Publication on late reconstruction of the skier's thumb injury

Publication on late reconstruction of the skier's thumb injury

Late repair of the Stener lesion commonly found in the Skier's thumb injury can be anatomically repaired even at a late stage. This is the abstract as it appears in Pub Med.

J Trauma. 2008 Dec;65(6):1502-6. Links

Delayed anatomical repair of ruptured ulnar collateral ligament injuries of the thumb using a dissolvable polylactic acid bone anchor.

Pai S, Smit A, Birch A, Hayton M.

Centre for Upper Limb Surgery, Wrightington Hospital, Wigan, United Kingdom.

BACKGROUND: We describe late anatomic repair of complete distal ulnar collateral ligament (UCL) avulsions of the thumb in the absence of metacarpophalangeal joint arthritis using a dissolvable polylactic acid (PLA) bone anchor in two cases, one of which had a Stener lesion. METHODS: Patients presented for surgery respectively at 5 months and 2 years after injury. Preoperative X-ray films showed subtle volar subluxation of the proximal phalanx. Volar plate release corrected this in both cases and a transarticular k-wire was not used. Satisfactory repair was achieved in both cases using a dissolvable PLA bone anchor. Flexion-extension mobilization was supervised by a hand therapist from day 1 after surgery. A low profile radial-sided thermoplastic splint to prevent reinjury of the UCL repair was used allowing interphalangeal joint and base of thumb movement, and was worn between therapy sessions for 4 weeks. RESULTS: In both patients, satisfactory UCL stability was maintained at 3-year follow-up after surgery. DISCUSSION: Dissolvable PLA bone anchors may be used to satisfactorily restore stability and function in late presenting complete distal UCL avulsions of the thumb with or without accompanying Stener lesions.


Click on this link for more information on Skier's thumb injuries. 

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