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[Surgical technique in ski thumb injury]
Helvetica Chirurgica Acta
|September 1, 1993
Summary
Skier's thumb, a common hand injury in alpine skiing, often involves rupture or avulsion of the ulnar collateral ligament (UCL). Open reconstruction using a fish hook pull-out wire technique is indicated for significant instability or bony avulsion.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hand Surgery
Context:
- Skier's thumb, an instability of the ulnar collateral ligament (UCL) of the first metacarpophalangeal joint, is a frequent hand injury in alpine skiing.
- Ruptures, predominantly near the distal insertion, occur in over 60% of cases.
- Bony avulsion at the UCL's distal insertion is also common.
Purpose:
- To describe an effective open reconstruction and stabilization technique for significant skier's thumb injuries.
- To detail the fish hook pull-out wire method for UCL avulsion repair.
Summary:
- The study focuses on skier's thumb, a common injury involving the ulnar collateral ligament (UCL) of the thumb's first metacarpophalangeal joint.
- Over 60% of cases present with UCL rupture, often at the distal insertion, with bony avulsion also frequently observed.
- Open reconstruction with a fish hook pull-out wire technique is recommended for cases with significant instability or displaced bony avulsions.
Impact:
- Provides a detailed surgical approach for UCL reconstruction in skier's thumb.
- Offers a reliable technique for restoring thumb stability after acute injury.
- Contributes to the management of a prevalent sports-related hand injury.