Surgical treatment of lateral instability of the metacarpophalangeal joint of the first finger

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Abstract

Examination and treatment results of 27 patients with lateral instability of metacarpal-phalanx thumb joint were presented. The indication to operation and technique of surgical intervention in dependence on the terms from injury moment, presence or absence of instability, value of passive lateral deviation angle were detected. Surgical technique for the treatment of complete tears of collateral ligaments of metacarpal-phalanx thumb joint was petfected. In 22 patients follow up period ranged from 6 to 12 months. Excellent results were achieved in 13 (59%o), good — in 7 (32%)), satisfactory — in 2 (9%) patients.

About the authors

V. F Korshunov

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

M. A. Skvortsova

Russian State Medical University

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Method for checking the instability of the metacarpophalangeal joint of the first finger (according to Pechlaner and Kerschbaumer [8]).

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3. Fig. 2. Channels (a) are formed in the I metacarpal bone and the main phalanx. Absorbable material "Polysorb" was passed through the channels, the node was immersed intraosseously (b).

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4. Fig. 3. Patient S., 35 years old. Complete damage to the radial collateral ligament. Applied 3 months after the injury with complaints of pain and instability in the metacarpophalangeal joint of the first finger of the right hand. a — on admission: there is a clinic of damage to the radial collateral ligament, instability is more pronounced after anesthesia; b — subluxation of the proximal phalanx of the first finger on MRI; c — the main stage of the operation (plasty of the damaged ligament): the subluxation was eliminated, the Polysorb material was passed through the intraosseous channels; d — 1 year after surgery: pain disappeared, joint stability was achieved with a slight limitation of extension.

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