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Management of Thumb Metacarpophalangeal Ulnar Collateral Ligament Injuries

Rhee, Peter C. DO; Jones, David B. Jr. MD; Kakar, Sanjeev MD, MRCS

Journal of Bone & Joint Surgery - American Volume: 7 November 2012 - Volume 94 - Issue 21 - p 2005–2012
doi: 10.2106/JBJS.K.01024
Current Concepts Review

Untreated ulnar collateral ligament (UCL) injury of the thumb metacarpophalangeal joint (MCPJ) can lead to long-term pain and functional limitations.

Detection of a UCL injury involves sequential examination of true and accessory ligaments and comparison with the uninjured side.

Acute partial UCL injuries can be successfully treated nonoperatively.

Acute complete or displaced UCL injuries can be successfully treated with operative repair.

In cases of chronic UCL injury, treatment options include static and dynamic reconstructions.

If painful arthrosis is present with chronic UCL instability, salvage may be performed with MCPJ fusion.

1Division of Hand and Microvascular Surgery, Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905. E-mail address for S. Kakar:

Copyright 2012 by The Journal of Bone and Joint Surgery, Incorporated
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