Chronic Post-Traumatic Radial Instability of the Metacarpophalangeal Joint of the Finger

1998 ◽  
Vol 23 (4) ◽  
pp. 503-506 ◽  
Author(s):  
S. RIEDERER ◽  
L. NAGY ◽  
U. BÜCHLER
Keyword(s):  
Retrospective Study ◽  
Range Of Motion ◽  
Metacarpophalangeal Joint ◽  
Tendon Graft ◽  
Degenerative Changes ◽  
Normal Range ◽  
Collateral Ligament ◽  
Post Traumatic ◽  
Graft Reconstruction

Chronic painful post-traumatic instability of the radial collateral ligament complex of the metacarpophalangeal joint of a finger was treated by tendon graft reconstruction in 24 patients. Seventeen patients (20 joints) were available for a retrospective study at a mean follow-up time of 105 months. Eighty percent of the joints showed excellent or good results, with relief of pain, return of adequate stability, a near normal range of motion and absence of degenerative changes.

Medial Collateral Ligament Reconstruction of the Elbow using the Docking Technique

2002 ◽  
Vol 30 (4) ◽  
pp. 541-548 ◽  
Author(s):  
Joel T. Rohrbough ◽  
David W. Altchek ◽  
Jon Hyman ◽  
Riley J. Williams ◽  
Jonathan D. Botts
Keyword(s):  
Medial Collateral Ligament ◽  
Collegiate Athletes ◽  
Tendon Graft ◽  
Collateral Ligament ◽  
Associated Lesions ◽  
Competition Level ◽  
Medial Collateral Ligament Reconstruction ◽  
Valgus Instability ◽  
Graft Reconstruction

Background Medial collateral ligament insufficiency of the elbow with resultant valgus instability in throwing athletes is typically treated with free tendon graft reconstruction as described by Jobe. Hypothesis Improved results could be obtained with the use of the docking technique. Study Design Uncontrolled retrospective review. Methods The study group consisted of 36 athletes who had symptomatic insufficiency of the medial collateral ligament confirmed by magnetic resonance imaging and by surgical findings. Average follow-up was 3.3 years. Key elements of the docking technique included a muscle-splitting approach without routine transposition of the ulnar nerve, routine arthroscopic assessment, treatment of associated lesions, and docking the two ends of the tendon graft into a single humeral tunnel. Results Thirty-three of 36 patients (92%) returned to or exceeded their previous level of competition for at least 1 year, meeting the Conway-Jobe classification criteria of “excellent.” All 22 professional or collegiate athletes returned to or exceeded their previous competition level. Conclusions The docking technique allowed simplified graft tensioning and improved graft fixation.

Metacarpophalangeal Joint Arthroplasty Based on the Osseointegration Concept

1993 ◽  
Vol 18 (6) ◽  
pp. 693-703 ◽  
Author(s):  
G. LUNDBORG ◽  
P.-I. BRÅNEMARK ◽  
I. CARLSSON
Keyword(s):  
Range Of Motion ◽  
Hand Function ◽  
Clinical Signs ◽  
Hand Surgery ◽  
Metacarpophalangeal Joint ◽  
Active Range Of Motion ◽  
Good Cosmetic ◽  
Primary Osteoarthrosis ◽  
Post Traumatic

The osseointegration concept has been used for fixation of 68 MP joint endoprostheses in 31 patients operated on at the Department of Hand Surgery, Malmö General Hospital during the period 1988–1992. The indications were rheumatoid arthritis (50 joints), primary osteoarthrosis (three joints), post-traumatic osteoarthrosis (three joints), post-traumatic osteoarthrosis (five joints), post-infectious osteoarthrosis (seven joints) and joint deformities secondary to spastic conditions (three joints). The average follow-up time was 2.5 years (6–54 months). The surgical procedure included resection of the joint followed by introduction of screw-shaped titanium fixtures into the bone marrow cavities of the metacarpal and the phalangeal base. Rheumatoid cases usually required grafting of cancellous bone and marrow from the iliac crest. At the same time a flexible constrained silicone spacer was connected to the titanium fixtures in such a way as to allow later replacement of the spacer if accessory. The average active range of motion (ROM) was 57° in the rheumatoid cases and 50° in all cases. Radiological and clinical osseointegration occurred in every case, and there were no clinical signs of loosening. In four cases (6%) there was a fracture of the joint mechanism. Patient satisfaction was high, with pain relief, increased range of motion, improved hand function and good cosmetic appearance.

MRI follow-up after free tendon graft reconstruction of the thumb ulnar collateral ligament

2010 ◽  
Vol 39 (11) ◽  
pp. 1081-1086 ◽  
Author(s):  
M. Lohman ◽  
J. Vasenius ◽  
O. Nieminen ◽  
L. Kivisaari
Keyword(s):  
Ulnar Collateral Ligament ◽  
Tendon Graft ◽  
Collateral Ligament ◽  
Graft Reconstruction

scholarly journals Clinical results of the BoneWelding®Fiji® anchor for the treatment of Stener lesions of the thumb

2020 ◽  
Author(s):  
Tobias Kastenberger ◽  
Peter Kaiser ◽  
Gernot Schmidle ◽  
Kerstin Stock ◽  
Stefan Benedikt ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Traumatic Event ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Contralateral Side ◽  
Pinch Strength ◽  
Dash Score ◽  
Collateral Ligament

Abstract Introduction A new technology (Sportwelding®) was recently presented, which uses ultrasonic energy to meld a resorbable suture anchor at the interface with the host bone. A standardized clinical use was not investigated yet. This study prospectively evaluated the surgical and clinical outcomes of the Fiji Anchor® (Sportwelding®, Schlieren, Switzerland) in the repair of an ulnar collateral ligament lesion of the metacarpophalangeal joint of the thumb. Material and methods The range of motion, grip and pinch strength, disability of arm, shoulder and the hand (DASH) and patient rated evaluation (PRWE) score, pain, satisfaction, complications and adverse events were assessed in 24 patients after surgical treatment for an acute displaced rupture or avulsion of the ulnar collateral metacarpophalangeal ligament of the thumb using the Fiji Anchor® after 6, 12 and 52 weeks. Results At final follow up, the range of motion of the metacarpophalangeal joint reached almost the contralateral side (49.3° SD 11.7°). Thumb opposition showed a Kapandji score of 9.7 (SD 0.5; range 9–10). Grip strength, the lateral, tip and the three jaw pinch showed nearly similar values compared to the contralateral side (83–101%). Pain was low (0.2 SD 0.7 at rest and 0.6 SD 1.0 during load). The DASH score was 5.0 (SD 7.3) and the PRWE score was 4.1 (SD 9.0). 81% of patients were very satisfied at final follow-up. Two patients were rated unstable during the follow-up period due to a second traumatic event. Three cases experienced difficulties during anchor insertion, whereby incorrect anchor insertion resulted in damage to the suture material; however, this was resolved after additional training. Conclusion One advantage of this anchor appears to be its stable fixation in cancellous bone. The surgical treatment of an ulnar collateral ligament lesion of the thumb using the Fiji Anchor® can lead to an excellent clinical outcome with a minor complication rate; however, long-term dangers and the cost effectiveness of the procedure are not known yet.

scholarly journals Normal Range of Motion of Thumb Metacarpophalangeal Joint

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 78S-79S
Author(s):  
Tatsuki Ebata ◽  
Ikuo Nakai ◽  
Akira Kogure ◽  
Kenichiro Goto
Keyword(s):  
Range Of Motion ◽  
Metacarpophalangeal Joint ◽  
Normal Range ◽  
Thumb Metacarpophalangeal Joint

Incidence of Post-Traumatic Arthrosis after Primary Healing of Scaphoid Fractures: A Clinical and Radiological Study

1990 ◽  
Vol 15 (1) ◽  
pp. 11-13
Author(s):  
G. LINDSTRÖM ◽  
A. NYSTRÖM
Keyword(s):  
Retrospective Study ◽  
Radiological Study ◽  
Scaphoid Fractures ◽  
Radiological Evidence ◽  
Post Traumatic ◽  
Primary Healing

In a retrospective study of 229 patients with healed fractures of the waist of the scaphoid, the incidence and development of post-traumatic radiocarpal arthrosis was studied. With a minimum follow-up period of seven years, 5.2% of patients showed radiological evidence of radiocarpal arthrosis. It is concluded that an alteration of the carpal dynamics, due to deformation and shortening of the scaphoid, is the most likely cause of post-traumatic arthrosis after primary healing of scaphoid fractures.

Cerebral palsy and rhizotomy: A 3-year follow-up evaluation with gait analysis

1991 ◽  
Vol 74 (2) ◽  
pp. 178-184 ◽  
Author(s):  
Christopher L. Vaughan ◽  
Barbara Berman ◽  
Warwick J. Peacock
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Range Of Motion ◽  
Stride Length ◽  
Sagittal Plane ◽  
Spastic Cerebral Palsy ◽  
Normal Range ◽  
Early Functional Outcome ◽  
Selective Posterior Rhizotomy

✓ A recent increase in the popularity of selective posterior rhizotomy for reduction of spasticity in cerebral palsy has led to a demand for more objective studies of outcome and long-term follow-up results. The authors present the results of gait analysis on 14 children with spastic cerebral palsy, who underwent selective posterior rhizotomy in 1985. Sagittal plane gait patterns were studied before surgery and at 1 and 3 years after surgery using a digital camera system. The parameters measured included the range of motion at the knee and thigh, stride length, speed of walking, and cadence. The range of motion at the knee was significantly increased at 1 year after surgery and further improved to a nearly normal range at 3 years after surgery. In contrast, postoperative measurements of thigh range exceeded normal values at 1 year, but decreased toward normal range at 3 years. While improvements in range of motion continued between Years 1 and 3, the children developed a more extended thigh and knee position, which indicated a more upright walking posture. Stride length and speed of walking also improved, while cadence remained essentially unchanged. This 3-year follow-up study, the first to examine rhizotomy using an objective approach, has provided some encouraging results regarding early functional outcome.

Proximal Fractures of the Fifth Metacarpal: A Retrospective Analysis of 25 Operated Cases

2000 ◽  
Vol 25 (3) ◽  
pp. 253-257 ◽  
Author(s):  
M. Y. PAPALOIZOS ◽  
PH. LE MOINE ◽  
V. PRUES-LATOUR ◽  
N. BORISCH ◽  
D. R. DELLA SANTA
Keyword(s):  
Range Of Motion ◽  
Grip Strength ◽  
Retrospective Analysis ◽  
Full Range ◽  
Degenerative Changes ◽  
Degenerative Arthritis ◽  
X Ray

The clinical and radiological outcomes of 25 surgically treated fractures of the proximal third of the fifth metacarpal were retrospectively analysed. Many different methods of osteosynthesis were used. At follow-up after a mean of 3.3 years, 15 of 25 patients had no pain. Most patients regained a nearly full range of motion in the adjacent joints and more than 90% of the contralateral grip strength. X-ray signs of degenerative arthritis in the metacarpohamate joint were observed in 10 of 25 patients. Pain was found to be directly correlated with the presence of degenerative changes.

Heterotrophic calcification of medial collateral ligament of knee joint: a case report

2020 ◽  
pp. 1-7
Author(s):  
Ijaz Amin ◽  
Wajida Perveen ◽  
Misbah Amanat Ali ◽  
Umer Ilyas
Keyword(s):  
Knee Joint ◽  
Medial Collateral Ligament ◽  
Surgical Removal ◽  
Joint Motion ◽  
Normal Range ◽  
Collateral Ligament ◽  
Functional Scale ◽  
Cord Injury ◽  
Post Traumatic

Abstract Soft-tissue calcification is characterised by the deposit of calcium in the damaged collagen fibres. The pathology of the phenomenon is not fully known. Trauma, spinal cord injury and traumatic brain injury have been reported as possible risk factors. Hypertrophic calcification of medial collateral ligament can be post-traumatic with unexplained aetiology. It can restrict the normal range of joint motion, affecting performance of activities of daily living, resulting in disturbance of quality of life. It may be managed conservatively, but if unsuccessful, surgical removal of the calcification may be carried out. Here, we present a case of post-traumatic heterotrophic calcification of medial collateral ligament of knee joint and review of current literature. Keywords: Heterotrophic calcification, Lower extremity functional scale, medial collateral ligament, Continuous...

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