Acute Gamekeeper's Thumb: Quantitative Outcome of Surgical Repair

Ten consecutive patients with 11 complete ulnar col lateral ligament tears who had early surgical repair were evaluated at an average of 42 months' followup. The mean arc of motion at the metacarpophalangeal joint at 50.9° was less than the 73.7° seen in the uninjured thumbs. At the interphalan...

Full description

Saved in:
Bibliographic Details
Published in:American journal of sports medicine 1995-03, Vol.23 (2), p.222-226
Main Authors: Downey, Daniel J., Moneim, Moheb S., Omer, George E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Athletic Injuries - physiopathology
Athletic Injuries - surgery
Biological and medical sciences
Collateral Ligaments - injuries
Collateral Ligaments - physiopathology
Collateral Ligaments - surgery
Female
Finger Injuries - physiopathology
Finger Injuries - surgery
Finger Joint - physiopathology
Finger Joint - surgery
Fingers - physiopathology
Follow-Up Studies
Hand - physiopathology
Hands
Humans
Injuries
Joint Instability - physiopathology
Joint Instability - surgery
Male
Medical sciences
Metacarpophalangeal Joint - injuries
Metacarpophalangeal Joint - physiopathology
Metacarpophalangeal Joint - surgery
Middle Aged
Orthopedic surgery
Range of Motion, Articular
Sports injuries
Sports medicine
Stress, Mechanical
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thumb
Thumb - injuries
Thumb - physiopathology
Thumb - surgery
Treatment Outcome
Ulna
Ulnar nerve
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Ten consecutive patients with 11 complete ulnar col lateral ligament tears who had early surgical repair were evaluated at an average of 42 months' followup. The mean arc of motion at the metacarpophalangeal joint at 50.9° was less than the 73.7° seen in the uninjured thumbs. At the interphalangeal joint, the mean arc of motion in the injured thumb was 101.6° compared with 112.6° on the uninjured side. Ulnar laxity was de creased slightly compared with the contralateral thumb (14.0° versus 15.3°) and radial laxity was 10.3° on both sides. The mean grip strength and key pinch were simi lar between the injured and uninjured sides: grip strength was 32.3 kg in the injured thumbs and 34.0 kg in the uninjured; key pinch was 8.1 kg in the injured thumbs and 8.8 kg in the uninjured. Good stability with slight decrease in motion was obtained in our patients.
ISSN:0363-5465
1552-3365
DOI:10.1177/036354659502300216