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Scaphoid Fractures, TFCC & Scapholunate Injuries in Combat Sports

9 december 2025
Ian Gatt is a highly experienced sports physiotherapist with over 25 years in elite performance environments. He spent a significant portion of his career leading the multidisciplinary services for the Great Britain Boxing Programme, supporting athletes through major international events, including multiple Olympic and Commonwealth Games. Ian is recognised as an Upper Limb Injury Specialist with the UK Sports Institute (UKSI), where he provides expert advisory support to Olympic and Paralympic sports.  Ian is the current head of physiotherapy at Inspire Institute of Sport We explore three of the most common combat sport wrist injuries and expand on some of the key management principles, including: TFCC Injuries The Palmer Classification for TFCC injuries  Why the location of the injury matters How diagnosis and function provide you with prognostic indicators  When surgery may be indicated Scaphoid fractures and the importance of not missing them in your assessment.  The importance of the site of fracture (Proximal, waist or distal) Preferred imaging modality  When to refer for orthopaedic input Scapholunate ligament injuries & instability How to assess for and manage optimally  Key tools to be objective during a rehab process.  Strength training around the wrist https://youtu.be/6sqhoawyrbo

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