The ulnar collateral ligament (UCL) and radial collateral ligament (RCL) injuries of the thumb occur through different mechanisms and are described in separate sections given the differences in anatomy.Urruela, Adriana M.Hospital for Special SurgeryCarlson, Michelle G....
Steps 1 to 4. Use the same procedure as for acute RCL tears. Steps 5 to 10. These steps mirror those of the treatment of chronic UCL tears. Complications and management The most common complication following collateral ligament repair or reconstruction is postoperative stiffness.12Although stiffness...
This will determine the need to reconstruct the UCL and/or the RCL. Complications There were no complications related to the kite flap, to the opposition transfer, or the MCP joint stabilization. The K-wire did not cause any adverse effects and could be easily removed by cutting it in the...
After operation, the group with the UCL/RCL repair of the thumb (2 weeks) was immobilized in a short-arm thumb spica cast, leaving the interphalangeal joint free and keeping the MCP joint in a 10° to 20° flexion and adduction/abduction. The lesser digit group was immobilized in a cust...
collateral ligament (ACL) and the proper collateral ligament (PCL). These two parts work together to keep your thumb base stable. You also have a radial collateral ligament (RCL) on the opposite side of your thumb. It, too, can be injured, though much less frequently than your UCL. ...
Hand and finger injuries from baseball and Softball comprised 2.2% of emergency department visits in one epidemiologic study.12 The thumb metacarpophalangeal (MCP) joint ulnar collateral ligament (UCL) and radial collateral ligament (RCL) are prone to injury under radial and ulnar stress, ...
Conclusions: Our anatomical reconstruction is simple and restores UCL and RCL anatomy as compared with current techniques in the literature by placing the origin and insertion at their anatomical points with use of an interference screw. Using these anatomical origins and insertions, we were able to...
Purpose The reasons for variation in the reported incidence rates between thumb metacarpophalangeal joint radial collateral ligament (RCL) and ulnar collateral ligament (UCL) injuries are unclear. Delay in diagnosis of injury to the \\{RCL\\} leads to greater time of patient disability. The ...
No significant difference was found between intact and reconstructed RCLs when tested for ulnar deviation in neutral, ulnar deviation in 30 degrees of flexion, or total MCP flexion.Conclusions Our anatomical reconstruction is simple and restores UCL and RCL anatomy as compared with current techniques ...
We used a 1.9 mm arthroscope with only two 2 mm-long portals - one optical portal (dorsolateral for UCL injuries, dorsomedial for RCL injuries) and one instrumental portal near of the collateral ligament rupture. Through this instrumental portal, we were able to reduce the Stener lesion and ...