Midterm Clinical Outcomes Of Collateral Ligament Repair Of The Thumb And Lesser Digits: A Retrospective Analysis Of 35 Cases

dc.contributor.authorSahin, Mehmet Sukru
dc.contributor.pubmedID10.1186/s12891-022-05605-1en_US
dc.date.accessioned2022-12-21T07:00:13Z
dc.date.available2022-12-21T07:00:13Z
dc.date.issued2022
dc.description.abstractBackground Finger collateral ligament injuries are common, and conservative treatment usually works well. However, complete ruptures that lead to instability could cause painful disability. This study presents our clinical experience and a qualitative functional evaluation following the surgical repair of the thumb and proximal interphalangeal (PIP) joint collateral ligament ruptures. Methods Thirty-five patients (22 men and 13 women), diagnosed via a physical examination and magnetic resonance imaging (MRI) with a total collateral ligament rupture in the metacarpophalangeal thumb (16) and PIP joints of the lesser digits (19) and treated surgically, were evaluated retrospectively. The limited range of motion; functional score by Saetta; disabilities of the arm, shoulder, and hand (DASH) score; pre- and post-operative pain, deformity level; and post-operative ability to grip keys, buttons, and jars were measured. The significance of the change between the pre and post-operative visual analog scale for pain (VAS) scores were evaluated using the Wilcoxon signed-rank test. The difference between the lesser digits and thumb groups by patient age was evaluated using the Mann-Whitney-U test. All data, such as the mean, range, and standard deviation, were calculated using SPSS. Results The mean pre- and post-operative VAS scores were 4.8 (from 3 to 7) and 0.91 (0 to 4), respectively. The mean post-operative limitation in the range of motion was 9.78 degrees (s = 14.47) for lesser digits and 6.87 degrees (s = 12.29) for the thumb. According to Seatta et al., the final functional score was 62.5% excellent, 25% good, and 12.5% moderate for the thumb and 84.2% excellent, 10.5% good, and 5.3% poor for the lesser digits. The mean post-operative DASH score was 13.55 (SD: 8.77) for lesser digits and 14.22 (SD: 8.9) for the thumb. The mean contralateral (healthy) hand DASH score was 0.75 (SD: 1.05) for lesser digits and 0.75 (SD: 1.05) for the thumb. For the thumb and lesser digits, the z-scores were - 3.55 and - 3.787, respectively, and the progress of the VAS score was significant (p < 0.05). Conclusion After a 40-month follow-up for 35 acute, subacute, and chronic cases, the results suggest that direct and suture-anchor repairs are feasible, painless treatments associated with good finger function.en_US
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85134597173en_US
dc.identifier.urihttps://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05605-1
dc.identifier.urihttp://hdl.handle.net/11727/8385
dc.identifier.volume23en_US
dc.identifier.wos10.1186/s12891-022-05605-1en_US
dc.language.isoengen_US
dc.relation.isversionof10.1186/s12891-022-05605-1en_US
dc.relation.journalBMC MUSCULOSKELETAL DISORDERSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFinger injuryen_US
dc.subjectProximal interphalangeal (PIP) joint collateral ligament injuryen_US
dc.subjectThumb collateral ligament injuryen_US
dc.subjectCollateral ligament repairen_US
dc.subjectSuture anchoren_US
dc.titleMidterm Clinical Outcomes Of Collateral Ligament Repair Of The Thumb And Lesser Digits: A Retrospective Analysis Of 35 Casesen_US
dc.typearticleen_US

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