Kettlebell exercises are more efficient for an athlete to increase his or her muscle strength. However it carries the\r\nrisk of injury especially in the beginners. A 39 year old gentleman came to our clinic with radial sided wrist pain\r\nfollowing kettlebell exercises. Clinically patient had swelling and tenderness over the tendons in the first dorsal\r\nwrist compartment, besides Finklesten test was positive. Patient had a decreased excursion of the thumb when\r\ncompared to the opposite side. Ultrasound/MRI scan revealed asymmetric thickening of the 1st compartment\r\nextensors extending from the base of the thumb to the wrist joint. Besides injury to the Extensor Pollicis Brevis\r\n(EPB) tendon by repetitive impact from kettlebell, leading to its split was identified. Detailed history showed that\r\nthe injury might be due to off-centre handle holding during triceps strengthening exercises. Our report stresses the\r\nfact that kettlebell users should be taught about problems of off-center handle holding to avoid wrist injuries. Also,\r\nin Kettlebell users with De Quervains disease clinical and radiological evaluation should be done before steroid\r\ninjection as this might lead to complete tendon rupture.
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