Clinics in sports medicine
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Evaluation and treatment of closed tendon injuries in the athlete is usually fairly straightforward if seen in the acute stages. These usually respond well in most cases to nonoperative treatment; a small percentage require initial operative treatment, however. In most cases, continued participation in sports is possible during treatment as long as protective splinting is allowed.
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The challenge of treating fractures of the hand and wrist in the athlete is finding innovative ways of internal and external fixation that will allow the athlete to continue participation while the fracture is healing. The challenge is to provide enough immobilization or restriction to allow optimal fracture healing while providing enough freedom to allow the athlete to participate in his sport.