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

Vigasio, Adolfo MD; Marcoccio, Ignazio MD

Techniques in Hand & Upper Extremity Surgery: 00 March 2012 - Volume 16 - Issue 1 - p 14–19
doi: 10.1097/BTH.0b013e31822a2b43
Techniques

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.

Istituto Clinico Città di Brescia, Gruppo San Donato, 2° Unità Operativa di Chirurgia della Mano e Microchirurgia Ortopedica, Brescia, Italy

Conflicts of Interest and Source of Funding: Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

Address Correspondence and reprint requests to Ignazio Marcoccio, MD, Istituto Clinico Città di Brescia, Gruppo San Donato, 2° Unità Operativa di Chirurgia della Mano e Microchirurgia Ortopedica, Via Gualla 15, 25123, Brescia, Italy. E-mail: info@ignaziomarcoccio.it.

© 2012 Lippincott Williams & Wilkins, Inc.