Wrist Hands

Wrist Hands

Wrist Hands

Hand Surgery Singapore - Common Golf Injuries and How to Avoid Them

How common are golf injuries and who gets them?

Golf may be a 'gentleman's sport', but it certainly isn't as gentle and innocuous as it appears. Golf injuries occur with surprising frequency to both the professional and the amateur golfer alike. It is estimated that about 60% of golfers will experience a sport related injury at some point in their lives.

All golfers, regardless of the level at which they play, should know what causes the most common injuries, what their symptoms are, and when they should seek the help of a physician.

Incidence of Golfing Injuries

PROFESSIONALS

• Wrist/Hand: 37%
• Low Back: 24%
• Shoulder: 10%
• Elbow: 7%
• Knee: 7%

AMATEURS

• Low Back: 35%
• Elbow: 33%
• Wrist/Hand: 20%
• Shoulder: 12%
• Knee: 9%

Injuries to the upper limbs (shoulder, elbow, wrist, and hand) account for more than half of the total injuries sustained while playing golf. The majority of these injuries occur to the left (lead) side of the body. Interestingly, gender may also have an impact and female professional golfers are particularly prone to wrist and hand injuries (which amount to about one-third of injuries to women) while male professionals suffer wrist and hand injuries at about half that rate.

What are the causes of upper limb injuries in golf?

Golf requires both focused force and repetitive actions. The vast majority of golf injuries are not the result of a single traumatic incident but occur as a result of tissue damage sustained over time. In general, professionals suffer as a result of overuse; while most problems among amateurs result from poor technique, especially swing mechanics or technical errors near impact.

It is often a combination of several factors that contribute to amateur golfer injuries. These include:

• Overuse (excessive play or practice)

• Failure to warm up properly

• Poor swing technique / mechanics

• Poor physical conditioning (fitness and flexibility)

• Hitting the ground or an object during a swing.

The metacarpal and finger bones in the hand are connected to the wrist by an intricate web of ligaments, tendons and tissue. The wrist and hand absorb the brunt of the impact whenever the head of your club strikes the ball (or the ground!). Over time, repetitive strain and improper wrist motion can cause fractures, sprains, and inflamed tendons, which may eventually cause chronic pain and decreased mobility.

What common types of golf injuries affect the upper limb/wrist and hands?

Most golf injuries fall into the general categories of strains, sprains, fractures, and tendonitis. Some of the more common upper limb injuries include:

  • Tennis Elbow / Golfer's Elbow

Golfer's elbow (medial epicondylitis) is an inflammation, soreness or pain on the inside of the upper arm near the elbow, whereas Tennis elbow (lateral epicondylitis) is an inflammation, soreness, or pain on the outside of the upper arm near the elbow. Interestingly, Tennis elbow is actually more common among golfers than golfer's elbow.

  • Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a repetitive stress disorder that affects the nerves of the hands causing tingling 'pins and needles' and numbness of the fingers and clumsiness of movement. When severe, carpal tunnel is extremely painful and sometimes incapacitating. If neglected, muscle weakness can be progressive.

  • DeQuervain's Tendonitis

DeQuervain's causes pain in the wrist near the base of the thumb, especially during thumb extension and forceful pinching. It is caused by an inflammation in the tendons that control the thumb.

  • Trigger Finger

The condition is caused when the flexor tendon sheath is inflamed and inhibits smooth gliding during finger excursion. This causes fingers to lock up and results in the characteristic 'clicking' or 'snapping' of the finger and pain in the palm.

  • Wrist Impaction Syndrome

Impaction syndromes of the wrist result when the wrist bones clash into one another due to excess or repetitive movements, causing synovial inflammation, cartilage wear and tear, chronic wrist pain and swelling.

  • ECU Tendon Subluxation

Extensor carpi ulnaris (ECU) tendon subluxation is caused when the sheath holding the wrist tendon begins sliding in and out of its groove, causing recurrent wrist pain.

  • Fracture of Hamate Bone

The hamate is a small bone on the pinky side of the wrist and has a small prominence called the hook, which protrudes into the palm. The way most golfers grip their clubs puts the butt-end of the club right up against the hook of the hamate during the swing, which can fracture during impact.

  • Shoulder Pain

Shoulder pain in a golfer might be caused by any of several different underlying conditions, including: rotator cuff tendinitis, or a tear or impingement in the rotator cuff; A-C joint arthritis; or instability in the joint.

How do we avoid or minimize golfing injuries to the upper limb?

Spending some time with a Golf-Pro can go a long way to help developing good habits and technique such as proper swing mechanics and club grip. They can also provide advice to customize the content and frequency of your training sessions so that you can make the most of your time on the course and at the range, while still having enough time to rest and recover.

Investing in proper equipment that suits your technique, body type and gender, can help minimize excessive strains on the body, and allows you to enjoy the game even more.

Avoid overtraining, but proper conditioning is important. Engage in other sports or exercises like running and cycling, swimming or going to the gym, between your sessions of golf. This can in fact increase your overall fitness and endurance, improving your game; while allowing different regions of your body the intervals it requires to recuperate.

And don't forget to warm-up before your game! Warming up before golfing has been shown to decrease the incidence of golf injuries. One survey showed that over 80 percent of golfers spent less than 10 minutes warming up before a round, but those that did warm up before playing had less than half the incidence of injuries of those who did not.

When should we seek medical/surgical therapy and what are the goals of treatment?

When pain or other symptoms persists despite rest, icing and simple pain medications, seek help from your doctor. Early diagnosis of the cause and proper treatment can make a significant impact on the speed and quality of recovery.

Treatment begins with clinical diagnosis, rest, medication, splinting, and simple non-surgical treatments. When surgery is required, minimally invasive approaches can now be offered. Doctors and the therapists we work with, aim to formulate individualized plans that allow a safe, comfortable and graduated return to training, and participation in their favorite sport of GOLF!

† McCarroll J, Gioe T: Professional Golfers and the Price They Pay. The Physician and Sports Medicine 10(7): 64-70, 1982. McCarroll J, Rettig A, ShelbourneK: Injuries in the Amateus Golfer. The Physician and Sports Medicine 18(3):122-26, 1990.

Radiographic Atlas of Skeletal Development of the Hand and Wrist
Radiographic Atlas of Skeletal Development of the Hand and Wrist
List Price: $145.00
Sale Price: $127.60
You save: $17.40 (12%)
  Eligible for free shipping!
Availability: Usually ships in 24 hours
See Reviews For This Product

Description

“Here is a book which compiles the most accurate data on bone age in an extremely useful form, so that the practicing clinician, pediatrician, general practitioner, internist, or radiologist may find data quickly and accurately. . . . This book represents a tremendous amount of work, a study of over 1,000 individuals, with from two to twenty films each, in an effort to find an acceptable series of standards. . . . This book should be in te possession of all those who expect to interpret skeletal age from films or assess the patient from that clinical point of view.”—Stanford Medical Bulletin“To pediatrician, radiologist and all those responsible for the physical care of the child, this Atlas is essential. Text and illustration are of the highest standards, and the work will long remain the classic in the field.”—The United States Quarterly Book Review

Examination of the Hand and Wrist
Examination of the Hand and Wrist
List Price: $99.95
Sale Price: $87.36
You save: $12.59 (13%)
  Eligible for free shipping!
Availability: Usually ships in 24 hours
See Reviews For This Product

Description

Originally Published in 1996 in Hb at 49.95.

Hand and Wrist Surgery Secrets
Hand and Wrist Surgery Secrets
List Price: $49.95
Sale Price: $47.29
You save: $2.66 (5%)
  Eligible for free shipping!
Availability: Usually ships in 4 to 6 weeks
See Reviews For This Product

Description

This new comprehensive resource follows the ever popular Secrets Series format and is an expansion of the hand and wrist sections from Dr. Weinzweigs Plastic Surgery Secrets. More than 50 authors, many of whom have pioneered the field of hand and wrist surgery, offer their expertise and wisdom throughout the 35 chapters. Nearly 1,000 questions and answers, along with over 180 detailed illustrations span the intricacies of this complex specialty.

Hand and Wrist Anatomical Chart
Hand and Wrist Anatomical Chart
Sale Price: $9.95
  Eligible for free shipping!
Availability: Usually ships in 24 hours
See Reviews For This Product

Description

Shows muscle and tendon anatomy of the hand and wrist. Illustrates dorsal view of bones and palmar view of carpal bones. Shows extension, flexion and range of movement of thumb. Provides views of cross-section of wrist, carpal tunnel syndrome, various types of fractures and tendon avulsion injuries. Compatibility: BlackBerry® OS 4.1 or Higher / iPhone/iPod Touch 2.0 or Higher /Palm OS 3.5 or higher / Palm Pre Classic / Symbian S60, 3rd edition (Nokia) / Windows Mobile™ Pocket PC (all versions) / Windows Mobile Smartphone / Windows 98SE/2000/ME/XP/Vista/Tablet PC

Features

  • Shows muscle and tendon anatomy of the hand and wrist.
  • Illustrates dorsal view of bones and palmar view of carpal bones.
  • Shows extension, flexion and range of movement of thumb.
  • Provides views of cross-section of wrist, carpal tunnel syndrome, various types of fractures and tendon avulsion injuries.
  • Size is 20 inches by 26 inches - Heavy Paper.
Operative Techniques: Hand and Wrist Surgery: Book, Website and DVD,  2-Volume Set
Operative Techniques: Hand and Wrist Surgery: Book, Website and DVD, 2-Volume Set
List Price: $229.00
Sale Price: $213.14
You save: $15.86 (7%)
  Eligible for free shipping!
Availability: Usually ships in 24 hours
See Reviews For This Product

Description

This 2 volume set, multimedia resource offers you all the how-to guidance you need to perform all of the latest and best techniques in hand and wrist surgery. The complete, lavishly illustrated volume is made even better with a state-of-the-art companion web site! With chapters on such hot topics as distal radius fractures & malunions, Wrist arthroscopy, nerve and tendon transfers, and flaps and microsurgery, you, as well as the members of your cross-disciplinary team, will appreciate the clear and concise, but detailed and visual approach of this atlas and video collection. The result is a detailed, easy-to-use reference that no orthopaedic surgeon should be without.Search the entire 2 volume set online with full text web access and links to PubMed. Watch experts perform key techniques via video clips online and on the included DVDs. See exactly what to do using step-by-step intraoperative photos demonstrating each technique and radiographs showing presenting problems and post-surgical outcomes. See cases as they present in real life using full-color photographs and interpretive diagrams that highlight key anatomical structures. Improve the quality of your technique and optimize outcomes with pearls and pitfalls from the authors. Be more thoroughly prepared with important details on positioning, exposures, instrumentation, and implants. Get just the information and guidance you need with each book's hands-on, clinical emphasis.

Operative Techniques in Hand, Wrist, and Forearm Surgery
Operative Techniques in Hand, Wrist, and Forearm Surgery
List Price: $289.00
Sale Price: $231.20
You save: $57.80 (20%)
  Eligible for free shipping!
Availability: Usually ships in 24 hours
See Reviews For This Product

Description

Operative Techniques in Hand, Wrist, and Forearm Surgery contains the chapters on the hand, wrist, and forearm from Sam W. Wiesel's Operative Techniques in Orthopaedic Surgery and provides full-color, step-by-step explanations of all operative procedures. Written by experts from leading institutions around the world, this superbly illustrated volume focuses on mastery of operative techniques and also provides a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. The user-friendly format is ideal for quick preoperative review of the steps of a procedure. Each procedure is broken down step by step, with full-color intraoperative photographs and drawings that demonstrate how to perform each technique. Extensive use of bulleted points and tables allows quick and easy reference. Each clinical problem is discussed in the same format: definition, anatomy, physical exams, pathogenesis, natural history, physical findings, imaging and diagnostic studies, differential diagnosis, non-operative management, surgical management, pearls and pitfalls, postoperative care, outcomes, and complications. To ensure that the material fully meets residents' needs, the text was reviewed by a Residency Advisory Board.

Techniques in Wrist and Hand Arthroscopy with DVD
Techniques in Wrist and Hand Arthroscopy with DVD
List Price: $248.00
Sale Price: $230.74
You save: $17.26 (7%)
  Eligible for free shipping!
Availability: Usually ships in 24 hours
See Reviews For This Product

Description

Enhance your skills in arthroscopic surgery - an increasingly important aspect of the treatment of a variety of traumatic and degenerative ailments of the hand. Leaders in the field describe their preferred approaches in step-by-step detail - emphasizing what outcomes you can expect - and also examine the diagnostic advantages of this precise technique. A bonus DVD features video clips of the procedures described in the book, enabling you to see these performed in real time!Presents the practice-proven procedures preferred by leading experts, equipping you to obtain the best results.A consistent, templated format enables you to find the guidance you need quickly.Chapters covering arthritis and disease, carpal ligament injury, wrist and carpal fractures, and portals allow you to review the most pertinent topics affecting today's arthroscopic procedures.Video clips on the bonus DVD demonstrate step-by-step the procedures presented in the text.

Yoga for Computer Users: Healthy Necks, Shoulders, Wrists, and Hands in the Postmodern Age (Rodmell Press Yoga Shorts)
Yoga for Computer Users: Healthy Necks, Shoulders, Wrists, and Hands in the Postmodern Age (Rodmell Press Yoga Shorts)
List Price: $14.95
Sale Price: $11.18
You save: $3.77 (25%)
  Eligible for free shipping!
Availability: Usually ships in 24 hours
See Reviews For This Product

Description

An ever-increasing number of people depend on computers for both work and entertainment, which means an ever-increasing number of hours spent slumped in a chair — and an ever-increasing number of hand, wrist, neck, and shoulder injuries. Yoga for Computer Users offers a new kind of preventive self-care. It contains 23 illustrated poses and exercises, plus breathing and relaxation techniques, that increase circulation and range of motion, prevent injuries to the upper body, improve posture, and avert energy stagnation. They can be performed regardless of age or yoga experience and are combined in sequences ranging from quick five-minute stretching breaks that can be done while at the computer to more intensive 30-minute sessions designed for morning energy and evening relaxation. A special “Everyday Yoga” section presents lifestyle tips that help readers learn to alternate mouse hands, strengthen their core, stretch throughout the day, and schedule time for joy.

Features

  • ISBN13: 9781930485198
  • Condition: New
  • Notes: BRAND NEW FROM PUBLISHER! BUY WITH CONFIDENCE, Over one million books sold! 98% Positive feedback. Compare our books, prices and service to the competition. 100% Satisfaction Guaranteed
Hand and Wrist (Orthopaedic Surgery Essentials Series)
Hand and Wrist (Orthopaedic Surgery Essentials Series)
Sale Price: $110.00
  Eligible for free shipping!
Availability: Usually ships in 24 hours
See Reviews For This Product

Description

Written by an outstanding hand surgeon, this volume of our Orthopaedic Surgery Essentials Series presents all the information residents need during hand and wrist surgery rotations or services. It can easily be read cover to cover during a rotation or used for quick reference before a patient workup or operation. The user-friendly, visually stimulating format features ample illustrations, bulleted lists, boxes, and tables. Coverage begins with hand and wrist anatomy and movement and proceeds to specific deformities, diseases, and injuries. Chapters are organized according to the venue in which disorders are usually first encountered—outpatient clinic or emergency department.