ACUTE AND LATE RADIAL COLLATERAL LIGAMENT INJURIES OF THE THUMB METACARPOPHALANGEAL JOINT

被引:30
作者
DURHAM, JW [1 ]
KHURI, S [1 ]
KIM, MH [1 ]
机构
[1] UNIV IOWA HOSP & CLIN,DIV HAND & MICROSURG,IOWA CITY,IA 52242
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 02期
关键词
D O I
10.1016/0363-5023(93)90353-5
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
Eighteen patients were treated surgically for injuries to the radial collateral ligament of the thumb metacarpophalangeal joint. Late repairs were performed in 12 and immediate repairs in 6. At follow-up after a mean of 6 years, 94% of the patients were completely satisfied with the results. No patients had significant pain in their thumbs, and none were limited in work or avocational activities. A stable repair was maintained in all patients. There was no difference in grip or pinch strengths between the immediate and late groups. Loss of thumb motion in the late group (mean = 77% of normal) was slightly more than that in the immediate group (mean = 89% of normal). Late repair gives equally good subjective results and causes a slightly greater loss of thumb motion than immediate repair.
引用
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页码:232 / 237
页数:6
相关论文
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  • [1] Coorad, Goldner, A study of the pathological findings and treatment in soft-tissue injury of the thumb metacarpophalangeal joint, J Bone Joint Surg, 50 A, pp. 439-451, (1968)
  • [2] Frank, Dobyns, Surgical pathology of collateral ligamentous injuries of the thumb, Clin Orthop, 83, pp. 102-114, (1972)
  • [3] Kaplan, The pathology and treatment of radial subluxation of the thumb with ulnar displacement of the head of the first metacarpal, J Bone Joint Surg Am, 43 A, pp. 541-546, (1961)
  • [4] Kessler, Heller, Complete avulsion of the ligamentous apparatus of the metacarpophalangeal joint of the thumb, Surg Gynecol Obstet, 116, pp. 95-98, (1963)
  • [5] Sakellarides, DeWeese, Instability of the metacarpophalangeal joint of the thumb: reconstruction of the collateral ligaments using the extensor pollicis brevis tendon, J Bone Joint Surg, 58 A, pp. 106-112, (1976)
  • [6] Stener, Displacement of the ruptured ulnar collateral ligament of the metacarpophalangeal joint of the thumb: a clinical and anatomic study, J Bone Joint Surg, 44 B, pp. 869-879, (1962)
  • [7] Eaton, Dray, Dislocations and ligament injuries in the digits, Operative hand surgery, (1982)
  • [8] Smith, Post traumatic instability of the metacarpophalangeal joint of the thumb, J Bone Joint Surg, 59 A, pp. 14-21, (1977)
  • [9] Breek, Tan, VanThiel, Daantje, Free tendon grafting to repair the metacarpophalangeal joint of the thumb: surgical techniques and a review of 70 patients, J Bone Joint Surg, 71 B, pp. 383-387, (1989)
  • [10] Camp, Weatherwax, Miller, Chronic post-traumatic radial instability of the thumb metacarpophalangeal joint, J Hand Surg, 5, pp. 221-225, (1980)