Results of Surgical Treatment of Acute and Chronic Grade II Tears of the Radial Collateral Ligament of the Thumb Metacarpophalangeal Joint

2006 ◽  
Vol 31 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Louis W. Catalano ◽  
Lamont Cardon ◽  
Nicolas Patenaude ◽  
O. Alton Barron ◽  
Steven Z. Glickel
1998 ◽  
Vol 23 (2) ◽  
pp. 271-274 ◽  
Author(s):  
T. P. McDERMOTT ◽  
L. S. LEVIN

Five cases of chronic instability of the radial collateral ligament of the thumb metacarpophalangeal joint are presented. All patients were treated using the Mitek suture anchor to reattach the avulsed ligament to bone in its anatomical position. Tendon advancement or graft reinforcement was not used in conjunction with the repair. A stable thumb metacarpophalangeal joint was achieved in each case with no recurrent instability or pain found within 9 months of follow-up. Postoperatively, each patient exhibited a full return to activities of daily living within 2 to 3.5 months. Grip and pinch strength and range of motion were nearly the same as in the uninjured hand. We recommend the Mitek suture anchor as a simple and effective method of repairing the chronic radial collateral ligament injury. The importance of correct anatomical placement of the anchor is stressed, and guidelines for this are discussed.


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