The effects of rehabilitation on the outcomes of surgically treated acute and chronic thumb metacarpophalangeal ulnar collateral ligament ruptures

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

“…In total, 18 studies reported the number of patients without pain after primary thumb UCL repair (Abrahamsson et al., 1990; Başar et al., 2014, 2020; Beauperthuy and Burke, 1997; Crowley et al., 2013; Derkash et al., 1987; Dinowitz et al., 1997; Gerber et al., 1981; Huber et al., 1997; Kozin, 1995; Osterman et al., 1981; Saetta et al., 1992; Sollerman et al., 1991; Sourmelis, 1997; Vihtonen et al., 1993; Weiland et al., 1997; Zeman et al., 1998; Zilberman et al., 1965). We found that the overall proportion of patients without pain was 87% (95% confidence interval [CI]: 0.79 to 0.92) and did not differ significantly between the included surgical technique groups ( p = 0.15) (Figure 2).…”

“…A total of 20 studies reported on postoperative metacarpophalangeal stability (Abrahamsson et al., 1990; Başar et al., 2014, 2020; Beauperthuy and Burke, 1997; Crowley et al., 2013; Delma et al., 2022; Huber et al., 1997; Kara et al., 2019; Kastenberger et al., 2021; Kozin, 1995; Lee et al., 2020; Moharram, 2013; Osterman et al., 1981; Patel et al., 2022; Rocchi et al., 2014; Saetta et al., 1992; Sollerman et al., 1991; Sourmelis, 1997; Vihtonen et al., 1993; Weiland et al., 1997). Seven studies objectively or subjectively compared stability with the unoperated thumb, five studies reported the number of patients with valgus stress testing of the thumb showing ≤20° and eight studies subjectively reported the number of patients with clinically stable MCP joints.…”

“…Başar et al. (2020) compared two immobilization techniques and found that patients who had undergone early rehabilitation had no significant difference in ROM compared to the unoperated thumb.…”

One DOF passive Glove for Thumb rehabilitation

“…An exoskeleton is used for purposes of rehabilitation and motion assistance so that patients can do their ADLs and quicken the rehabilitation process. Based on the Xiang's studies [3], he concludes: "EMG (electromyography)-driven rehabilitation training using the soft robotic hand with flexion and extension could be effective for the functional recovery of upper limb in chronic stroke subjects with mild or no spasticity", and also H.Basar [4] compared the outcome of patients receiving rehabilitation with those who did not, after surgical treatment of acute and chronic tears of the ulnar collateral ligament(UCL) of the thumb, and the results was that although there was not significant change in pinch or grip, there was better results in flexion and extension of the thumb.…”

Implant-free anatomical reconstruction of thumb metacarpophalangeal joint chronic ulnar collateral ligament injuries

“…Small changes created by wider tunnels may affect the range of motion at the MCPJ. The conformity and stable fixation allowed intensive rehabilitation 6 weeks after removing the transfixing K-wire, which could reduce pain and avoid stiffness reported in many series (Başar et al., 2020). The main limitations of our study were the small number of cases and short follow-up.…”