[17,34] Anywhere from 14% to 64% of UCL injuries have associated Stener lesions, which occur when the adductor aponeurosis is interposed between the ruptured end of the UCL and its site of proximal phalanx attachment. The mean prevalence of postoperative ulnar neuropathy was 12.0% overall after any UCLR procedure at a mean follow-up of 3.3 years, and 0.8% of cases required reoperation to address ulnar neuropathy. MLB - Inside Mike Trout's thumb procedure, recovery process - ESPN.com Data is temporarily unavailable. Despite 11 of these patients (34%) remaining symptomatic, 5 remaining clinically unstable, and a 25% (n = 8 patients) nonunion rate, all 32 were satisfied with their clinical outcome (mean, 3 years follow-up). These exercises may be directed by a physical or occupational therapist. An example of the search strategy used for PubMed was ((((((ulnar[Title/Abstract]) AND collateral[Title/Abstract]) AND ligament[Title/Abstract])) OR ucl[Title/Abstract])) AND thumb[Title/Abstract]. Each abstract was manually reviewed, with potentially relevant full text of studies scrutinized for study inclusion or exclusion. Data range was reported as minimum to maximum absolute values. Seventeen articles (n = 1518 cases) met the inclusion criteria, all retrospective cohort studies. 1993;21:800804. Skier's thumb is a partial or complete rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. Orthopedics. Thus, a patient with delayed presentation of UCL injury can still achieve predictably successful outcomes, equivalent to acute repair, with autograft UCL reconstruction. Alejandro Badia Orthopedic Hand Surgeon Hands, Elbow, Shoulder and Wrist - Badia Hand to Shoulder Ce. Epub 2019 Mar 21. Injury to Ulnar Collateral Ligament of Thumb - Madan - 2014 If the tear is diagnosed early a repair will be possible. 1994;23:797804. [23,3638] Kuz et al recommend that most acute avulsion fractures of the thumb UCL be treated nonsurgically, with the exception of displaced fractures with more than 30% articular involvement or bony Stener lesions. Both repair and reconstruction (autograft and allograft) techniques were inclusive. Sakellarides HT, DeWeese JW. Figure 46-2 Approach to the ulnar collateral ligament. Sollerman C, Abrahamsson SO, Lundborg G, et al.. Functional splinting versus plaster cast for ruptures of the, 41. government site. 1 An injury to the ulnar collateral ligament occurs when this structure is stretched too far. Comparison of results after surgical repair of acute and chronic ulnar collateral ligament injury of the thumb.