Thenar pain can represent a significant morbidity for a baseball player who relies on manual dexterity for gripping a bat and precise and accurate throws. While osseous, ligamentous, and neurovascular pathologies are commonly considered, musculotendinous injuries are often neglected in the differential diagnosis of thenar pain. We present a case of adductor pollicis longus strain as a cause of acute thenar pain in a baseball player. Adductor pollicis longus strains should be considered in any baseball player sustaining a hyperabduction force to the thumb.
CooneyWPDobynsJHLinscheidRL. Nonunion of the scaphoid: analysis of the results from bone grafting. J Hand Surg Am. 1980;5(4):343-354.
2.
FufaDTGoldfarbCA. Fractures of the thumb and finger metacarpals in athletes. Hand Clin. 2012;28(3):379-388, x.
3.
GuptaSMichelsen-JostH. Anatomy and function of the thenar muscles. Hand Clin. 2012;28(1):1-7.
4.
HaddadFSGoddardNJ. Acute percutaneous scaphoid fixation. A pilot study. J Bone Joint Surg Br. 1998;80(1):95-99.
5.
InoueGShionoyaK. Herbert screw fixation by limited access for acute fractures of the scaphoid. J Bone Joint Surg Br. 1997;79(3):418-421.
6.
JohnsonJWCulpRW. Acute ulnar collateral ligament injury in the athlete. Hand Clin. 2009;25(3):437-442.
7.
KoulaxouzidisGKalashZZajoncHStarkBBannaschH. Case of combined thenar and hypothenar hammer syndrome: case report and brief review of the literature. J Reconstr Microsurg. 2011;27(6):373-376.
8.
KovacicJBergfeldJ. Return to play issues in upper extremity injuries. Clin J Sport Med. 2005;15(6):448-452.
9.
LeversedgeFJ. Anatomy and pathomechanics of the thumb. Hand Clin. 2008;24(3):219-229, v.
10.
MackGRBosseMJGelbermanRHYuE. The natural history of scaphoid non-union. J Bone Joint Surg Am. 1984;66(4):504-509.
11.
McCreadyRABryantMADivelbissJL. Combined thenar and hypothenar hammer syndromes: case report and review of the literature. J Vasc Surg. 2008;48(3):741-744.
12.
ModiCSNancooTPowersDHoKBoerRTurnerSM. Operative versus nonoperative treatment of acute undisplaced and minimally displaced scaphoid waist fractures—a systematic review. Injury. 2009;40(3):268-273.
13.
MorganWJSlowmanLS. Acute hand and wrist injuries in athletes: evaluation and management. J Am Acad Orthop Surg. 2001;9(6):389-400.
NuberGWMcCarthyWJYaoJSSchaferMFSukerJR. Arterial abnormalities of the hand in athletes. Am J Sports Med. 1990;18(5): 520-523.
16.
RettigAC. Athletic injuries of the wrist and hand. Part I: traumatic injuries of the wrist. Am J Sports Med. 2003;31(6):1038-1048.
17.
RettigAC. Athletic injuries of the wrist and hand: part II: overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med. 2004;32(1):262-273.
18.
SaedenBTornkvistHPonzerSHoglundM. Fracture of the carpal scaphoid. A prospective, randomised 12-year follow-up comparing operative and conservative treatment. J Bone Joint Surg Br. 2001;83(2):230-234.
19.
SoejimaOIidaHNaitoM. Flexor carpi radialis tendinitis caused by malunited trapezial ridge fracture in a professional baseball player. J Orthop Sci. 2002;7(1):151-153.
20.
SugawaraMOginoTMinamiAIshiiS. Digital ischemia in baseball players. Am J Sports Med. 1986;14(4):329-334.
21.
UedaDIkedaMOkaY. Locking of the metacarpophalangeal joint of the thumb by a loose body: a case report. Hand Surg. 2006;11(1-2):59-62.
22.
WintererJTGhanemNRothM. Diagnosis of the hypothenar hammer syndrome by high-resolution contrast-enhanced MR angiography. Eur Radiol. 2002;12(10):2457-2462.
