Les entorses de la métacarpo-phalangienne du pouce. Une expérience de plus de 1 000 cas

Moutet, F.; Guinard, D.; Lebrun, C.; Bello-Champel, P.; Massart, Pascal

doi:10.1016/s0753-9053(89)80002-x

Cited by 58 publications

(19 citation statements)

References 28 publications

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“…62% of patients were under 30 years of age (range: 6–83 years). Although the work of Moutet et al [30] dates back to 1989, the demographics are very comparable to our study population. However, the authors of that study made no mention of the exact number of verified UCL ruptures.…”

Section: Discussionsupporting

confidence: 61%

“…Moutet et al [30] published the so far largest study on thumb sprains, identifying the following causes for thumb UCL injuries: skiing, including cross-country skiing (72% of cases); ball sports (13%); other sports injuries (4%). Men were affected in 60% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Only 2 investigations include larger patient populations [22, 30], and both present demographic data as well as mechanisms of trauma.…”

Section: Introductionmentioning

confidence: 99%

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The influence of sex and trauma impact on the rupture site of the ulnar collateral ligament of the thumb

et al. 2017

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Purpose and hypothesisAlthough sex- and gender-specific analyses have been gaining more attention during the last years they have rarely been performed in orthopaedic literature. The primary purpose of this study was to investigate whether for injuries of the UCL the specific location of the rupture is influenced by sex. A secondary study question addressed the sex-independent effect of trauma intensity on the rupture site of the UCL.MethodsThis study is a retrospective analysis of all patients with either a proximal or distal bony avulsion or with a mid-substance tear or ligament avulsion of the UCL treated surgically between 1992 and 2015 at two level-I trauma centres. Trauma mechanisms leading to the UCL injury were classified into the following categories: (1) blunt trauma (i.e., strains), (2) low-velocity injuries (e.g., fall from standing height, assaults), and (3) high-velocity injuries (e.g., sports injuries, motor vehicle accidents). After reviewing the surgical records, patients were divided into three groups, depending upon the ligament rupture site: (1) mid-substance tears, (2) proximal ligament or bony avulsions and (3) distal ligament or bony avulsions. Dependencies between the specific rupture site and the explanatory variables (sex, age, and trauma intensity) were evaluated using χ2 test and logistic regression analysis.ResultsIn total, 1582 patients (1094 males, 488 females) met the inclusion criteria. Mean age was 41 years (range: 9–90 years). Taking into account the effects of sex on trauma intensity (p<0.001) and of trauma intensity on rupture site (p<0.001), mid-substance tears occurred more frequently in women, whereas men were more prone to distal ligament or bony avulsions (p<0.001). In other words, sex and rupture site correlated due to the effects of sex on trauma intensity and of trauma intensity on rupture site, but taking into account those effects there still was a significant effect of sex on rupture site.ConclusionsThe results of this study demonstrate that with regression analysis both sex and trauma intensity allow to predict rupture site in UCL injuries.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

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The influence of sex and trauma impact on the rupture site of the ulnar collateral ligament of the thumb

et al. 2017

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“…Some authors make use of the flexor carpi radialis and abductor pollicis longus tendons or tensor fasciae latae [1,10,12,14]. Synthetic ligamentoplasties have also been proposed [13,21]. In most instances, these free tendon grafts are passed through transosseous tunnels and secured back onto themselves.…”

Section: Discussionmentioning

confidence: 99%

“…Various surgical techniques have been described for the treatment of chronic ulnar ligament insufficiency of the metacarpophalangeal (MCP) joint of the thumb: simple suture of the remains of the ligament, static or dynamic ligamentoplasties [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] or, in cases of symptomatic degenerative arthritis, arthrodesis of the MCP joint. The results cannot be compared because of the small number of cases in several reports and the variability of objective criteria in the follow-ups.…”

Section: Introductionmentioning

confidence: 99%