363546508328112
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发表时间：
2009-04-01
影响因子：
4.8
通讯作者：
Martinoli, Carlo
中科院分区：
文献类型：
--
作者：
Tagliafico, Alberto Stefano;Ameri, Pietro;Martinoli, Carlo
背景：网球教学技术的最新进展已被应用于非职业网球运动员，以培养更有效的打法。研究设计：横断面研究；证据水平3。方法：从2006年1月至2007年8月，我们对370名非职业网球运动员进行了评估。筛查包括一份适当准备的问卷，以调查手腕损伤。回顾了报告手腕受伤的球员的医疗记录。记录体重指数、练习年限、每周训练小时、球拍重量、握力(东式、西式和半西式)、弦的种类、受伤类型、退出比赛的时间和治疗(内科或外科)。结果：共有320名运动员报告在他们的活动中没有受伤；50名(13%)报告了手腕受伤。其中尺侧腕伸肌损伤30例，尺侧腕伸肌腱损伤3例，腕屈肌损伤5例，De Quervain病6例，三角纤维软骨损伤5例，交叉综合征1例。尺侧损伤更多地与西式或半西式握法有关，而放射侧损伤则与东式握法有关(chi(2)=20.7；P<；.001)。平均退赛时间为69天；4名球员接受了手术；其余球员接受了内科和康复治疗。两组在体重指数、训练年限、每周训练时数、球拍重量和球线等方面没有差异。结论：非职业网球运动员手腕损伤时，不同的握法与病变部位有关：东方握拍有放射侧损伤，西式或半西式握法有尺侧损伤。对这种关系的了解可能会影响非职业网球运动员手腕问题的训练、预防、诊断和治疗。
Background: Recent advances in tennis teaching techniques have been applied in nonprofessional tennis players to develop a more effective play. Hits with enormous amount of top-spin and lower technical and physical training are responsible for most wrist injuries in nonprofessional tennis players.Hypothesis: The use of different grips (Eastern, Western, semi-Western) determines the pattern of wrist injuries in nonprofessional tennis players.Study Design: Cross-sectional study; Level of evidence, 3.Methods: Between January 2006 and August 2007, we evaluated 370 nonprofessional division III and IV tennis players. The screening consisted of a questionnaire appropriately prepared to investigate wrist injuries. Medical records of players who reported a wrist injury were reviewed. Body mass index, years of practice, weekly hours of training, racket weight, grip (Eastern, Western and semi-Western), kind of strings, injury type, time out of competition, and therapy (medical or surgical) were recorded. Statistical analysis was performed to assess the association of different wrist injuries with these variables.Results: A total of 320 players reported no injuries in their activity; 50 (13%) reported injuries to the wrist. Medical records of these players were reviewed, and 30 extensor carpi ulnaris lesions, 3 lesions of the extensor tendons, 5 injuries to the flexor carpi radialis, 6 de Quervain diseases, 5 triangular fibrocartilage lesions, and 1 intersection syndrome were found. Ulnar-sided injuries were more frequently associated with Western or semi-Western grips while radial-sided injuries were associated with Eastern grip (chi(2) = 20.7; P < .001). Average time out of competition was 69 days; 4 players underwent surgery; the others received medical and rehabilitative therapy. No differences were observed regarding body mass index, years of practice, weekly hours of training, racket weight, and strings.Conclusion: In nonprofessional tennis players with wrist injuries, different grips of the racket are related to the anatomical site of the lesion: Eastern grip with radial-side injuries and Western or semi-Western with ulnar-side injuries. Knowledge of this relationship may influence training, prevention, diagnosis, and therapy of wrist problems in nonprofessional tennis players.