An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport

Sahbat, Yavuz; KÜTÜK, EMİR; ÇAT, GÖRKEM; kart, hayati; Topkar, Osman Mert; Baysal, Özgür; Erol, Bulent; UNSALAN, OGULCAN

doi:10.14744/tjtes.2023.34247

An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport

Yavuz ŞAHBAT, (Maresal Çakmak Devlet Hastanesi, Ortopedi Cerrahi ve Travmatoloji Kliniği, Erzurum, Türkiye)

Emir KÜTÜK, (Marmara Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Görkem ÇAT, (Marmara Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

OGULCAN UNSALAN, (Marmara Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Hayati KART, (Marmara Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Osman Mert TOPKAR, (Marmara Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Özgür BAYSAL, (Marmara Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Bülent EROL (Marmara Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2023 Cilt: 29 Sayı: 6 Sayfa Aralığı: 733 - 740 Metin Dili: İngilizce DOI: 10.14744/tjtes.2023.34247 İndeks Tarihi: 31-07-2023

An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport

Öz:

BACKGROUND: In the sport of arm wrestling, the great rotational force is applied to the upper extremity, which can result in muscle and tendon injuries in the shoulder, elbow, and wrist joints, and even bone fractures. The aim of this study was to present the treatment modalities, functional outcomes, and return to sport after arm wrestling injuries. METHODS: A retrospective evaluation was made of the trauma mechanisms, treatment modalities, clinical outcomes, and time of return to sports of patients admitted to our hospital with an arm wrestling injury between 2008 and 2020. At the final follow-up examination, the functional scores (DASH score and constant score) of the patients were evaluated. RESULTS: Evaluation was made of 22 patients comprising 18 (82%) males and 4 (18%) females with a mean age of 20±6.1 years (range, 12–33 years). Two (10%) patients were professional arm wrestlers. The DASH scores at the final follow-up (mean 4 years) examination were 0.57 (min: 0 and max: 1.7) for the patients with humerus shaft fracture. All the patients with isolated soft-tissue injuries returned to sports within 1 month. Patients with humeral shaft fractures returned to sports later and had a lower functional score (P<0.05). There was no disability in any patient during long-term follow-up. Patients with soft-tissue injuries continued arm wrestling more than patients with bone injuries (P<0.001). CONCLUSION: This study constitutes the largest patient series evaluating patients presenting at a health-care institution with any complaint after arm wrestling. Arm wrestling is not a sport that only results in bone pathologies. Therefore, providing the participants in this sport with information that they may be injured in arm wrestling but there will be a full recovery, may reassure and encourage them.

Anahtar Kelime:

Farklı bir yaralanma şekli: Bilek güreşi yaralanması; tedavi şekilleri, klinik sonuçlar ve spora dönüş

Öz:

AMAÇ: Bilek güreşi sırasında üst ekstremiteye büyük bir rotasyonel tork kuvveti uygulanır. Bilek güreşi omuz, dirsek ve el bilek eklemlerinde kas ve tendon yaralanmaları ve hatta kemik kırıklarına sebep olabilir. Bu çalışmanın amacı, bilek güreşi sonrası tedavi şekillerini, fonksiyonel sonuçları ve spora dönüş durumlarını sunmaktır. GEREÇ VE YÖNTEM: 2008-2020 yılları arasında hastanemize başvuran hastaların travma mekanizmaları, tedavi şekilleri, klinik sonuçları ve spora dönüş durumları retrospektif olarak değerlendirildi. Son takipte hastaların fonsiyonel skorları (DASH skoru, Constant skoru) değerlendirildi. BULGULAR: Yaş ortalaması 20±6.1 (12-33) olan 18(82%) erkek, 4(%18) kadın toplam 22 hasta çalışmaya dahil edildi. 10 hastada humerus şaft kırığı, 10 hastada izole yumuşak doku yaralanması, 1 hastada medial epikondil kırığı ve 1 hastada omuz çıkığı vardı. Hastaların ikisi (%10) hasta profesyonel bilek güreşçisiydi. Humerus cisim kırığı olan hastaların son kontrol (ortalama 4 yıl) DASH skorları ortalaması 0.57 (0-1.7 min max) idi. İzole yumuşak doku yaralanması olan hastaların tümü 1 ay içinde spora döndü. Humerus cisim kırığı olan hastalarda spora dönüş süresi daha uzun ve fonksiyonel skor daha düşüktü (p<0.043). Uzun dönem takipte hiçbir hastada sakatlık tespit edilmedi. Yumuşak doku yaralanması olan hastaların kemik yaralanması olan hastalara göre daha fazla bilek güreşine devam ettiği görüldü (p<0.001) TARTIŞMA: Çalışmamız bir sağlık kuruluşuna bilek güreşi sonrası herhangi bir şikayetle başvuran hastaların değerlendirildiği en geniş hasta serisini sunmaktadır. Bilek güreşi sadece kemik patolojileriyle sonuçlanan bir spor değildir. Bilek güreşi sporcularına spor sırasında sakatlanabilecekleri ancak tam bir iyileşme olacağı bilgisinin verilmesinin sporcuları rahatlatacağı ve cesaretlendireceği düşünülebilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Chao SL, Miller M, Teng SW. A mechanism of spiral fracture of the humerus: A report of 129 cases following the throwing of hand grenades. J Trauma 1971;11:602–5.
2. Moloney DP, Feeley I, Hughes AJ, Merghani K, Sheehan E, Kennedy M. Injuries associated with arm wrestling: A narrative review. J Clin Orthop Trauma 2021;18:30–7.
3. Pedrazzini A, Pedrazzoni M, De Filippo M, Nicoletto G, Govoni R, Ceccarelli F. Humeral fractures by arm wrestling in adult: A biomechanical study. Acta Biomed 2012;83:122–6.
4. Ogawa K, Ui M. Fracture-separation of the medial humeral epicondyle caused by arm wrestling. J Trauma 1996;41:494–7.
5. Citak M, Backhaus M, Seybold D, Muhr G, Roetman B. Arm wrestling injuries--report on 11 cases with different injuries. Sportverletz Sportschaden 2010;24:107–10.
6. Considine S, Hirpara KM, Hynes DE. Fracture of the scapular neck sustained in an arm wrestling match. Ir Med J 2014;107:298–9.
7. Fallis G, Ferguson K, Malcolm B. An unusual fracture in arm wrestling. Phys Sportsmed 1990;18:93–6.
8. Kruczyński J, Nowicki JJ, Topoliński T, Srokowski G, Mańko G, Chantsoulis M, et al. Radiological and biomechanical analysis of humeral fractures occurring during arm wrestling. Med Sci Monit 2012;18:CR303–7.
9. Ekholm R, Ponzer S, Törnkvist H, Adami J, Tidermark J. The Holstein- Lewis humeral shaft fracture: Aspects of radial nerve injury, primary treatment, and outcome. J Orthop Trauma 2008;22:693–7.
10. Holstein A, Lewis GM. Fractures of the humerus with radial-nerve paralysis. J Bone Joint Surg Am 1963;45:1382–8.
11. Karadeniz E, Demiroz S, Oktem F, Memisoglu K, Kesemenli CC. Humeral fractures sustained during arm wrestling. Eur J Trauma Emerg Surg 2022;48:3109–14.
12. Kim KE, Kim EJ, Park J, Kim S, Kwon J, Moon G. Humeral shaft fracture and radial nerve palsy in Korean soldiers: Focus on arm wrestling related injury. BMJ Mil Health 2021;167:80–3.
13. Pasquina PF, O’Connor FG. Olecranon fracture sustained in arm wrestling. Phys Sportsmed 1999;27:81–7.
14. Pratt DA, Tennent TD. Proximal biceps rupture: Management of an unusual injury in an arm wrestler. Br J Sports Med 2007;41:459.
15. Mayfield CK, Egol KA. Humeral fractures sustained during arm wrestling: A retrospective cohort analysis and review of the literature. Orthopedics 2018;41:e207–10.
16. Pande KC, Nishat N, Afzal S, Ishak L. Humeral shaft fracture sustained during arm wrestling with review of factors contributing to its causation. Malays Orthop J 2021;15:15–20.
17. Frankowska-Rutkowska M, Górska J, Jedwabiński M, Mątewski D, Maciejewski M. Fracture of the humerus during arm wrestling: Report on 9 cases and review of the literature. Med Biol Sci 2013;27:36–8.
18. Takahara M, Sasaki I, Kimura T, Kato H, Minami A, Ogino T. Second fracture of the distal humerus after varus malunion of a supracondylar fracture in children. J Bone Joint Surg Br 1998;80:791–7.

APA	Sahbat Y, KÜTÜK E, ÇAT G, UNSALAN O, kart h, Topkar O, Baysal Ö, Erol B (2023). An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. , 733 - 740. 10.14744/tjtes.2023.34247
Chicago	Sahbat Yavuz,KÜTÜK EMİR,ÇAT GÖRKEM,UNSALAN OGULCAN,kart hayati,Topkar Osman Mert,Baysal Özgür,Erol Bulent An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. (2023): 733 - 740. 10.14744/tjtes.2023.34247
MLA	Sahbat Yavuz,KÜTÜK EMİR,ÇAT GÖRKEM,UNSALAN OGULCAN,kart hayati,Topkar Osman Mert,Baysal Özgür,Erol Bulent An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. , 2023, ss.733 - 740. 10.14744/tjtes.2023.34247
AMA	Sahbat Y,KÜTÜK E,ÇAT G,UNSALAN O,kart h,Topkar O,Baysal Ö,Erol B An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. . 2023; 733 - 740. 10.14744/tjtes.2023.34247
Vancouver	Sahbat Y,KÜTÜK E,ÇAT G,UNSALAN O,kart h,Topkar O,Baysal Ö,Erol B An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. . 2023; 733 - 740. 10.14744/tjtes.2023.34247
IEEE	Sahbat Y,KÜTÜK E,ÇAT G,UNSALAN O,kart h,Topkar O,Baysal Ö,Erol B "An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport." , ss.733 - 740, 2023. 10.14744/tjtes.2023.34247
ISNAD	Sahbat, Yavuz vd. "An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport". (2023), 733-740. https://doi.org/10.14744/tjtes.2023.34247

APA	Sahbat Y, KÜTÜK E, ÇAT G, UNSALAN O, kart h, Topkar O, Baysal Ö, Erol B (2023). An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. Ulusal Travma ve Acil Cerrahi Dergisi, 29(6), 733 - 740. 10.14744/tjtes.2023.34247
Chicago	Sahbat Yavuz,KÜTÜK EMİR,ÇAT GÖRKEM,UNSALAN OGULCAN,kart hayati,Topkar Osman Mert,Baysal Özgür,Erol Bulent An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. Ulusal Travma ve Acil Cerrahi Dergisi 29, no.6 (2023): 733 - 740. 10.14744/tjtes.2023.34247
MLA	Sahbat Yavuz,KÜTÜK EMİR,ÇAT GÖRKEM,UNSALAN OGULCAN,kart hayati,Topkar Osman Mert,Baysal Özgür,Erol Bulent An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. Ulusal Travma ve Acil Cerrahi Dergisi, vol.29, no.6, 2023, ss.733 - 740. 10.14744/tjtes.2023.34247
AMA	Sahbat Y,KÜTÜK E,ÇAT G,UNSALAN O,kart h,Topkar O,Baysal Ö,Erol B An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. Ulusal Travma ve Acil Cerrahi Dergisi. 2023; 29(6): 733 - 740. 10.14744/tjtes.2023.34247
Vancouver	Sahbat Y,KÜTÜK E,ÇAT G,UNSALAN O,kart h,Topkar O,Baysal Ö,Erol B An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport. Ulusal Travma ve Acil Cerrahi Dergisi. 2023; 29(6): 733 - 740. 10.14744/tjtes.2023.34247
IEEE	Sahbat Y,KÜTÜK E,ÇAT G,UNSALAN O,kart h,Topkar O,Baysal Ö,Erol B "An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport." Ulusal Travma ve Acil Cerrahi Dergisi, 29, ss.733 - 740, 2023. 10.14744/tjtes.2023.34247
ISNAD	Sahbat, Yavuz vd. "An unusual injury pattern: arm wrestling injury, treatment modalities, clinical outcomes, and return to sport". Ulusal Travma ve Acil Cerrahi Dergisi 29/6 (2023), 733-740. https://doi.org/10.14744/tjtes.2023.34247