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Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e31822a2b43
Techniques

Repair of Collateral Ligament Ruptures in the Metacarpophalangeal Joints of the Long Fingers

Vigasio, Adolfo MD; Marcoccio, Ignazio MD

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Abstract

Isolated collateral ligament ruptures in the metacarpophalangeal joints of the fingers seem to be more frequent than described. For ligament repair, dorsal access is generally described, but the proper method by which to proceed inside the joint is unclear and left to the surgeon's discretion and experience. With the technique we propose, it is possible to explore the interior of the joint from the top, allowing an easy and complete examination of the entire length of the ligament. This proposed method allows for a better identification of the lesion and the area of ligament reinsertion, facilitating technical decision-making, and reducing the operating time.

© 2012 Lippincott Williams & Wilkins, Inc.

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