Emergency Reconstruction of a Collateral Ligament of a Metacarpophalangeal Joint Using Dacron Material

1999 ◽  
Vol 24 (3) ◽  
pp. 376-378 ◽  
Author(s):  
M. LANZETTA ◽  
A. CHOLLET
Keyword(s):  
Full Range ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Pedicled Flap ◽  
Collateral Ligament ◽  
Range Of Movement ◽  
Long Term Follow Up ◽  
Interosseous Artery

We present a case in which an open wound involving the ulnar collateral ligament of the metacarpophalangeal joint of the little finger was treated by ligament reconstruction using a strip of Dacron material, nerve grafting and coverage by a posterior interosseous artery pedicled flap. At a long term follow-up of 4 years, the joint was stable and had a full range of movement.

Surgical Results for Chronic Empyema Using Omental Pedicled Flap: Long-Term Follow-Up Study

2005 ◽  
Vol 79 (6) ◽  
pp. 1857-1861 ◽  
Author(s):  
Yoshitomo Okumura ◽  
Shin-ichi Takeda ◽  
Hiroki Asada ◽  
Masayoshi Inoue ◽  
Noriyoshi Sawabata ◽  
...  
Keyword(s):  
Pedicled Flap ◽  
Surgical Results ◽  
Follow Up Study ◽  
Chronic Empyema ◽  
Long Term Follow Up

Long-Term Follow-Up of Surgical Treatment for Thumb Duplication

2005 ◽  
Vol 30 (3) ◽  
pp. 276-281 ◽  
Author(s):  
M. LARSEN ◽  
J. P. A. NICOLAI
Keyword(s):  
Pinch Strength ◽  
Objective Method ◽  
Joint Stability ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Postoperative Evaluation ◽  
Thumb Duplication ◽  
Long Term Follow Up

There are few long-term follow-up reports concerning the treatment of thumb duplication. We reviewed the treatment of 19 of 74 patients treated at our institution between 1956 and 2002. The average follow-up was 22 (range, 7 years to 35 years) years. Satisfactory function was achieved in 18 thumbs and cosmesis in 12 thumbs. Six thumbs were cold-intolerant at this late follow-up. Pinch strength was similar to the contralateral normal thumbs. Collateral ligament repair did not significantly contribute to joint stability. An objective method of postoperative evaluation showed good results in five, fair results in 12 and poor results in two thumbs.

SIMULTANEOUS METACARPOPHALANGEAL JOINT ULNAR COLLATERAL LIGAMENT INJURY AND CARPOMETACARPAL DISLOCATION OF THE THUMB IN A FOOTBALL PLAYER: A CASE REPORT

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 23-24 ◽  
Author(s):  
Amit Bhargava ◽  
Andrew G. Jennings
Keyword(s):  
Unusual Case ◽  
Correct Diagnosis ◽  
Ulnar Collateral Ligament ◽  
Football Player ◽  
Metacarpophalangeal Joint ◽  
Ligament Injury ◽  
Collateral Ligament ◽  
Ulnar Collateral Ligament Injury ◽  
High Index Of Suspicion

An unusual case of ulnar collateral ligament avulsion in association with carpometacarpal dislocation of thumb is described. Symptoms and deformity caused by dislocation can mask the presence of injuries such as damage to the ulnar collateral ligament of thumb. This may lead to long term disability. A high index of suspicion and good clinical examination allows correct diagnosis and management of these uncommon injuries leading to a good clinical outcome.

Collateral Ligament Avulsion Fractures from the Heads of the Metacarpals of the Fingers

2006 ◽  
Vol 31 (5) ◽  
pp. 537-541 ◽  
Author(s):  
D. J. SHEWRING ◽  
R. H. THOMAS
Keyword(s):  
Conservative Treatment ◽  
Internal Fixation ◽  
Full Range ◽  
Metacarpophalangeal Joint ◽  
Collateral Ligament ◽  
Range Of Movement ◽  
Dorsal Approach ◽  
Avulsion Fractures ◽  
Non Union ◽  
Full Flexion

Nineteen patients with collateral ligament avulsion fractures from the metacarpal heads of the fingers were treated during a 6 year period. Seven undisplaced fractures were initially treated conservatively. Four united with full movement. Three required internal fixation for symptomatic non-union and healed without problems. Eleven patients with displaced fractures were treated by primary internal fixation using a single lag screw through a dorsal approach. Seven of these achieved a full range of movement of the injured digit by 3 months. Four patients failed to regain full flexion of the metacarpophalangeal joint. One patient with a displaced and comminuted fracture was treated with internal fixation at 8 weeks when the fragment had consolidated. As with similar fractures from the proximal phalangeal bases, these fractures are prone to non-union when treated conservatively, even when undisplaced. If fixation becomes necessary, the delay of a trial of conservative treatment does not appear to affect the outcome. Internal fixation of displaced fractures allows gentle mobilisation and facilitates union.

Return-to-Play Outcomes in Professional Baseball Players After Nonoperative Treatment of Incomplete Medial Ulnar Collateral Ligament Injuries: A Long-Term Follow-up Study

2021 ◽  
Vol 49 (5) ◽  
pp. 1137-1144
Author(s):  
Clark M. Walker ◽  
James W. Genuario ◽  
Darby A. Houck ◽  
Scott Murayama ◽  
Hanna Mendez ◽  
...  
Keyword(s):  
Performance Metrics ◽  
Ulnar Collateral Ligament ◽  
Nonoperative Treatment ◽  
Matched Pair ◽  
Professional Baseball ◽  
Baseball Players ◽  
Long Term Follow Up ◽  
History Of

Background: Medial ulnar collateral ligament (UCL) injuries are common among baseball players. There is sparse literature on long-term results after nonoperative treatment of UCL injuries in professional baseball players. Purpose: The primary purpose was to assess long-term follow-up on reinjury rates, performance metrics, rate of return to the same level of play or higher (RTP), and ability to advance to the next level of play in professional baseball players after nonoperative treatment of incomplete UCL injuries. The secondary aim was to perform a matched-pair comparison between pitchers treated nonoperatively and a control group without a history of UCL injuries. Study Design: Cohort study; Level of evidence, 3. Methods: Twenty-eight professional baseball players (18 pitchers, 10 position players) treated nonoperatively were identified from a previous retrospective review of a single professional baseball organization between 2006 and 2011. UCL reinjury rates and player performance metrics were evaluated at long-term (minimum, 9 years) follow-up. Rates of RTP were calculated. A matched-pair comparison was made between the pitchers treated nonoperatively and pitchers without a history of UCL injuries. Results: Overall, 27 players (17 pitchers, 10 position players) were available for long-term follow-up at a mean follow-up of 12 years (SD, 2 years). The overall rate of RTP was 85% (23/27), with the rate of RTP being 82% (14/17) in pitchers and 90% (9/10) in position players. Of the 23 players who did RTP, 18 (78%) reached a higher level of play and 5 (21.7%) stayed at the same level. Of the 9 position players who did RTP, the median number of seasons played after injury was 4.5 (interquartile range, 3.3). Of the 14 pitchers who did RTP, the mean number of seasons played after injury was 5.8 (SD, 3.8). In the matched-pair analysis, no significant differences were observed in any performance metrics (P > .05). The overall reinjury rate was 11.1% (3/27), with no players requiring UCL reconstruction. Conclusion: There was a high rate of RTP for professional baseball players treated nonoperatively for incomplete UCL injuries. Compared with a matched cohort with no history of UCL injury, professional baseball pitchers treated nonoperatively had similar performance metrics. Reinjury rates were low, and no player had reinjury requiring UCL reconstruction. Nonoperative treatment of incomplete UCL injuries in professional baseball players, specifically pitchers, is a viable treatment option in the long term.

Dupuytren’s Disease Treated by Palmar Fasciectomy and an Open Palm Technique

1996 ◽  
Vol 21 (4) ◽  
pp. 484-485 ◽  
Author(s):  
D. L. SHAW ◽  
D. I. WISE ◽  
W. HOLMS
Keyword(s):  
Nerve Injury ◽  
Long Term Results ◽  
Continuous Series ◽  
Digital Nerve ◽  
Range Of Movement ◽  
Survivorship Analysis ◽  
Total Range ◽  
Long Term Follow Up

The results of long-term follow-up (range 9–19 years) are presented in a continuous series of patients treated for Dupuytren's contracture by one surgeon using the open palm technique. Mean preoperative total range of movement was 48% rising to 96% postoperatively. Mean total range of movement was 92% at follow-up. Survivorship analysis revealed 86% survival at 10 years and 77% survival at 19 years. There was one digital nerve injury and one case of algodystrophy. This technique gives good long-term results without the use of night splintage or physiotherapy.

Gamekeeper’s thumb

Trauma ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 11-20
Author(s):  
Jogisha Kukadia ◽  
Neil Ashwood
Keyword(s):  
Structural Integrity ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Clinical Anatomy ◽  
Low Grade ◽  
Collateral Ligament ◽  
Acute Form ◽  
Gamekeeper’S Thumb ◽  
Thumb Metacarpophalangeal Joint

Gamekeeper’s thumb is a condition resulting from low-grade repeated force through the ulnar collateral ligament of the thumb metacarpophalangeal joint. In its acute form, it is sometimes known as Skier’s thumb and can be associated with tears, ruptures and fractures. Prompt assessment of the thumb’s structural integrity is therefore important in preventing long-term morbidity of metacarpophalangeal joint instability. Diagnosis is usually made clinically, although radiological imaging can act as a helpful adjunct. Unstable injuries tend to have a better functional outcome if repaired surgically. This article will outline relevant clinical anatomy, injury mechanism, clinical assessment and management of ulnar collateral injuries including Gamekeeper’s thumb.

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