Treatment of “Gamekeeper's Thumb” by Reconstruction of the Ulnar Collateral Ligament

2002 ◽  
Vol 27 (6) ◽  
pp. 542-545 ◽  
Author(s):  
M. FAIRHURST ◽  
L. HANSEN
Keyword(s):  
Original Work ◽  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Functional Stability ◽  
Collateral Ligament ◽  
Bone Anchor ◽  
Extensor Pollicis Brevis ◽  
Ongoing Pain ◽  
Gamekeeper’S Thumb

This study examines the treatment of 22 thumbs with symptomatic laxity of the ulnar collateral ligament of the metacarpophalangeal joint by ligament reconstruction 1 week to 10 years after injury. The existing ligament remnants were repaired in 13 thumbs and were re-attached to bone, using a bone anchor, in seven cases. Two ligaments were reconstructed using the extensor pollicis brevis tendon. Patients were reviewed at a mean of 16 months. Functional stability was regained in all patients, but two thumbs had ongoing pain in the metacarpophalangeal joint. All but one patient returned to their original work and recreational pastimes. This study suggests that ligament reconstruction for chronic laxity of the ulnar collateral ligament is likely to achieve painless stability of the metacarpophalangeal joint even when reconstruction is delayed. This makes joint fusion unnecessary in most instances.

scholarly journals Carpometacarpal Arthroplasty and Ulnar Collateral Ligament Reconstruction in a Patient with Suspected Ehlers-Danlos Syndrome: A Case Report and Review of the Literature

2019 ◽  
Vol 12 (S 01) ◽  
pp. S64-S66
Author(s):  
Scott Samona ◽  
Michelle Palazzo
Keyword(s):  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Connective Tissue Disorder ◽  
Joint Hypermobility ◽  
Collateral Ligament ◽  
Ehlers Danlos Syndrome ◽  
History Of ◽  
Thumb Carpometacarpal ◽  
Danlos Syndrome

AbstractEhlers-Danlos syndrome (EDS) is a disorder that presents with a heterogeneous constellation of symptoms, ranging from clinically silent to rapidly deteriorating. It is a multisystemic connective tissue disorder that may result in any number of manifestations, with joint hypermobility being a classic manifestation. We present a case of a 58-year-old woman, with suspected EDS, who presented with several years’ history of bilateral thumb pain, with imaging and physical examination findings consistent with bilateral thumb carpometacarpal (CMC) arthritis with metacarpophalangeal joint (MPJ) hypermobility. The Beighton hypermobility score was consistent with suspected EDS. Our patient underwent thumb CMC arthroplasty with ulnar collateral ligament (UCL) reconstruction.

Gamekeeper’s thumb

Trauma ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 11-20
Author(s):  
Jogisha Kukadia ◽  
Neil Ashwood
Keyword(s):  
Structural Integrity ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Clinical Anatomy ◽  
Low Grade ◽  
Collateral Ligament ◽  
Acute Form ◽  
Gamekeeper’S Thumb ◽  
Thumb Metacarpophalangeal Joint

Gamekeeper’s thumb is a condition resulting from low-grade repeated force through the ulnar collateral ligament of the thumb metacarpophalangeal joint. In its acute form, it is sometimes known as Skier’s thumb and can be associated with tears, ruptures and fractures. Prompt assessment of the thumb’s structural integrity is therefore important in preventing long-term morbidity of metacarpophalangeal joint instability. Diagnosis is usually made clinically, although radiological imaging can act as a helpful adjunct. Unstable injuries tend to have a better functional outcome if repaired surgically. This article will outline relevant clinical anatomy, injury mechanism, clinical assessment and management of ulnar collateral injuries including Gamekeeper’s thumb.

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