Thumb Metacarpophalangeal Ulnar and Radial Collateral Ligament Injuries. 2020

Dane Daley, and Michael Geary, and Raymond Glenn Gaston
Department of Orthopedics and Physical Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 708, Charleston, SC 29425, USA.

Thumb metacarpophalangeal collateral ligament injuries are common in athletes and occur via forced abduction or hyperextension. Management primarily depends on the grade of ligamentous injury and the presence of a Stener lesion or large avulsion fracture. Surgeons should consider the athlete's position, hand dominance, duration of season remaining, and goals. Shared decision making regarding timing of surgery is imperative. Acutely, primary ligamentous repair with or without augmentation is achievable. Chronic collateral ligament injuries are effectively treated with ligament reconstruction. Numerous surgical techniques have been described without 1 showing superiority. Postoperative rehabilitation protocols vary based on repair quality and sports-specific considerations.

UI MeSH Term Description Entries
D007103 Immobilization The restriction of the MOVEMENT of whole or part of the body by physical means (RESTRAINT, PHYSICAL) or chemically by ANALGESIA, or the use of TRANQUILIZING AGENTS or NEUROMUSCULAR NONDEPOLARIZING AGENTS. It includes experimental protocols used to evaluate the physiologic effects of immobility. Hypokinesia, Experimental,Experimental Hypokinesia,Experimental Hypokinesias,Hypokinesias, Experimental
D008662 Metacarpophalangeal Joint The articulation between a metacarpal bone and a phalanx. Joint, Metacarpophalangeal,Joints, Metacarpophalangeal,Metacarpophalangeal Joints
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000068958 Return to Sport Resumption of sporting activity following a hiatus or period of absence due to injury or other reasons. Resumption of Recreational Activities,Resumption of Sporting Activity,Return to Play,Return to Recreational Activities,Return to Sporting Activities,Activities Resumption, Recreational,Activities Resumptions, Recreational,Activity Resumption, Sporting,Activity Resumptions, Sporting,Play, Return to,Recreational Activities Resumption,Recreational Activities Resumptions,Return to Sports,Sport, Return to,Sporting Activity Resumption,Sporting Activity Resumptions,Sports, Return to,to Play, Return,to Sport, Return,to Sports, Return
D000070637 Collateral Ligament, Ulnar The internal lateral ligament that travels from the medial aspect of the ELBOW uniting the distal aspect of the HUMERUS to the proximal aspect of the ULNA. Ulnar Collateral Ligament,Collateral Ligaments, Ulnar,Ligament, Ulnar Collateral,Ligaments, Ulnar Collateral
D001265 Athletic Injuries Injuries incurred during participation in competitive or non-competitive sports. Sports Injuries,Injuries, Athletic,Injuries, Sports,Athletic Injury,Injury, Athletic,Injury, Sports,Sports Injury
D013933 Thumb The first digit on the radial side of the hand which in humans lies opposite the other four. Thumbs
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D061665 Time-to-Treatment The interval of time between onset of symptoms, or suspicion of disease and initiation of therapy; being a combination of wait times for consultative, diagnostic, and treatment services. Time to Treatment,Door-to-Treatment Time,Door to Treatment Time,Time to Treatments,Time-to-Treatments
D017885 Collateral Ligaments A number of ligaments on either side of, and serving as a radius of movement of, a joint having a hingelike movement. They occur at the elbow, knee, wrist, metacarpo- and metatarsophalangeal, proximal interphalangeal, and distal interphalangeal joints of the hands and feet. (Stedman, 25th ed) Lateral Ligaments,Ligaments, Collateral,Ligaments, Lateral,Collateral Ligament,Lateral Ligament,Ligament, Collateral,Ligament, Lateral

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