A volleyball player may develop signs of digital ischemia following a match.

Mechanism: repetitive trauma, especially if there is hyperextension


Athlete selection: elite volleyball player


Clinical findings include cold, pale and/or blue digits of the dominant hand.


Risk factors for digital ischemia:

(1) long-term career (playing > 17 years, playing > 14 years)

(2) frequent weight training of the dominant upper extremity to increase strength

(3) female gender


The diagnosis of volleyball association requires exclusion of other causes.

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