Management of thumb meta-carpophalangeal ulnar collateral ligament injuries

Peter C. Rhee; David B. Jones; Sanjeev Kakar

doi:10.2106/JBJS.K.01024

Management of thumb meta-carpophalangeal ulnar collateral ligament injuries

Peter C. Rhee, David B. Jones, Sanjeev Kakar

Orthopedic Surgery

Research output: Contribution to journal › Review article › peer-review

35 Scopus citations

Abstract

▶ Untreated ulnar collateral ligament (UCL) injury of the thumb metacarpophalangeal joint (MCPJ) can lead to longterm pain and functional limitations. ▶ Detection of a UCL injury involves sequential examination of true and accessory ligaments and comparison with the uninjured side. ▶ Acute partial UCL injuries can be successfully treated nonoperatively. ▶ Acute complete or displaced UCL injuries can be successfully treated with operative repair. ▶ In cases of chronic UCL injury, treatment options include static and dynamic reconstructions. ▶ If painful arthrosis is present with chronic UCL instability, salvage may be performed with MCPJ fusion.

Original language	English (US)
Pages (from-to)	2005-2012
Number of pages	8
Journal	Journal of Bone and Joint Surgery - Series A
Volume	94
Issue number	21
DOIs	https://doi.org/10.2106/JBJS.K.01024
State	Published - Nov 7 2012

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.K.01024

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title = "Management of thumb meta-carpophalangeal ulnar collateral ligament injuries",

abstract = "▶ Untreated ulnar collateral ligament (UCL) injury of the thumb metacarpophalangeal joint (MCPJ) can lead to longterm pain and functional limitations. ▶ Detection of a UCL injury involves sequential examination of true and accessory ligaments and comparison with the uninjured side. ▶ Acute partial UCL injuries can be successfully treated nonoperatively. ▶ Acute complete or displaced UCL injuries can be successfully treated with operative repair. ▶ In cases of chronic UCL injury, treatment options include static and dynamic reconstructions. ▶ If painful arthrosis is present with chronic UCL instability, salvage may be performed with MCPJ fusion.",

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AU - Jones, David B.

AU - Kakar, Sanjeev

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Y1 - 2012/11/7

N2 - ▶ Untreated ulnar collateral ligament (UCL) injury of the thumb metacarpophalangeal joint (MCPJ) can lead to longterm pain and functional limitations. ▶ Detection of a UCL injury involves sequential examination of true and accessory ligaments and comparison with the uninjured side. ▶ Acute partial UCL injuries can be successfully treated nonoperatively. ▶ Acute complete or displaced UCL injuries can be successfully treated with operative repair. ▶ In cases of chronic UCL injury, treatment options include static and dynamic reconstructions. ▶ If painful arthrosis is present with chronic UCL instability, salvage may be performed with MCPJ fusion.

AB - ▶ Untreated ulnar collateral ligament (UCL) injury of the thumb metacarpophalangeal joint (MCPJ) can lead to longterm pain and functional limitations. ▶ Detection of a UCL injury involves sequential examination of true and accessory ligaments and comparison with the uninjured side. ▶ Acute partial UCL injuries can be successfully treated nonoperatively. ▶ Acute complete or displaced UCL injuries can be successfully treated with operative repair. ▶ In cases of chronic UCL injury, treatment options include static and dynamic reconstructions. ▶ If painful arthrosis is present with chronic UCL instability, salvage may be performed with MCPJ fusion.

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ER -

Management of thumb meta-carpophalangeal ulnar collateral ligament injuries

Abstract

ASJC Scopus subject areas

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