[Diagnosis and treatment of ligament injury of the thumb base joint. Results within the scope of follow-up].
Distortions and ruptures of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb represent 6% of hand injuries in alpine skiing and 8% in ski-skating. 155 patients who had been treated for ligamentous rupture (88), for osseous rupture with dislocation of the fragment (42) and for osseous rupture without any dislocation (25) wer reviewed: in 106 patients with conservative treatment 64 had stable joints and 42 showed a ligamentous instability. After surgical treatment in 49 patients 44 had ligamentous stability; 5 joints (10%) showed a radial instability. Summarizing the results we found instability after conservative treatment in 40%, but only in 10% of surgically treated patients. Recommendations for the treatment of this frequent hand injury are given.
Höcker
K
K
Unflalkrankenhaus Wien-Meidling.
Pachucki
A
A
D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery; D008662:Metacarpophalangeal Joint / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology*; D012421:Rupture; D012865:Skiing / Q000293:injuries*; D013933:Thumb / Q000293:injuries* / Q000601:surgery
Diagnostik und Behandlung der Bandverletzung am Daumengrundgelenk. Ergebnisse im Rahmen einer Nachuntersuchung.