Early and late surgical treatment of complete rupture of the radial collateral ligament of the first metacarpophalangeal joint

2000 ◽  
Vol 23 (4) ◽  
pp. 232-234
Author(s):  
E.B.H. van Onselen ◽  
A. Y. Goedkoop ◽  
R. B. Karim ◽  
J. J. Hage
Keyword(s):  
Surgical Treatment ◽  
Metacarpophalangeal Joint ◽  
Collateral Ligament ◽  
Radial Collateral Ligament ◽  
Complete Rupture

Anatomy of the Radial Collateral Ligament of the Index Metacarpophalangeal Joint

2013 ◽  
Vol 38 (1) ◽  
pp. 124-128 ◽  
Author(s):  
Christopher J. Dy ◽  
Scott M. Tucker ◽  
Peter L. Kok ◽  
Krystle A. Hearns ◽  
Michelle Gerwin Carlson
Keyword(s):  
Metacarpophalangeal Joint ◽  
Collateral Ligament ◽  
Radial Collateral Ligament

Avulsion fracture and complete rupture of the thumb radial collateral ligament

2013 ◽  
Vol 133 (4) ◽  
pp. 583-588 ◽  
Author(s):  
J. Köttstorfer ◽  
M. Hofbauer ◽  
I. Krusche-Mandl ◽  
G. Kaiser ◽  
J. Erhart ◽  
...  
Keyword(s):  
Avulsion Fracture ◽  
Collateral Ligament ◽  
Radial Collateral Ligament ◽  
Complete Rupture

scholarly journals Clinical Outcomes of Operative Repair for Patients Who Fail to Conserve the Complete Rupture of the Collateral Ligament in the Proximal Interphalangeal Joint

2021 ◽  
Vol 27 (2) ◽  
pp. 81-84
Author(s):  
Young Hwan Kim
Keyword(s):  
Surgical Treatment ◽  
Clinical Outcomes ◽  
Stress Test ◽  
Visual Analog Scale Score ◽  
Proximal Interphalangeal Joint ◽  
Joint Stability ◽  
Collateral Ligament ◽  
Complete Rupture ◽  
Pip Joint

Objective: The purpose of this study was to compare the preoperative and postoperative outcomes of surgical treatment for patients who fail to conserve the complete rupture of the collateral ligament in the proximal interphalangeal (PIP) joint.Methods: A complete rupture of the collateral ligament was confirmed by a radiologist using ultrasound or magnetic resonance imaging for patients who had symptoms after 4 weeks of conservative treatment. Eleven patients underwent operative collateral ligament repair using an anchor. All patient was followed up for at least 6 months postoperatively. We evaluated clinical outcomes preoperatively and at 6 months follow-up: (1) range of motion of the PIP, (2) joint stability, (3) Visual Analog Scale score, (4) fusiform index of the PIP joint, and (5) functional & cosmetic satisfaction.Results: There was no instability in the lateral stress test at 6-month follow-up. The ranges of motion of the PIP were not statistically different between preoperative and at 6-month follow-up. Patients had less pain but the cosmetic appearance of the PIP joint did not improve. Functional satisfaction differed statistically, but there was no difference in cosmetic satisfaction.Conclusion: Surgical treatment for patients who fail to conserve the complete rupture of the collateral ligament in the PIP joint can provide good joint stability, functional recovery.

An anatomical study on the Stener-type lesion of the radial collateral ligament of the metacarpophalangeal joint of the thumb

2019 ◽  
Vol 45 (2) ◽  
pp. 131-135 ◽  
Author(s):  
Rafael G Jakubietz ◽  
Sueleyman Erguen ◽  
Silvia Bernuth ◽  
Rainer H Meffert ◽  
Fabian Gilbert ◽  
...  
Keyword(s):  
Anatomical Study ◽  
Metacarpophalangeal Joint ◽  
High Index ◽  
Neutral Position ◽  
Collateral Ligament ◽  
Abductor Pollicis Brevis ◽  
Radial Collateral Ligament ◽  
High Index Of Suspicion

The Stener-type lesion of the radial collateral ligament is rare. The insertion of the abductor pollicis brevis is believed to preclude its occurrence. The aim of this study was to determine whether this lesion can be induced mechanically. Four specimens were tested in neutral rotation and 20° of supination, in 45° and 30° of flexion, and in the neutral position. The angle of ulnar adduction to form a Stener-type lesion was measured. The lesion occurred only in 45° flexion in all specimens. A lesser angle of flexion decreased the rate of ligament displacement. In the neutral position no ligament displacement was found. A Stener-type lesion of the radial collateral ligament can occur in ulnar adduction and flexion of the metacarpophalangeal joint. Supination of the joint increases the likelihood of ligament displacement. As distal ruptures of the radial collateral ligament are uncommon, a high index of suspicion is required for diagnosis.

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