A Morphologic Analysis of Thumb Ulnar Collateral Ligament Avulsion Fracture Fragments and Risk Factors for Surgical Treatment

被引：0

作者：

Legerstee, Ingmar W. F. ^{[1
,2
,3
]}

Kooi, Kevin ^{[1
,4
]}

Hoftiezer, Yannick A. J. ^{[1
,5
]}

Lipson, Sarah M. ^{[1
,6
]}

Aldasooky, Rawan ^{[1
]}

Kanaan, Razan ^{[1
]}

Nelissen, Rob G. H. H. ^{[3
]}

Bhashyam, Abhiram R. ^{[1
,6
]}

Chen, Neal C. ^{[1
,6
]}

Eberlin, Kyle R. ^{[1
,6
]}

机构：

[1] Massachusetts Gen Hosp, Boston, MA USA

[2] Erasmus MC, Rotterdam, Netherlands

[3] Leiden Univ Med Ctr, Leiden, Netherlands

[4] Amsterdam Univ Med Ctr, Amsterdam, Netherlands

[5] Radboud Univ Nijmegen Med Ctr, Nijmegen, Netherlands

[6] Harvard Med Sch, Boston, MA USA

来源：

HAND-AMERICAN ASSOCIATION FOR HAND SURGERY | 2024年

关键词：

thumb ulnar collateral ligament injury; gamekeeper's thumb; skier's thumb; avulsion fracture; thumb ulnar collateral ligament tear; thumb ulnar collateral ligament rupture; fracture morphology; surgery; risk factors; METACARPOPHALANGEAL JOINT; SKIERS THUMB; INJURY;

D O I：

10.1177/15589447241308608

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: There is debate regarding nonoperative versus surgical treatment of thumb ulnar collateral ligament (UCL) tears with avulsion fractures. The aim of this study was to evaluate the fragment size in relation to the UCL footprint size in patients with an avulsion fracture injury and to find risk factors associated with surgical treatment.Methods: In a cohort of avulsion fracture injury patients, the largest side of the fragment was divided by the average reported UCL footprint size (ff-ratio), and a logistic regression was performed to find variables associated with surgery.Results: The mean ff-ratio was 1.1 in 114 patients with an avulsion fracture injury. Metacarpophalangeal (MCP) joint instability, rather than the largest fragment side, was a significant risk factor for surgery.Conclusions: An avulsion fracture fragment associated with thumb UCL injury approximates the dimensions of the UCL footprint. In addition, MCP joint instability was associated with surgery in patients with avulsion fracture injuries.

引用

页数：5

共 20 条

[1] Anatomy of the Thumb Metacarpophalangeal Ulnar and Radial Collateral Ligaments [J].

Carlson, Michelle Gerwin ;

Warner, Kristin K. ;

Meyers, Kathleen N. ;

Hearns, Krystle A. ;

Kok, Peter L. .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2012, 37A (10) :2021-2026

[2]

Cooney W., 1990, Adv Orthop Surg, V13, P235

[3] Failure of cast immobilization for thumb ulnar collateral ligament avulsion fractures [J].

Dinowitz, M ;

Trumble, T ;

Hanel, D ;

Vedder, NB ;

Gilbert, M .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1997, 22A (06) :1057-1063

[4] SURGICAL PATHOLOGY OF COLLATERAL LIGAMENTOUS INJURIES OF THUMB [J].

FRANK, WE ;

DOBYNS, J .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1972, (83) :102-&

[5] SKIERS THUMB - TREATMENT, PREVENTION AND RECOMMENDATIONS [J].

FRICKER, R ;

HINTERMANN, B .

SPORTS MEDICINE, 1995, 19 (01) :73-79

[6] The two-level ulnar collateral ligament injury of the metacarpophalangeal joint of the thumb [J].

Giele, H ;

Martin, J .

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 2003, 28B (01) :92-93

[7]

Harding P, 1995, Aust J Physiother, V41, P29, DOI 10.1016/S0004-9514(14)60420-7

[8]

Heyman, 1997, J Am Acad Orthop Surg, V5, P224

[9] SKIERS THUMB - THE SIGNIFICANCE OF BONY INJURIES [J].

HINTERMANN, B ;

HOLZACH, PJ ;

SCHUTZ, M ;

MATTER, P .

AMERICAN JOURNAL OF SPORTS MEDICINE, 1993, 21 (06) :800-804

[10] The Stener lesion revisited: A case report [J].

Kaplan, SJ .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1998, 23A (05) :833-836

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