Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study
(2005-2012) of the Great Britain Olympic Boxing Squad
#MMPMID28344531
Loosemore M
; Lightfoot J
; Gatt I
; Hayton M
; Beardsley C
Hand (N Y)
2017[Mar]; 12
(2
): 181-187
PMID28344531
show ga
Background: The purpose of this investigation was to explore prospectively the
nature and duration of hand and wrist injuries in training and competition in the
Great Britain (GB) amateur boxing squad between 2005 and 2012. Methods:
Longitudinal prospective injury surveillance of the GB boxing squad was performed
from 2005 to 2012. The location, region affected, description, and the duration
of each injury were recorded by the team doctor and team physiotherapist. We
recorded whether the injury occurred during competition or training and also
whether it was a new or a recurrent injury. The injury rate during competition
was calculated as the number of injuries per 1000 hours. Results: Finger
carpometacarpal instability and finger metacarpophalangeal joint extensor hood
and capsule sprain also known as "boxer's knuckle" injuries were significantly
more common than other injury diagnoses. The number of injuries during training
or competition was similar, which is remarkable given the far greater number of
training hours than competition hours performed. Injury rate for hand and wrist
injuries in competition was 347 injuries per 1000 hours, while the estimated
injury rate in training was <0.5 injuries per 1000 hours. Conclusion:
Carpometacarpal instability and boxer's knuckle were more common than any other
kind of hand and wrist injury in this cohort of elite amateur boxers. The rate of
hand and wrist injuries was higher in competition than in training. Our study
highlights the importance of hand and wrist injury prevention in the competition
environment.