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무지 중수 관절 척측부 인대 손상의 수술적 치료

Other Titles
 Operative Treatment of Thumb Ulnar Collateral Ligament Injury 
Authors
 강호정  ;  송우석  ;  강응식  ;  한수봉  ;  윤홍기  ;  심동준 
Citation
 Journal of the Korean Society for Surgery of the Hand, Vol.8(1) : 21-27, 2003 
Journal Title
Journal of the Korean Society for Surgery of the Hand(대한수부외과학회지)
ISSN
 1598-3889 
Issue Date
2003
MeSH
Thumb ; Ulnar collateral ligament ; Operative treatment
Keywords
Thumb ; Ulnar collateral ligament ; Operative treatment
Abstract
Purpose: We reviewed 12 operative cases with ulnar collateral ligament injury of the thumb, and evaluated about gender, age, etiology, injury mechanism, surgical method, prognosis. Materials and Methods: We had operated when there was avulsion fracture over 2mm and when abduction arc was over 30 degrees in the stress view. In the 12 cases, there were 5 men and 7 women. Average age was 26.5 years (from 10 to 57 years). There were 9 cases with avulsion fracture as injury pattern. In the avulsion fracture cases, epiphyseal injury were 3 cases. Results: Surgical methods were needle fixation 7 cases, pull out wire technique 1 case, Statak anchor 3 cases, loose body excision and primary closure 1 case. Average follow up period was 14 months. The clinical results were excellent in 8 cases, and good in 4 cases. In the good prognosis group, there was no joint instability, but there were pain, tightness, and slightly limitation of motion. Conclusion: If complete rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb is left uncorrected, this lesion prevents proper healing and leads to chronic instability and subsequent arthrosis. We achieved satisfactory results after operative treatment in avulsed fractures and over 30 degrees instability in the stress view.
Files in This Item:
T200307018.pdf Download
DOI
OAK-2003-01453
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Eung Shick(강응식)
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Song, Woo Suk(송우석)
Yoon, Hong Kee(윤홍기)
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114613
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