�(�pXX We present a … Radial collateral ligament injuries to the thumb metacarpophalangeal joint have been reported to be less common than ulnar collateral ligament tears. WEEKS 2-6: Continue wearing the cast, keeping it clean and dry at all times. 4 Weeks Postoperative.
6 Weeks Postoperative. With the thumb MCP joint held in at least 30 degrees of … %PDF-1.3 << /Length 5 0 R /Filter /FlateDecode >> %��������� Ulnar-Radial Collateral Lig Repair – Bienz 10-03 Ulnar/ Radial Collateral Ligament Repair Dr. Bienz ! Refrain from heavy lifting. Place a blocking "are on the side of the phalanx opposite the repair (e.g. released from surgery in thumb spica cast or splint , with surgical pins in place. Skier's thumb is an acute partial or complete rupture of the ulnar collateral ligament (UCL) of the thumb’s metacarpophalangeal joint (MCPJ) due to a hyperabduction trauma of the thumb. Ulnar collateral ligament injuries of the thumb (gamekeeper or skier thumb) are more common than the radial side but both can cause significant disability. BioComposite implant material composed of β-TCP and PLLA offers the same benefits of the biobasorbable material, … stream With the MCP in approximately 30° flexion, the proper collateral ligaments and dorsal capsule provide stability to radial and ulnar deviation of the thumb MCP … an ulnar post/"are for a radial collateral ligament injury). A 3.2-mm drill bit is then used to make a hole at the ulnar aspect of the metacarpal head, just proximal to the attachment of the proximal UCL. Whilst both terms are often used interchangeably, skier’s thumb refers to the cause as being acute injury. Perform range of motion exercises of the fingers, using the hand for light activities. of a thumb spica cast. Right thumb MP joint after radial collateral ligament repaired, joint stabilized with a pin (arrow & insert) and skin incision sutured. Immediate Post Op, DOS: -Pt. The RCL may tear midsubstance or off the … Days 0- until first Post-Op Apt. Standard Protocol for MR Imaging of the Thumb. WEEKS 6-8: Return to clinic at six weeks post-operatively for reevaluation and cast removal. Instruct the patient to begin un‐restricted active range of motion exercises of the finger (abduction and adduction). Radial Collateral Ligament Repair of the Thumb Metacarpophalangeal Joint Using the Abductor Pollicis Brevis Tendon March 2006 Plastic and Reconstructive Surgery 117(2):491-6 Despite the favorable outcomes of primary repair, the thumb is often restricted during initial healing of the ligament with immobilization and delayed rehabilitation. x�Y�r�V��+zf6d�I�M2;G�ٲ��,&Y@D�� -��s�>���f�b-D���8}�t�}�o��'�|Z�}:f�;����=��䉟z�O������K��v���I�/�k�GK��eLqtv&_������%.�bZ�k����Nj����Þ6���O��N��i����H�7w�[�M�Y���)��IvH��B��L�MU��qJ�MN�&�J�ҟ��?z� ,�6����+m��
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x!�~H�C���O�YN�Wsr�GNth�1(p���>* �y�;�"z��ys�O���M[K3�+o���v���[��Q��7 … ���y*z��h�H�*Й�P�!�)�w\N ��)�Wx�\~M���]����%�=�����H Instruct the patient to begin gentle passive range of motion exercises of the finger without stressing the UCL/RCL repair. Radial collateral ligament injuries occur as a result of a forced adduction moment on the MCP joint of the thumb, which may occur from a fall on the radial aspect of the thumb and hand or during sports when a ball or player strikes the thumb. Splint: -Fashion a removable short-arm volar !nger gutter splint holding the wrist in 10 degrees of extension and MP joint in 10 degrees of "exion. The site of the tear of the RCL is more variable than is the site of UCL tears. 2 WEEKS POST OP, Begin Date: - cast or rigid splint applied 6 WEEKS POST OP, Begin Date: - cast & pins removed - referred to PT/OT for gamekeeper’s thumb splint -AROM to thumb … ��"E�S������
�%ߟf����d5UO��4YY�W��ٍF|���Hʔn��KX��I��} Thumb Metacarpophalangeal (MCP) Radial and Ulnar Collateral Ligament (UCL) Reconstruction Share; Contact; Feedback; Quote or Evaluation; The Tenodesis Screw System provides solid interference fixation and exact tensioning in ligament reconstructions. An acute injury of this ligament is often amenable to primary repair. hyper abduction or extension at the MCP joint; Anatomy: UCL is composed of proper collateral ligament resists valgus load with thumb in flexion; accessory collateral ligament and volar plate resists valgus load with thumb in extension
8 Weeks Postoperative. These ligaments are best seen on sagittal MR images of the thumb. The 3-0 FiberWire is used for direct repair of the ligament. This will be provided or custom made in hand therapy. Thumb Ulnar Collateral Ligament Repair Post-Operative Protocol. Thumb metacarpophalangeal collateral ligament injuries are common in athletes and occur via forced abduction or hyperextension. Surgeons should consider the athlete’s position, hand dominance, duration of season remaining, and goals. : Keep post-operative dressing clean, dry, and in place Keep hand elevated above the level of your heart May use hand for very light activities of daily living, such as eating, writing, typing, getting dressed, and brushing teeth. -�C��L�Lf/0gN���~PE���"��"�Ǣ�|�;�O
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