Thumb Ulnar Collateral Ligament Tear Repair
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Procedure Outline
Table of Contents
- 1. Introduction and Surgical Approach
- 2. Incision and Dissection to Extensor Mechanism
- 3. Identification and Preservation of Branches of Radial Sensory Nerve
- 4. Identification of Possible Stener Lesion
- 5. Exposure of UCL Footprint and MP Joint Capsule
- 6. Mobilization of UCL and Confirmation of Ligament Length
- 7. Placement of K-Wire in MP Joint
- 8. UCL Repair
- 9. Closure
- Release Adductor Aponeurosis Longitudinally
- Elevate Extensor Mechanism Dorsally
- Prepare Footprint with Rongeur
- Place Suture Anchor
- Primary Repair of UCL to Footprint
- Augment Repair to Incorporate MP Joint Capsule
- Inspect and Confirm Repair and Reinforcement
- Reinforce Repair Further with Sutures Between UCL and MP Joint Capsule
