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Wrist Hyperextension Injury in Athletes

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This article discusses the causes, symptoms, and treatments of wrist hyperextension injuries in athletes.

Medically reviewed by

Dr. Anuj Gupta

Published At October 31, 2023
Reviewed AtOctober 31, 2023

Introduction

Any person may have hyperextended the wrist at some point. Wrist hyperextension injuries are very common, especially among athletes. Wrist hyperextension can occur when the wrist is bent too backward, either from a fall or a blow to the area. Symptoms of a hyperextended wrist include pain, swelling, and bruising. In severe cases, the ligament may be torn, and the joint may be unstable. See a doctor immediately if someone suspects they have hyperextended their wrist. Treatment may include rest, ice, and medication for pain relief. Surgery is required in severe cases. If proper treatment is not provided, these injuries can result in chronic problems such as chronic pain and loss of mobility.

What Is a Wrist Hyperextension Injury?

This is a condition that can occur when the wrist is bent too far backward, resulting in damage to the ligaments and tendons. It is caused due to injury from falling, accidents, or overuse. Hyperextension injuries include pain, swelling, and difficulty moving the wrist. A person is at high risk for wrist hyperextension injury if they are a weightlifter, gymnast, or athlete. Wrist hyperextension injuries have the following grades -

  • 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.

What Are the Types of Wrist Hyperextension Injuries?

There are three types of wrist hyperextension injuries:

  1. Flexor Tendinopathy: This type of injury is caused by overuse of the flexor muscle in the forearm. It is possible for the tendon connecting the muscles to the bones in the wrist to become irritated and inflamed.

  2. Extensor Tenosynovitis: This type of injury is caused by overuse of the extensor muscle in the forearm. The tendons that form the connection of these muscles to the bones in the wrist can become irritated and inflamed and cause pain.

  3. Ulnar Collateral Ligament Injury: This type of injury is caused by a sudden force full extension of the wrist. The ulnar collateral ligament can be torn or stretched, resulting in pain and instability of the joint.

What Are the Causes of Wrist Hyperextension Injuries?

Several factors can cause wrist hyperextension injuries. Some of them are listed below:

  • The most common cause is a fall from a height or outstretched hand. This can result in stretching and tearing in ligaments.

  • Overuse is also a common cause of wrist hyperextension; for example, when someone repeatedly bends their wrist backward. This can cause The tendon in the wrist's face to inflammation leading to pain and stiffness.

  • Wrist hyperextension injury can also be caused by trauma, for example, when someone is involved in an accident or a direct hit while playing sports.

What Are the Symptoms of Wrist Hyperextension Injuries?

Symptoms of wrist hyperextension injury can vary depending on the severity of the injury.

  • Swelling in the injured area.

  • Pain (mild in minor injuries but can be excruciating in severe cases).

  • Discomfort.

  • Bruising.

  • Restrictive movement of the wrist.

  • Inability to lift anything.

  • Tenderness.

  • Torn ligaments.

  • Weakness in hand and wrist.

  • Inability to form grip.

What Is the Mechanism of Wrist Hyperextension Injury?

When the hand is in this position, the ligaments that connect the forearm to the hand can stretch and tear. This injury is common in sports such as weightlifting and gymnastics, but it can also happen when a person falls on an outstretched hand.

How to Diagnose Wrist Hyperextension Injuries?

For proper diagnosis of wrist hyperextension injury, it is important to seek help from a medical specialist.

  • The medical specialist will ask for any previous injury or sports involvement history.

  • Specialists will also go for a physical examination to check any tenderness over the injured area and the wrist's range of motion.

  • The specialist may advise digital imaging( X-ray, MRI, or CT scan) to check fracture fragments or torn ligaments.

  • If ever given diagnostic measures cannot diagnose the reason for wrist hyperextension, then the specialist advice for arthroscopy.

What Is the Treatment Available for Wrist Hyperextension Injury?

If a person has suffered a wrist hyperextension injury, he should immediately seek medical attention. The doctor will likely perform an x-ray to determine the extent of the damage. According to the severity of the injury, a doctor may recommend a variety of treatments. These may include ice packs, electrical stimulation, and physical therapy. In some cases, surgery is advised as treatment.

  • Rest - Rest is the most important path of treatment in case of wrist hyperextension injury. A period of rest is important for a faster recovery and healing.

  • Ice -The application of ice packs over the injured area helps in reducing inflammation.

  • Compression - Appendages are used to provide compression over the injured India, which helps in reducing swelling and pain.

  • Medication - Over-the-counter painkillers like non-steroidal anti-inflammatory drugs such as Ibuprofen or Naproxen can be given to relieve pain and swelling.

  • Surgery - Surgical treatment is the last resort for treating wrist hyperextension injuries. Surgery may be necessary if all the other treatments have failed and the injury is severe. Depending on the specific injury, several different types of surgery can be performed. Some common procedures include -

    1. Arthroscopy.

    2. Ligament reconstruction.

    3. Bone grafting.

  • Physiotherapy - Physical therapy helps in the improvement of range of motion.

What Is the Importance of Recovery in Wrist Hyperextension Injury?

After a wrist hyperextension injury, following the doctor's order and completing the rehabilitation program is important. This usually includes a combination of rest, ice, compression, and elevation and includes physical therapy. It is important to be patient during the rehabilitation process. Injuries may heal in several weeks or even months. If a person does not follow the proper treatment in guidance given by the doctors, they will not be able to return to their previous activity level.

Conclusion

Wrist hyperextension injury can be caused by injury to the ligaments of the wrist. This condition is painful and debilitating. If someone suspects that they may have hyperextended their wrist, it is important to consult a doctor as soon as possible. Early diagnosis and treatment reduce the risk of long-term complications.

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Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

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