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Hand Sprain in Athletes: From Diagnosis to Return to Play

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Hand sprains are common among athletes. Read the article to learn about hand sprains and their treatment.

Medically reviewed by

Dr. Anuj Gupta

Published At September 12, 2023
Reviewed AtSeptember 12, 2023

Introduction

Hand sprain is a common injury that can occur from several activities such as sports, work, or home projects. The main symptom of a hand sprain is pain and swelling in the hand. In most cases, the injury can be treated at home with simple measures such as rest, ice, and compression. If the pain or swelling increases, it is important to seek medical attention. A hand sprain can often be treated with physical therapy, which can help restore function and reduce the risk of future injuries.

What Is a Hand Sprain?

One can sprain their hand in an accident while playing a sport. A sprain is a form of ligament injury, the tough band of tissues that connects two bones. Ligaments stabilize and support joints. There are three grades of sprain, depending on the severity of the injury:

  • Grade One Sprain: The ligament is mildly stretched, and there is some swelling.

  • Grade Two Sprain: The ligament is severely stretched, and there is moderate swelling.

  • Grade Three Sprain: The ligament is torn, and there is severe swelling.

The best way to treat a hand screen is to rest the injured area, apply Ice, and take pain relief medication if necessary.

What Are the Types of Hand Sprain?

There are three types of hand sprain, which are listed below:

  1. Distal Radial Strain - The distal radial strain is the most common type of hand sprain and occurs when the ligaments that attach the forearm to the hand are stretched or torn. This sprain is usually caused by a fall or being struck on the back of the hand.

  2. Proximal Radial Strain - The proximal radial strain is less common than the distal radial strain and occurs when the ligaments that attach the upper arm bone to the hand are stretched or torn. A direct blow to the forearm usually causes this type of sprain.

  3. Ulnar Collateral Ligament Injury - The ulnar collateral ligament injury is very serious and can result in permanent damage to the ligament. A sudden twisting hand motion usually causes this type of sprain.

What Are the Causes of Hand Sprains?

A Hand sprain is a tear or a stretch of one or more ligaments in the hand. There are many causes of hand sprains, such as:

  • A fall.

  • A blow to the hand.

  • Overextension of hands.

  • Overuse of muscles.

  • Ligament tear.

  • Muscles tear.

  • Accidents.

  • Fight.

  • Sudden twisting hand motion.

What Are the Symptoms of Hand Sprains?

Hand sprains are common injuries that can occur from a variety of activities. Symptoms of hand sprain include:

  • Pain.

  • Swelling.

  • Difficulty moving the hand.

  • Spasm.

  • Muscle cramping.

  • Tenderness on palpation.

  • Bruising.

  • Weakness in the affected area.

  • Difficulty in routine activities like sports and other household work.

How to Diagnose Hand Sprains?

After a thorough examination, the doctor can diagnose the sprain's severity and prescribe the appropriate treatment. Hand sprain can be diagnosed by -

  • Previous history of injury, accidents, and sports.

  • Physical examinations like palpation and affected area movement help diagnose hand sprains.

  • Digital examinations are helpful in the recognition of any kind of torn ligament or muscle.

What Is the Management of Hand Sprains?

Hand sprain is a very common injury, especially among athletes. It can be caused by a direct blow to the hand or twisting it. The main symptom is pain and swelling in the hand. The treatment of hand sprain depends upon the severity of the injury. If someone has a hand sprain, they should follow the RICE protocol- rice, ice, compression, and elevation. One should also avoid using the hand as much as possible and take over-the-counter pain medication if necessary. Seek medical attention if the pain does not go away after a few days or if anyone experiences any other symptoms. There are three grades of hand sprains, And each one is treated differently.

  • If someone has a grade one sprain, a doctor may recommend a few days of rest, Ice, and compression.

  • If someone has a grade two sprain, they may need to wear a brace and/or use crutches for a few weeks.

  • And if someone has a grade three sprain, they may require surgery.

How to Prevent Hand Sprains?

Hand sprains are common injuries, especially for athletes. For the prevention of hand sprains, some important points are listed below -

  • Warm up properly before physical activity and stretch regularly.

  • Wearing protective gear (gloves) and using proper form during physical activity can also help to prevent hand sprains.

  • In case of a previous injury, it is important to rest the affected muscles and avoid activities that aggravate the injury.

What Is the Complication of Untreated Hand Sprains?

If hand sprains are left untreated, they lead to the following complications -

  • Severe pain in the affected area.

  • Increased inflammation.

  • Restricted movements.

  • Permanent damage to the associated ligaments or muscles.

  • Difficulty doing regular work such as sports, household work, or self-care.

What Is the Importance of Proper Recovery After a Sprain?

Recovery after a muscle sprain is important to prevent further injury and promote healing.

Recovery from a sprain is just as important as the initial treatment. Depending on the severity of the sprain, the athlete may need to rest for a span of time and then gradually return to their activity. It is important not to return to action too soon as this can delay the healing process and increases the risk of re-injury. The injury and severity of the sprain can cause long-term complications such as chronic pain or muscle weakness. Therefore, it is important to follow the guidance of a professional to ensure a safe and successful recovery.

Conclusion

In conclusion, the management of hand sprains in athletes requires a comprehensive approach to ensure proper healing, functional recovery, and a safe return to sports activities. Prompt and accurate diagnosis of the sprain, including the assessment of the severity and any associated injuries, is crucial for developing an effective treatment plan. The initial management typically involves the RICE protocol (rest, ice, compression, elevation) to reduce pain, swelling, and inflammation. In managing hand sprains, a multidisciplinary approach involving sports medicine physicians, orthopedic specialists, physical therapists, and athletic trainers is essential to provide comprehensive care and support for athletes. By implementing a well-rounded management strategy, athletes with hand sprains can achieve successful outcomes, regain full functionality, and safely return to their sports activities.

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Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

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