title: [Surgical technique in ski thumb injury].
abstract: The skier's-thumb, an instability of the ulnar collateral ligament (UCL) of the first metacarpo-phalangeal joint is one of the most common hand injuries in alpine skiing. In over 60% of our cases the ligament is ruptured, mostly near or at its distal insertion at the base of the first metaphalanx. Also a bony avulsion of the UCL at its distal insertion is not uncommon. A significant instability or a bony avulsion of the UCL with dislocation of the fragments is an indication for open reconstruction and stabilization. Good experience has been gained with a fish hook pull-out-wire technique. We describe the approach and the reconstruction technique.
authors.forename: P
authors.initials: P
authors.lastname: Holzach
authors.forename: D
authors.initials: D
authors.lastname: Heim
authors.forename: P
authors.initials: P
authors.lastname: Matter
mesh_terms: D001265:Athletic Injuries / Q000601:surgery*; D001864:Bone Wires; D017885:Collateral Ligaments / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007103:Immobilization; D008662:Metacarpophalangeal Joint / Q000293:injuries; D013536:Suture Techniques / Q000295:instrumentation*; D013933:Thumb / Q000293:injuries* / Q000601:surgery
vernacular_title: Operationstechnik einer Skidaumenverletzung.