Daños microvasculares en dedos de manos de deportistas asociados a estrés repetitivo: Revisión narrativa.
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| Title: | Daños microvasculares en dedos de manos de deportistas asociados a estrés repetitivo: Revisión narrativa. |
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| Alternate Title: | Microvascular Damage in Athletes' Hand Fingers Associated with Repetitive Stress: Narrative Review. Danos microvasculares nos dedos das mãos de desportistas associados ao estresse repetitivo: Revisão narrativa. |
| Authors: | Segura-Hernández, Juanita María1 jsegurah@unbosque.edu.co |
| Source: | Revista Andaluza de Medicina del Deporte. sep2025, Vol. 18 Issue 3, p108-111. 4p. |
| Subjects: | ARTERIAL injuries, FINGERS, OVERUSE injuries, VASCULAR diseases, DIAGNOSIS, ATHLETES, MICROCIRCULATION disorders, SPORTS medicine |
| Abstract (English): | Introduction: Digital ischemia is the most common arterial condition of the upper limbs in athletes. It clinically presents as cooling, pallor, and pain in the fingers--mainly the index and middle--associated with inflammation, repetitive impacts, or closed trauma. Early detection of this condition is essential to prevent thromboembolic events, functional deterioration, and irreversible tissue necrosis. Objective: The main objective is to establish prevalence according to sports discipline, explore the underlying pathophysiological mechanisms, and describe current diagnostic methods and therapeutic strategies. This is particularly relevant given the increasing number of individuals participating in both recreational and competitive sports, which raises the risk of vascular pathologies in the hand.Methods: This narrative literature review was conducted through a systematic search in PubMed. Results: A total of 12 relevant articles were identified. Additional references were incorporated through cross-referencing and a snowball strategy to ensure broad bibliographic coverage. Conclusion: Vascular injuries in athletes, although uncommon, should be suspected in cases of persistent pain or signs of digital ischemia. Early detection and timely management are essential for a rapid return to sport. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La isquemia digital, es la entidad arterial más común de los miembros superiores en deportistas. Se manifiesta clínicamente como enfriamiento, palidez y dolor en los dedos, principalmente índice y medio, asociados a la inflamación, golpes repetitivos o traumas cerrados. La detección precoz de esta condición es fundamental para prevenir eventos tromboembólicos, deterioro funcional y necrosis tisular irreversible. Objetivo: El objetivo principal es establecer la prevalencia según la disciplina deportiva, explorar los mecanismos fisiopatológicos implicados, y describir los métodos diagnósticos y las estrategias terapéuticas actuales. Esto resulta especialmente pertinente dado el creciente número de personas que practican deportes tanto de forma recreativa como competitiva, lo que incrementa el riesgo de patologías vasculares en la mano. Métodos: Esta revisión narrativa de la literatura se realizó mediante una búsqueda sistemática en PubMed. Resultados: Se identificaron un total 12 artículos relevantes. Además, se complementó con referencias cruzadas y estrategia de bola de nieve para asegurar una cobertura bibliográfica amplia. Conclusión: Las lesiones vasculares en deportistas, aunque poco frecuentes, deben sospecharse ante dolor persistente o signos de isquemia digital. Su detección temprana y manejo oportuno son esenciales para un retorno rápido al deporte. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Introdução: A isquemia digital é a condição arterial mais comum dos membros superiores em desportistas. Clinicamente manifesta-se por arrefecimento, palidez e dor nos dedos--principalmente no indicador e médio--associados a inflamação, impactos repetitivos ou traumatismos fechados. A deteção precoce desta condição é fundamental para prevenir eventos tromboembólicos, deterioração funcional e necrose tecidular irreversível. Objetivo: O objetivo principal é estabelecer a prevalência de acordo com a modalidade desportiva, explorar os mecanismos fisiopatológicos envolvidos e descrever os métodos diagnósticos e as estratégias terapêuticas atuais. Isto é especialmente relevante face ao crescente número de pessoas que praticam desporto, tanto recreativo como competitivo, aumentando o risco de patologias vasculares da mão. Métodos: Esta revisão narrativa da literatura foi realizada mediante uma pesquisa sistemática no PubMed. Resultados: Foram identificados 12 artigos relevantes. A pesquisa foi complementada com referências cruzadas e estratégia de bola de neve para assegurar uma cobertura bibliográfica abrangente. Conclusão: As lesões vasculares em desportistas, embora pouco frequentes, devem ser suspeitadas diante de dor persistente ou sinais de isquemia digital. A deteção precoce e o tratamento oportuno são essenciais para um rápido retorno à atividade desportiva. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Introduction: Digital ischemia is the most common arterial condition of the upper limbs in athletes. It clinically presents as cooling, pallor, and pain in the fingers--mainly the index and middle--associated with inflammation, repetitive impacts, or closed trauma. Early detection of this condition is essential to prevent thromboembolic events, functional deterioration, and irreversible tissue necrosis. Objective: The main objective is to establish prevalence according to sports discipline, explore the underlying pathophysiological mechanisms, and describe current diagnostic methods and therapeutic strategies. This is particularly relevant given the increasing number of individuals participating in both recreational and competitive sports, which raises the risk of vascular pathologies in the hand.Methods: This narrative literature review was conducted through a systematic search in PubMed. Results: A total of 12 relevant articles were identified. Additional references were incorporated through cross-referencing and a snowball strategy to ensure broad bibliographic coverage. Conclusion: Vascular injuries in athletes, although uncommon, should be suspected in cases of persistent pain or signs of digital ischemia. Early detection and timely management are essential for a rapid return to sport. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 18887546 |
