Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency

We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative mul...

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Autores principales: Sletten, Ida Neergård, Jokihaara, Jarkko, Stavenes, Anne Birgit, Winge, Mona Irene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Full Length Articles
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668531/
https://www.ncbi.nlm.nih.gov/pubmed/37440204
http://dx.doi.org/10.1177/17531934231187813
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author Sletten, Ida Neergård
Jokihaara, Jarkko
Stavenes, Anne Birgit
Winge, Mona Irene
author_facet Sletten, Ida Neergård
Jokihaara, Jarkko
Stavenes, Anne Birgit
Winge, Mona Irene
author_sort Sletten, Ida Neergård
collection PubMed
description We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative multidirectional instability in the metacarpophalangeal joint. We reconstructed 22 ulnar and 16 radial collateral ligaments. At follow-up, all the metacarpophalangeal joints were stable ulnarly. Seven metacarpophalangeal joints were unstable radially despite ligament reconstruction but had no related complaints. We recommend the flexor digitorum superficialis opponensplasty as a safe and reliable procedure in hypoplastic thumbs to create stability and augment thumb strength. Level of evidence: IV
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spelling pubmed-106685312023-11-24 Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency Sletten, Ida Neergård Jokihaara, Jarkko Stavenes, Anne Birgit Winge, Mona Irene J Hand Surg Eur Vol Full Length Articles We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative multidirectional instability in the metacarpophalangeal joint. We reconstructed 22 ulnar and 16 radial collateral ligaments. At follow-up, all the metacarpophalangeal joints were stable ulnarly. Seven metacarpophalangeal joints were unstable radially despite ligament reconstruction but had no related complaints. We recommend the flexor digitorum superficialis opponensplasty as a safe and reliable procedure in hypoplastic thumbs to create stability and augment thumb strength. Level of evidence: IV SAGE Publications 2023-07-13 2023-12 /pmc/articles/PMC10668531/ /pubmed/37440204 http://dx.doi.org/10.1177/17531934231187813 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Full Length Articles
Sletten, Ida Neergård
Jokihaara, Jarkko
Stavenes, Anne Birgit
Winge, Mona Irene
Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency
title Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency
title_full Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency
title_fullStr Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency
title_full_unstemmed Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency
title_short Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency
title_sort satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency
topic Full Length Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668531/
https://www.ncbi.nlm.nih.gov/pubmed/37440204
http://dx.doi.org/10.1177/17531934231187813
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