# Doctor explains #JamesHarden THUMB fracture #SportsMedicine #Cavaliers #ClevelandCavaliers #Injury

## Метаданные

- **Канал:** MEDspiration
- **YouTube:** https://www.youtube.com/watch?v=m1XE8MFSPYo

## Содержание

### [0:00](https://www.youtube.com/watch?v=m1XE8MFSPYo) Segment 1 (00:00 - 01:00)

Cleveland Cavs guard James Harden sustained a distal failins fracture of the thumb last night against the Knicks. Let's break this down. Harden did not start the game with this thumb taped up and there were three specific moments where he took direct contact to it. First moment he swipes down defensively, thumb extended and jams it directly. Immediately looks down at it. That fits classic axial tip compression. The most common mechanism for the type of fracture he has. Second moment he goes up for a layup and briefly braces with that same hand. subtle reaction, but he checks it again. Third, attacking the rim, contact in traffic, not the landing. That's a crush mechanism with the distal thumb compressed between the defender. He walked into the locker room at halftime, staring directly at that thumb and shaking it out. And at the start of the second half, it was taped up. Anatomically, the distal failings is the tip bone of the thumb, the bone beyond the IP joint closest to the nail. It anchors the flexor policus longus on the palm side which bends the thumb tip and the extensor policus longus on the back side which straightens the thumb tip. The reassuring part here, it's non-displaced meaning the bone has not shifted out of place with no tendon tear and no main thumb joint involvement. That means the er collateral ligament which stabilizes grip and pinch is intact. There's no stener lesion meaning the ligament hasn't displaced and gotten stuck. Structurally the thumb is stable. Functionally it's the non-shooting hand. So limitation is mostly pain, not instability. And these can often be played through with a protective splint. hopefully misses no time as the Cavs have been looking explosive since they made the trade.

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*Источник: https://ekstraktznaniy.ru/video/34166*