The odds of hand pain and osteoarthritis in individuals with a history of cricket-related hand injury

Abstract Radiographic osteoarthritis (OA) is most prevalent in the hand. The association of hand injury with pain or OA is unclear. The objective was to describe the relationship between hand injury and ipsilateral pain and OA in cricketers. Data from former and current cricketers aged ≥ 30 years was used. Data included history of cricket-related hand/finger injury leading to > 4 weeks of reduced exercise, hand/finger joint pain on most days of the last month, self-reported history of physician-diagnosed hand/finger OA. Logistic regression assessed the relationship between injury with hand pain (in former cricketers) and with OA (in all cricketers), adjusted for age, seasons played, playing standard. Of 1893 participants (844 former cricketers), 16.9% reported hand pain, 4.3% reported OA. A history of hand injury increased the odds of hand pain (OR (95% CI) 2.2, 1.4 to 3.6). A history of hand injury also had increased odds of hand OA (3.1, 2.1 to 4.7). Cricket-related hand injury was related to an increased odds of hand pain and OA. This highlights the importance of hand injury prevention strategies within cricket. The high prevalence of hand pain is concerning, and further research is needed to determine the impacts of hand pain.

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Hand Pain in a Golfer

Sports Health A Multidisciplinary Approach ◽

10.1177/1941738116676085 ◽

2016 ◽

Vol 9 (1) ◽

pp. 84-86

Author(s):

Cortie J. Rolison ◽

Milton Kyle Smoot

Keyword(s):

Stress Fracture ◽

Return To Play ◽

Dominant Hand ◽

Hand Pain ◽

History Of

A 19-year-old golfer presented to the sports clinic with a 2-week history of dominant-hand pain after several months of daily golf. He had a metacarpal stress fracture. This case discusses the athlete’s return-to-play timeline as well as reviews the current limited literature guiding return to play in grip athletes.

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Joint pain and osteoarthritis in former recreational and elite cricketers

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2956-7 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 4

Author(s):

He Cai ◽

Garrett S. Bullock ◽

Maria T. Sanchez-Santos ◽

Nicholas Peirce ◽

Nigel K. Arden ◽

...

Keyword(s):

Back Pain ◽

Joint Pain ◽

Joint Injury ◽

Health And Wellbeing ◽

Hand Pain ◽

Increased Risk ◽

Joint Health ◽

History Of ◽

Reduced Activity

Abstract Background Sport participants are at increased risk of joint pain and osteoarthritis. A better understanding of factors associated with joint pain and osteoarthritis in this population could inform the development of strategies to optimise their long-term joint health. The purpose of the study was to describe the prevalence of joint pain and osteoarthritis in former cricketers, and determine whether playing position, playing standard (i.e. elite or recreational standard) and length-of-play are associated with region-specific joint pain. Methods The data were from the Cricket Health and Wellbeing Study (CHWS), a cohort of 2294 current and former cricketers (played ≥1 season) in England and Wales. For this study, eligible individuals had to be aged ≥30 years and be a former cricket participant. Joint pain was defined as region-specific (hip/knee/ankle/shoulder/hand/back) pain on most days of the last month. Osteoarthritis was defined as joint-specific doctor-diagnosed osteoarthritis. Logistic regression was used to calculate unadjusted and adjusted (for history of joint injury resulting in > 4 weeks of reduced activity +/− age) odds ratios (ORs) and 95% confidence intervals (95% CIs). Results 846 individuals from the CHWS were former cricketers aged ≥30 years (3% female, aged median 62(IQR 54–69) years, 62% played cricket recreationally, median 33(IQR 21–41) cricket seasons). One-in-two (48%) reported joint pain and 38% had been diagnosed with osteoarthritis. Joint pain and OA were most common in the knee (23% pain, 22% osteoarthritis), followed by the back (14% pain, 10% osteoarthritis) and hand (12% pain, 6% osteoarthritis). After adjusting for injury, bowlers had greater odds of shoulder pain (OR (95% CI) 3.1(1.3, 7.4)) and back pain (3.6(1.8, 7.4)), and all-rounders had greater odds of knee (1.7(1.0, 2.7)) and back pain (2.1(1.0, 4.2)), compared to batters. Former elite cricketers had greater odds of hand pain (1.6(1.0, 2.5)) than former recreational cricketers. Playing standard was not related to pain at other sites, and length-of-play was not associated with joint pain in former cricketers. Conclusions Every second former cricketer experienced joint pain on most days of the last month, and more than one in three had been diagnosed with osteoarthritis. Compared with batters, bowlers had higher odds of shoulder and back pain and all-rounders had higher odds of back and knee pain. Elite cricket participation was only related to higher odds of hand pain compared with recreational cricket participation.

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Remitting seronegative symmetrical synovitis with pitting oedema following BNT162b2 mRNA COVID-19 vaccination

BMJ Case Reports ◽

10.1136/bcr-2021-244479 ◽

2021 ◽

Vol 14 (8) ◽

pp. e244479

Author(s):

Konstantinos Parperis ◽

Maria Constantinou

Keyword(s):

Older Adults ◽

Elderly Patient ◽

Rheumatic Disease ◽

Inflammatory Markers ◽

Acute Onset ◽

Inflammatory Condition ◽

Hand Pain ◽

History Of

Remitting seronegative symmetrical synovitis with pitting oedema (RS3PE) is a rare inflammatory condition that occurs in older adults. Here, we report a case of an 80-year-old man with no history of rheumatic disease who presented with acute onset of bilateral hand pain, pitting oedema and synovitis after the second dose of the BNT162b2 mRNA C0VID-19 vaccine. Laboratory workup revealed elevated inflammatory markers and negative autoantibodies. Significant improvement was noted with prednisolone. This is the first reported case of RS3PE in an elderly patient with no previous rheumatic disease following mRNA COVID-19 vaccination.

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Thumb boutonnière deformity without rheumatoid arthritis or trauma

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193417704610 ◽

2017 ◽

Vol 43 (3) ◽

pp. 324-330 ◽

Cited By ~ 1

Author(s):

T. Hara ◽

H. Yoneda ◽

S. Kurimoto ◽

M. Yamamoto ◽

K. Iwatsuki ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Range Of Motion ◽

Hand Injury ◽

Extensor Mechanism ◽

Hand Dominance ◽

Level Of Evidence ◽

Factors Associated ◽

Boutonniere Deformity ◽

History Of ◽

Boutonnière Deformity

Boutonnière deformity of the thumb without rheumatoid arthritis or trauma is not widely recognised. This study aimed to investigate its prevalence, relation to sex and age, and identifying factors associated with the extensor mechanism using ultrasonography. We examined 248 thumbs from 127 participants who were asymptomatic for hand disorders and had no history of hand injury. Boutonnière deformity was identified in 20 thumbs of 17 participants and was significantly more prevalent among elderly participants than among young participants. No significant differences in sex or hand dominance were noted. The deformity had a significant effect on range of motion and grip and pinch strengths. The extensor pollicis brevis (EPB) tendon was significantly narrower in affected thumbs than in non-affected thumbs. The prevalence of boutonnière deformity without rheumatoid arthritis or trauma was 13%, and the deformity was associated with advanced age and a narrow EPB tendon. Level of evidence: III

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Bone metastases of the hand

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2017.0096 ◽

2017 ◽

Vol 99 (7) ◽

pp. 563-567 ◽

Cited By ~ 10

Author(s):

G Morris ◽

S Evans ◽

J Stevenson ◽

A Kotecha ◽

M Parry ◽

...

Keyword(s):

Palliative Radiotherapy ◽

Surgical Excision ◽

Malignant Tumour ◽

Axillary Node ◽

Primary Malignancy ◽

Hand Pain ◽

Mechanical Hand ◽

Axillary Node Clearance ◽

History Of

Introduction The aim of this study was to identify patients with malignant hand lesions, establish the proportions of those that were metastases and review their clinical course. Methods A retrospective search of a prospective tumour database was carried out to identify all patients treated at our unit with hand metastases. Patient demographics were recorded including site of primary malignancy, region of the hand involved, management of their metastasis and clinical outcome. Results Overall, 149 patients were identified with a malignant tumour of the hand. Ten had a metastatic lesion. There were 3 women and 7 men with a median age of 68 years (range: 28–91 years) at presentation. All presented with non-mechanical hand pain while four had pain and swelling. The median interval from symptom onset to diagnosis was eight weeks. The minimum follow-up duration was four months. Three patients had no history of malignancy. Of the remaining seven patients, three had other known metastases. Six patients underwent solely palliative radiotherapy. Three patients had amputation. One was treated with surgical excision and radiotherapy. One had an amputation and axillary node clearance. All but one patient had died by the time of the latest follow-up appointment. The median time to death following identification of acrometastases was 18 months. Sites of primary disease were skin (n=4), lung (n=3), kidney (n=2) and neuroendocrine system (n=1). The thumb was the most commonly affected location. Conclusions This study demonstrates that patients presenting with non-mechanical hand pain should be considered to have a malignant process until proved otherwise, particularly in patients with thumb symptoms and a history of prior malignancy.

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