Inadequate treatment has the potential to lead to a poor functional outcome.
Commonly used techniques recommended for MCPJ instability without degenerative changes include reconstruction using a tendon graft or adductor advancement.
The indication for ligament reconstruction was based on the functional deficit. This allows for the patient to remain in control of the movement and the surgical site is not overly stressed. There are also reports of bone-ligament-bone reconstruction. However in chronic cases, these measures often only help in the short term and symptoms recur later on. [.Analyses were performed using the IBM SPSS version 22.0 statistical software (IBM Corp., Armonk, NY, USA). The range of motion (ROM) for the IP and MP joints was measured using a finger goniometer. The mean postoperative thumb MCP joint stress testing was 43° less than before surgery, and 6.5° less than in the non-injured hand. The principles of diagnosis and management are similar to those described above.There are some anatomical differences between the radial and the ulnar sides of the joint. Holes need to be separated sufficiently to preserve a solid bony bridge between them.
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There is some evidence that joints with a lesser range of movement are more prone to injury [,Ulnar collateral chronic instability, often referred to as skier’s or gamekeeper’s thumb, may represent as a pure avulsion of the ligament; or an avulsion of a fragment of bone, usually from its distal insertion in the proximal phalanx; or it may represent a midsubstance rupture or attenuation. After joint reduction, the MP joint was fixed with 1.2 or 1.4 mm Kirschner (K) wire, obliquely from ulnar side of the proximal phalanx to radial side of the distal metacarpal, at MP joint 15-20° flexion. Objectives: This study aims to review our reconstruction method to treat chronic grade 3 thumb metacarpophalangeal (MP) joint radial collateral ligament (RCL) tears using free tendon grafts. Injury of the beak ligament of the CMJC, with stretching of the dorsal ligaments, may results in subluxation of the joint, adduction of the metacarpal, hyperextension of the MCPJ. A Kirschner wire is then drilled from the metacarpal into the trapezium and kept for 5 weeks until the soft tissues have healed.If on lateral pinch there is 30° of hyperextension at the MCPJ, either a MCPJ capsulodesis or arthrodesis is recommended (Fig.Hyperextension of the MCPJ can be secondary to adduction of the metacarpal. A hole to the metacarpal neck was then opened to 1-2 mm dorsal of the central axis with a single cortex pattern. The study was conducted in accordance with the principles of the Declaration of Helsinki.During the study period, all chronic grade 3 thumb RCL injuries were operated with the same technique. endobj
Patients with incomplete bone maturation (n=1), those who had additional injuries in the same extremity (n=1), and those who had previously undergone surgery on the same extremity (n=1) were excluded.
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