Interventions for treating ulnar collateral ligament injuries of the thumb

Singh, Simerjit; Pai, Dinker R; Dixit, Ramakant; Soe, Htoo Htoo Kyaw

doi:10.1002/14651858.cd011267

Cited by 1 publication

(1 citation statement)

References 27 publications

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“…Mid-substance ruptures are usually repaired with end-to-end sutures. If the ligament is avulsed from the bone, it can be reinserted using pull-out sutures or bone anchors with or without K-wire immobilization (Baskies and Lee, 2009; Madan et al., 2014). In addition, screws, a hook plate or K-wires can be used to fix large avulsed bone fragments without other treatment modalities (Ebrahimpour et al., 2022; Mahajan and Rhemrev, 2013; Shin et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes after primary repair for thumb ulnar collateral ligament ruptures: a systematic review and meta-analysis

Legerstee,

Derksen,

van der Oest

et al. 2024

J Hand Surg Eur Vol

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There is no consensus on the best surgical technique for treating thumb ulnar collateral ligament (UCL) ruptures. This systematic review and meta-analysis investigates which primary repair technique and postoperative immobilization protocol result in the best clinical outcomes. A literature search was conducted in Embase, Medline ALL Ovid, Web of Science Core Selection and Cochrane Central Register of Controlled Trials. Pain, stability, tip pinch strength, key pinch strength, grip strength, return to work and metacarpophalangeal joint range of motion were collected as postoperative outcomes. In total, 29 studies were included. All surgical techniques resulted in satisfactory clinical outcomes, with no significant differences between bone anchor reinsertion, suture fixation, K-wire fixation and a combination of techniques. K-wire immobilization resulted in worse postoperative pain, but similar stability compared to immobilization without a K-wire. Clinical outcomes after thumb UCL repair are excellent, with no differences in clinical outcomes noted among surgical techniques.

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Section: Introductionmentioning

confidence: 99%