Acute Gamekeeper's Thumb: Quantitative Outcome of Surgical Repair
Ten consecutive patients with 11 complete ulnar col lateral ligament tears who had early surgical repair were evaluated at an average of 42 months' followup. The mean arc of motion at the metacarpophalangeal joint at 50.9° was less than the 73.7° seen in the uninjured thumbs. At the interphalan...
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| Veröffentlicht in: | American journal of sports medicine 1995-03, Vol.23 (2), p.222-226 |
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| creator | Downey, Daniel J. Moneim, Moheb S. Omer, George E. |
| description | Ten consecutive patients with 11 complete ulnar col lateral ligament tears who had early surgical repair were evaluated at an average of 42 months' followup. The mean arc of motion at the metacarpophalangeal joint at 50.9° was less than the 73.7° seen in the uninjured thumbs. At the interphalangeal joint, the mean arc of motion in the injured thumb was 101.6° compared with 112.6° on the uninjured side. Ulnar laxity was de creased slightly compared with the contralateral thumb (14.0° versus 15.3°) and radial laxity was 10.3° on both sides. The mean grip strength and key pinch were simi lar between the injured and uninjured sides: grip strength was 32.3 kg in the injured thumbs and 34.0 kg in the uninjured; key pinch was 8.1 kg in the injured thumbs and 8.8 kg in the uninjured. Good stability with slight decrease in motion was obtained in our patients. |
| doi_str_mv | 10.1177/036354659502300216 |
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The mean arc of motion at the metacarpophalangeal joint at 50.9° was less than the 73.7° seen in the uninjured thumbs. At the interphalangeal joint, the mean arc of motion in the injured thumb was 101.6° compared with 112.6° on the uninjured side. Ulnar laxity was de creased slightly compared with the contralateral thumb (14.0° versus 15.3°) and radial laxity was 10.3° on both sides. The mean grip strength and key pinch were simi lar between the injured and uninjured sides: grip strength was 32.3 kg in the injured thumbs and 34.0 kg in the uninjured; key pinch was 8.1 kg in the injured thumbs and 8.8 kg in the uninjured. Good stability with slight decrease in motion was obtained in our patients.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/036354659502300216</identifier><identifier>PMID: 7778709</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Waltham, MA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Athletic Injuries - physiopathology ; Athletic Injuries - surgery ; Biological and medical sciences ; Collateral Ligaments - injuries ; Collateral Ligaments - physiopathology ; Collateral Ligaments - surgery ; Female ; Finger Injuries - physiopathology ; Finger Injuries - surgery ; Finger Joint - physiopathology ; Finger Joint - surgery ; Fingers - physiopathology ; Follow-Up Studies ; Hand - physiopathology ; Hands ; Humans ; Injuries ; Joint Instability - physiopathology ; Joint Instability - surgery ; Male ; Medical sciences ; Metacarpophalangeal Joint - injuries ; Metacarpophalangeal Joint - physiopathology ; Metacarpophalangeal Joint - surgery ; Middle Aged ; Orthopedic surgery ; Range of Motion, Articular ; Sports injuries ; Sports medicine ; Stress, Mechanical ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Thumb ; Thumb - injuries ; Thumb - physiopathology ; Thumb - surgery ; Treatment Outcome ; Ulna ; Ulnar nerve</subject><ispartof>American journal of sports medicine, 1995-03, Vol.23 (2), p.222-226</ispartof><rights>1995 INIST-CNRS</rights><rights>Copyright American Journal of Sports Medicine Mar 1995</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c413t-a67935b5cb895d2f9b156e49c19bead2b209a583c54497ed04379b60b2b8f94f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/036354659502300216$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/036354659502300216$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,21819,23930,23931,25140,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3486271$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7778709$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Downey, Daniel J.</creatorcontrib><creatorcontrib>Moneim, Moheb S.</creatorcontrib><creatorcontrib>Omer, George E.</creatorcontrib><title>Acute Gamekeeper's Thumb: Quantitative Outcome of Surgical Repair</title><title>American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Ten consecutive patients with 11 complete ulnar col lateral ligament tears who had early surgical repair were evaluated at an average of 42 months' followup. The mean arc of motion at the metacarpophalangeal joint at 50.9° was less than the 73.7° seen in the uninjured thumbs. At the interphalangeal joint, the mean arc of motion in the injured thumb was 101.6° compared with 112.6° on the uninjured side. Ulnar laxity was de creased slightly compared with the contralateral thumb (14.0° versus 15.3°) and radial laxity was 10.3° on both sides. The mean grip strength and key pinch were simi lar between the injured and uninjured sides: grip strength was 32.3 kg in the injured thumbs and 34.0 kg in the uninjured; key pinch was 8.1 kg in the injured thumbs and 8.8 kg in the uninjured. Good stability with slight decrease in motion was obtained in our patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Athletic Injuries - physiopathology</subject><subject>Athletic Injuries - surgery</subject><subject>Biological and medical sciences</subject><subject>Collateral Ligaments - injuries</subject><subject>Collateral Ligaments - physiopathology</subject><subject>Collateral Ligaments - surgery</subject><subject>Female</subject><subject>Finger Injuries - physiopathology</subject><subject>Finger Injuries - surgery</subject><subject>Finger Joint - physiopathology</subject><subject>Finger Joint - surgery</subject><subject>Fingers - physiopathology</subject><subject>Follow-Up Studies</subject><subject>Hand - physiopathology</subject><subject>Hands</subject><subject>Humans</subject><subject>Injuries</subject><subject>Joint Instability - physiopathology</subject><subject>Joint Instability - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metacarpophalangeal Joint - injuries</subject><subject>Metacarpophalangeal Joint - physiopathology</subject><subject>Metacarpophalangeal Joint - surgery</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Range of Motion, Articular</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Stress, Mechanical</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Thumb</subject><subject>Thumb - injuries</subject><subject>Thumb - physiopathology</subject><subject>Thumb - surgery</subject><subject>Treatment Outcome</subject><subject>Ulna</subject><subject>Ulnar nerve</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0UtLJDEQAOAgio6PuywsiMh6sbXyTo7DsKvCgBc9hyRTreP2Y-x0g_5708wwhxXWXHKor5J6EPKDwjWlWt8AV1wKJa0ExgEYVTtkQqVkBedK7pLJCIpRHJDDlF4BgGpl9sm-1tposBNyOo1Dj2e3vsa_iCvsLtPZ48tQh2OyV_oq4cnmPiJPf34_zu6K-cPt_Ww6L6KgvC-80pbLIGMwVi5YaQOVCoWN1Ab0CxYYWC8Nj1IIq3EBgmsbFAQWTGlFyY_Ir_W7q659GzD1rl6miFXlG2yH5BiAAZ7Pd5AaA9TCCM__ga_t0DW5CceoBsmNHNHVGj37Ct2yiW3T43sf26rCZ3S5xdmDm1KlRdYsc7bmsWtT6rB0q25Z--7DUXDjLtzXXeSkn5tChlDjYpuyGX6OX2ziPkVflZ1v4jJtGRdGMU0zu1mz5HNl217-8_EnIr-YyQ</recordid><startdate>19950301</startdate><enddate>19950301</enddate><creator>Downey, Daniel J.</creator><creator>Moneim, Moheb S.</creator><creator>Omer, George E.</creator><general>SAGE Publications</general><general>American Orthopaedic Society for Sports Medicine</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope></search><sort><creationdate>19950301</creationdate><title>Acute Gamekeeper's Thumb</title><author>Downey, Daniel J. ; Moneim, Moheb S. ; Omer, George E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-a67935b5cb895d2f9b156e49c19bead2b209a583c54497ed04379b60b2b8f94f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Athletic Injuries - physiopathology</topic><topic>Athletic Injuries - surgery</topic><topic>Biological and medical sciences</topic><topic>Collateral Ligaments - injuries</topic><topic>Collateral Ligaments - physiopathology</topic><topic>Collateral Ligaments - surgery</topic><topic>Female</topic><topic>Finger Injuries - physiopathology</topic><topic>Finger Injuries - surgery</topic><topic>Finger Joint - physiopathology</topic><topic>Finger Joint - surgery</topic><topic>Fingers - physiopathology</topic><topic>Follow-Up Studies</topic><topic>Hand - physiopathology</topic><topic>Hands</topic><topic>Humans</topic><topic>Injuries</topic><topic>Joint Instability - physiopathology</topic><topic>Joint Instability - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metacarpophalangeal Joint - injuries</topic><topic>Metacarpophalangeal Joint - physiopathology</topic><topic>Metacarpophalangeal Joint - surgery</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Range of Motion, Articular</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Stress, Mechanical</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Thumb</topic><topic>Thumb - injuries</topic><topic>Thumb - physiopathology</topic><topic>Thumb - surgery</topic><topic>Treatment Outcome</topic><topic>Ulna</topic><topic>Ulnar nerve</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Downey, Daniel J.</creatorcontrib><creatorcontrib>Moneim, Moheb S.</creatorcontrib><creatorcontrib>Omer, George E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Downey, Daniel J.</au><au>Moneim, Moheb S.</au><au>Omer, George E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Gamekeeper's Thumb: Quantitative Outcome of Surgical Repair</atitle><jtitle>American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>1995-03-01</date><risdate>1995</risdate><volume>23</volume><issue>2</issue><spage>222</spage><epage>226</epage><pages>222-226</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Ten consecutive patients with 11 complete ulnar col lateral ligament tears who had early surgical repair were evaluated at an average of 42 months' followup. The mean arc of motion at the metacarpophalangeal joint at 50.9° was less than the 73.7° seen in the uninjured thumbs. At the interphalangeal joint, the mean arc of motion in the injured thumb was 101.6° compared with 112.6° on the uninjured side. Ulnar laxity was de creased slightly compared with the contralateral thumb (14.0° versus 15.3°) and radial laxity was 10.3° on both sides. The mean grip strength and key pinch were simi lar between the injured and uninjured sides: grip strength was 32.3 kg in the injured thumbs and 34.0 kg in the uninjured; key pinch was 8.1 kg in the injured thumbs and 8.8 kg in the uninjured. Good stability with slight decrease in motion was obtained in our patients.</abstract><cop>Waltham, MA</cop><pub>SAGE Publications</pub><pmid>7778709</pmid><doi>10.1177/036354659502300216</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Athletic Injuries - physiopathology Athletic Injuries - surgery Biological and medical sciences Collateral Ligaments - injuries Collateral Ligaments - physiopathology Collateral Ligaments - surgery Female Finger Injuries - physiopathology Finger Injuries - surgery Finger Joint - physiopathology Finger Joint - surgery Fingers - physiopathology Follow-Up Studies Hand - physiopathology Hands Humans Injuries Joint Instability - physiopathology Joint Instability - surgery Male Medical sciences Metacarpophalangeal Joint - injuries Metacarpophalangeal Joint - physiopathology Metacarpophalangeal Joint - surgery Middle Aged Orthopedic surgery Range of Motion, Articular Sports injuries Sports medicine Stress, Mechanical Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Thumb Thumb - injuries Thumb - physiopathology Thumb - surgery Treatment Outcome Ulna Ulnar nerve |
| title | Acute Gamekeeper's Thumb: Quantitative Outcome of Surgical Repair |
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