Comments on: “Mini hook plate fixation for thumb ulnar collateral ligament avulsion fracture: A technical report” of Shingo Komura, Akihiro Hirakawa, Kyohei Ishizuka, Yasuharu Matsushita, Haruhiko Akiyama, published in Orthop Traumatol Surg Res. 2019; 105(3): 429-433

2019 ◽  
Vol 105 (6) ◽  
pp. 795-796
Author(s):  
Feipeng Gong ◽  
Zhiqiang Fan ◽  
Xiaozheng Tang ◽  
Baofu Yu
2019 ◽  
Vol 105 (3) ◽  
pp. 429-433 ◽  
Author(s):  
Shingo Komura ◽  
Akihiro Hirakawa ◽  
Kyohei Ishizuka ◽  
Yasuharu Matsushita ◽  
Haruhiko Akiyama

2017 ◽  
Vol 09 (02) ◽  
pp. 095-097 ◽  
Author(s):  
Ali Tabrizi ◽  
Ahmadreza Afshar

AbstractDuring a taekwondo competition, a 20-year-old female competitor injured her left thumb. There was pain, swelling, and tenderness at the ulnar side of the metacarpophalangeal joint. Plain radiography demonstrated an avulsion fracture with a small-size fragment at the base of the proximal phalanx. A mini hook plate was used to repair the lesion. The patient was satisfied with the results and returned to her sports activities after 2 months.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Qudong Yin ◽  
Yongjun Rui ◽  
Yongwei Wu ◽  
Jun Liu ◽  
Yunhong Ma ◽  
...  

1992 ◽  
Vol 17 (2) ◽  
pp. 160-163 ◽  
Author(s):  
J. P. SAETTA ◽  
I. C. PHAIR ◽  
D. N. QUINTON

25 patients were assessed following repair of an acutely ruptured ulnar collateral ligament of the thumb metacarpo-phalangeal joint. The patients were divided into two groups, repaired by either a horizontal mattress suture using 4/0 polybutylate (nine patients), or a pre-fashioned steel wire (16 patients). Assessment included a physical examination and functional testing at a mean of 12.9 months (range 4–36 months) after the operation. Both techniques were equally effective, and the use of the more expensive steel wire, while technically satisfying and easy to perform, offers no clinical advantage over simple suture. This pre-fashioned steel wire is, however, recommended in those cases with an avulsion fracture or where distal avulsion of the ligament is associated, since the technique allows easy secure reduction.


2002 ◽  
Vol 30 (3) ◽  
pp. 426-431 ◽  
Author(s):  
John P. Salvo ◽  
Louis Rizio ◽  
John E. Zvijac ◽  
John W. Uribe ◽  
Keith S. Hechtman

Background Injuries to the ulnar collateral ligament are relatively common in throwing athletes and result from either acute traumatic or repeated valgus stress to the elbow. Avulsion fracture of the sublime tubercle of the ulna is a rarely reported site of ulnar collateral ligament injury. Purpose We retrospectively reviewed our cases of ulnar collateral ligament injuries to study avulsion fractures of the sublime tubercle of the ulna. Study Design Case series. Methods Data, including radiographs and magnetic resonance imaging scans, were obtained by review of hospital and office records and by follow-up examination. Of 33 consecutive patients treated for ulnar collateral ligament injuries, 8 had avulsion fractures of the sublime tubercle of the ulna. All eight were male baseball players with dominant arm involvement, an average age of 16.9 years, and an average follow-up of 23.6 months. Results Six of eight patients had failure of nonoperative treatment and required surgical repair. Two of the six underwent ulnar collateral ligament reconstruction and four had direct repair of the sublime tubercle avulsion with bioabsorbable suture anchors. At last follow-up, all eight had returned to their preinjury level of activity. No patient had residual medial elbow pain or laxity. Conclusions Diagnosis of sublime tubercle avulsion fracture is made with history, physical examination, and radiographic studies. Magnetic resonance imaging can help identify an avulsion fracture not visible radio-graphically and can help determine whether direct repair or reconstruction is needed.


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