1998;23:503506. Docs Struggle to Keep Up With the Flood of New Medical Knowledge. The rate of complications after RCL primary repair was higher than UCL repair, however not statistically significant. All techniques improved clinical outcomes, including pain, motion, strength, and stability (Table 5). Surgical Repair of Ulnar Collateral Ligament of Thumb - YouTube The doctor won't know if the repair is . 2021 Aug;31(8):5699-5712. doi: 10.1007/s00330-020-07666-z. 10. Alejandro Badia Orthopedic Hand Surgeon Hands, Elbow, Shoulder and Wrist - Badia Hand to Shoulder Ce. The repair is continuously vulnerable until twelve weeks after repair and could fail if overstressed by knocks or excessive gripping. An official website of the United States government. 1977;59:1421. The UCL of the thumb acts as a primary restraint to valgus stress and is injured if hyperabduction and hyperextension forces are applied to the first metacarpophalangeal joint. 1 Major components of the TFCC are the articular disc (AD), meniscus homolog, radioulnar ligaments, and extensor carpi . Further detection bias existed in that not all studies used each clinical outcome (eg, Glickel grade) or radiographic measure postoperatively. Sports Med Arthrosc Rev. The ulnar collateral ligament complex is located on the inside of the elbow (pinky or medial side). It is the result of repetitive stretching and abduction stresses of the ulnar collateral . The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Superficial infections are common (5%) after hand surgery and cause redness, swelling, pain and pus around the stitches. Federal government websites often end in .gov or .mil. Melone CP Jr, Beldner S, Basuk RS. Delma S, Ozdag Y, Baylor JL, Grandizio LC, Klena JC. Bean CH, Tencer AF, Trumble TE. Orthopedics. *Gender reported in 12 studies (218 subjects). 1976;58:106112. Thus, the true natural history is yet unknown. [16] Despite these study limitations, this systematic review is strong in that it analyzes the largest number of studies and subjects in the literature managed with both nonoperative and operative means for acute and chronic UCL injury. The UCL is also known as the medial collateral ligament or "Tommy John Ligament". Pain, range of motion, key-pinch strength, and stability testing were used as outcome measures. Thirty-two thumbs were treated nonoperatively and 261 operatively. A systematic review of multiple medical databases was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines with specific inclusion and exclusion criteria. Complications Following Distal Radius Fractures - Mike Reinold Nonoperative treatment led to high patient satisfaction for acute thumb UCL injury in 2 studies.23,29 Thirty-two subjects were treated with thumb-spica immobilization (30 were proximal phalanx avulsion fractures).

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