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  • Title
  • 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

Article type:Descriptions of Clinical and Surgical Procedures

Thumb Ulnar Collateral Ligament Tear Repair

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Alexander D. Selsky, BS1; Asif M. Ilyas, MD, MBA, FACS2
1Lake Erie College of Osteopathic Medicine, Bradenton Campus
2Rothman Institute at Thomas Jefferson University

OrthopaedicsMultidisciplinary Surgery

Manuscript Format: Full Text

Procedure Outline

Table of Contents

  1. 1. Introduction and Surgical Approach
    1. 2. Incision and Dissection to Extensor Mechanism
      1. 3. Identification and Preservation of Branches of Radial Sensory Nerve
        1. 4. Identification of Possible Stener Lesion
          1. 5. Exposure of UCL Footprint and MP Joint Capsule
            1. 6. Mobilization of UCL and Confirmation of Ligament Length
              1. 7. Placement of K-Wire in MP Joint
                1. 8. UCL Repair
                  1. 9. Closure

                    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

                    1. Release Adductor Aponeurosis Longitudinally
                    2. Elevate Extensor Mechanism Dorsally

                    6. Mobilization of UCL and Confirmation of Ligament Length

                    7. Placement of K-Wire in MP Joint

                    8. UCL Repair

                    1. Prepare Footprint with Rongeur
                    2. Place Suture Anchor
                    3. Primary Repair of UCL to Footprint
                    4. Augment Repair to Incorporate MP Joint Capsule
                    5. Inspect and Confirm Repair and Reinforcement
                    6. Reinforce Repair Further with Sutures Between UCL and MP Joint Capsule

                    9. Closure

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                    Filmed At:

                    Rothman Institute

                    Article Information

                    Publication Date
                    Article ID303
                    Production ID0303
                    Volume2021
                    Issue303
                    DOI
                    https://doi.org/10.24296/jomi/303