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Current Concepts Review   |    
Management of Thumb Metacarpophalangeal Ulnar Collateral Ligament Injuries
Peter C. Rhee, DO1; David B. Jones, Jr., MD1; Sanjeev Kakar, MD, MRCS1
1 Division of Hand and Microvascular Surgery, Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905. E-mail address for S. Kakar: kakar.sanjeev@mayo.edu
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Investigation performed at the Mayo Clinic, Rochester, Minnesota



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Nov 07;94(21):2005-2012. doi: 10.2106/JBJS.K.01024
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Abstract

Untreated ulnar collateral ligament (UCL) injury of the thumb metacarpophalangeal joint (MCPJ) can lead to long-term pain and functional limitations.

Detection of a UCL injury involves sequential examination of true and accessory ligaments and comparison with the uninjured side.

Acute partial UCL injuries can be successfully treated nonoperatively.

Acute complete or displaced UCL injuries can be successfully treated with operative repair.

In cases of chronic UCL injury, treatment options include static and dynamic reconstructions.

If painful arthrosis is present with chronic UCL instability, salvage may be performed with MCPJ fusion.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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