Farklý bir yaralanma þekli: Bilek güreþi yaralanmasý; tedavi þekilleri, klinik sonuçlar ve spora dönüþ

AMAÇ: Bilek güreþi sýrasýnda üst ekstremiteye büyük bir rotasyonel tork kuvveti uygulanýr. Bilek güreþi omuz, dirsek ve el bilek eklemlerinde kas ve tendon yaralanmalarý ve hatta kemik kýrýklarýna sebep olabilir. Bu çalýþmanýn amacý, bilek güreþi sonrasý tedavi þekillerini, fonksiyonel sonuçlarý ve spora dönüþ durumlarýný sunmaktýr.
GEREÇ VE YÖNTEM: 2008-2020 yýllarý arasýnda hastanemize baþvuran hastalarýn travma mekanizmalarý, tedavi þekilleri, klinik sonuçlarý ve spora dönüþ durumlarý retrospektif olarak deðerlendirildi. Son takipte hastalarýn fonsiyonel skorlarý (DASH skoru, Constant skoru) deðerlendirildi. BULGULAR: Yaþ ortalamasý 20±6.1 (12-33) olan 18(82%) erkek, 4(%18) kadýn toplam 22 hasta çalýþmaya dahil edildi. 10 hastada humerus þaft kýrýðý, 10 hastada izole yumuþak doku yaralanmasý, 1 hastada medial epikondil kýrýðý ve 1 hastada omuz çýkýðý vardý. Hastalarýn ikisi (%10) hasta profesyonel bilek güreþçisiydi. Humerus cisim kýrýðý olan hastalarýn son kontrol (ortalama 4 yýl) DASH skorlarý ortalamasý 0.57 (0-1.7 min max) idi. Ýzole yumuþak doku yaralanmasý olan hastalarýn tümü 1 ay içinde spora döndü. Humerus cisim kýrýðý olan hastalarda spora dönüþ süresi daha uzun ve fonksiyonel skor daha düþüktü (p<0.043). Uzun dönem takipte hiçbir hastada sakatlýk tespit edilmedi. Yumuþak doku yaralanmasý olan hastalarýn kemik yaralan-masý olan hastalara göre daha fazla bilek güreþine devam ettiði görüldü (p<0.001)
TARTIÞMA: Çalýþmamýz bir saðlýk kuruluþuna bilek güreþi sonrasý herhangi bir þikayetle baþvuran hastalarýn deðerlendirildiði en geniþ hasta serisini sunmaktadýr. Bilek güreþi sadece kemik patolojileriyle sonuçlanan bir spor deðildir. Bilek güreþi sporcularýna spor sýrasýnda sakatlanabilecekleri ancak tam bir iyileþme olacaðý bilgisinin verilmesinin sporcularý rahatlatacaðý ve cesaretlendireceði düþünülebilir.

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

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.