injected into the tendon sheath within the 1st dorsal
wrist compartment.- Protective bracing with a thumb spica splint is helpful
and may allow the skier to continue to ski while being
treated.
•Physical or occupational therapy is often useful to
address strength and flexibility issues.
•Surgical treatment (synovectomy) may be necessary
in persistent cases. - Return to skiing when symptom free or if symptom
free in appropriate brace.- Several centimeters proximal to the carpus
- Symptoms are worse with gripping or twisting
motion in wrist. - Examination reveals tenderness and swelling along
dorsoradial forearm at the junction of the distal and
middle thirds. Pain localized to this area is repro-
duced with resisted extension of wrist or abduc-
tion/extension of the thumb. Crepitance at the
intersection is common.
- Treatment:Pain management with relative rest, ice,
compression, elevation, and physical modalities. Anti-
inflammatory medications may be useful for analge-
sia and swelling.
SKIERSTHUMB(ULNARCOLLATERALLIGAMENT)/
EXTENSORTENOSYNOVITIS/INTERSECTIONSYNDROME
- See detailed descriptions in chapters 52, 53, and 54.
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1996.81 BICYCLING INJURIES
Chad Asplund, MDINTRODUCTION- Estimated 100 million riders in 2000 (Mellion, 2001)
- Road cycling
- Road racing: Long open road race (40–120 mi)
- Criterium: Many laps around a short course
a. Very popular in America
b.High potential for crashing - Time trial: Race against the clock with wave start
with 1–5 min between riders
480 SECTION 6 • SPORTS-SPECIFIC CONSIDERATIONS