Isolated radial shaft fracture with unreducable posterior dislocation of the radial head and rupture of the lateral collateral ligament: A case report

Combined injuries associated with forearm shaft fractures and elbow dislocations are well recognized. We describe an uncommon case of an isolated radial shaft fracture with an unreducable posterior dislocation of the radial head and associated rupture of the lateral collateral ligament of the elbow.     

Primary repair of the collateral ligament of the proximal interphalangeal joint using a suture anchor.

Ten out of 12 complete ruptures of the collateral ligament of the proximal interphalangeal joint were repaired primarily using a suture anchor. Active finger exercise was started gently by taping the injured finger to adjacent one one week postoperatively. All patients returned to their original occupation or sports activities within seven weeks of operation. No patients complained of pain on the involved finger at rest or during movement. There was no instability of the proximal interphalangeal joint on manual lateral stress test postoperatively.     

Rupture of the radial collateral ligament of the metacarpo-phalangeal joint of the index finger: a report of three cases

We have diagnosed and treated three patients with complete rupture of the radial collateral ligament of the metacarpo-phalangeal joint of the index finger. Rupture of the radial collateral ligament of the metacarpo-phalangeal joint occurs most commonly in the little finger and has not previously been reported in the index finger. Operative treatment is recommended in all cases, due to the significant stresses placed on the radial side of the M.P. joint of the index finger.     

Rupture of the radial collateral ligament of the fifth metacarpopharyngeal joint. A case report with Stener effect

We report a case of complete rupture of the radial collateral ligament of the fifth metacarpophalangeal joint. At surgical exploration, a Stener like lesion was identified in which the ruptured and of the ligament was trapped by the proximal portion of the extensor hood and sagittal band; thus reattachment to its original site (the base of proximal phalanx) was performed. Postoperative care consisted of protected active motion exercises which were begun immediately. An early functional recovery was obtained with full range of motion, normal joint stability and complete pain relief. The purpose of this study was to present an uncommon injury and to analyse the literature.     

Traumatic hallux valgus following rupture of the medial collateral ligament of the first metatarsophalangeal joint: a case report.

Metatarsophalangealjoint injuries of the great toe are receiving increasing attention in athletes. Significant disability and long-term morbidity can result from these focal injuries. The entity known as turf-toe is widely recognized. Rupture of the medial collateral ligament of the first metatarsophalangeal joint is less common. A case of traumatic rupture of the medial collateral ligament in the great toe of a soccer player, which progressed to hallux valgus deformity, is presented.     

Surgical repair of acute collateral ligament injuries in digits with the Mitek bone suture anchor

Eighteen acute grade III collateral ligament injuries were treated by using the Mitek bone suture anchor. Seven were thumb metacarpophalangeal joint injuries, and eleven were finger proximal interphalangeal joint injuries. Seventeen patients were followed more than 12 months after surgery. All patients were able to use the digits in daily living activities within 5 weeks after surgery, and return to their original work or sports activities within 12 weeks. Pain was completely relieved in 15 patients. Loss of joint motion averaged 7 degrees. In all joints the postoperative lateral stress angle was within 10 degrees of that of the contralateral digit.     

Fastin锚钉植入修复膝内侧副韧带损伤的临床观察

随着户外活动的增加以及快速交通的发展,运动损伤和车祸伤所致的各类膝关节韧带断裂发病率逐年增高,其中膝关节内侧副韧带损伤占膝关节韧带损伤的比例很大。我科对膝内侧副韧带附着点部位韧带撕裂伤进行Fastin锚钉植入修复,创伤小,手术时间短,效果满意,现报告如下。     

Rupture of finger distal interphalangeal collateral ligament treated with a mini soft anchor

BackgroundRuptured finger distal interphalangeal (DIP) collateral ligament is a rare injury, with controversial treatment until the present. Our case series aimed to demonstrate feasible surgical intervention using a mini anchor.MethodsThe present study includes four patients with ruptured finger DIP collateral ligaments who received primary repair in a single institute. They have suffered from joint instability due to ligament loss caused by infection, motorcycle accidents, and work-related accidents. All patients were operated on similarly using a 1.0 mm mini anchor for ligament reattachment.ResultsThe finger DIP joint range of motion (ROM) was documented in all patients during follow-up. Joint ROM recovered to almost normal degrees, and the pinch strength recovered to > 90% compared to the contralateral side in all patients. Additionally, collateral ligament re-rupture, DIP joint subluxation or re-dislocation, and infection were not noted during follow-up.ConclusionsRuptured finger DIP joint ligament requiring surgery is usually based on a combination with other soft tissue injuries and defects. However, repair with a 1.0 mm mini anchor is a feasible surgical intervention to reattach the ligament with minimal complication.     

Locking of the metacarpophalangeal joint of the thumb with the radial collateral ligament rupture after stress radiography

Stress test is a commonly used diagnostic examination to evaluate the radial collateral ligament (RCL) tear of the thumb metacarpophalangeal (MCP) joint to indicate the surgical intervention. We experienced a locked MCP joint after stress test in a patient with the RCL and volar plate injury.     

Injury to collateral ligament of the metacarpophalangeal joint of a finger

Twenty-two patients with injury to the collateral ligament of the metacarpophalangeal (MP) joint of a finger are reported. Thirteen cases were acute injuries and nine cases were chronic injuries. In all cases arthrography was performed. The arthrographic findings correlated with the grade of joint stability. Arthrographics of the unstable joint gave useful information for elucidating the mechanism of injury and deciding whether surgical treatment was indicated. At exploratory surgery, a Stener lesion was identified in one case in which the ruptured end of the ligament was trapped by the proximal portion of the expansion hood and sagittal band.     

踝关节外侧副韧带三束断裂1例

<正>患者,男,25岁,因左踝关节疼痛活动受限3 h入院。患者3 h前因搬运东西时不慎摔倒并扭伤左踝关节,伤后来我院急诊。自诉踝关节扭伤时踝关节前向脱位并在来院途中感觉踝关节自发性复位,同时听到"咯嘣"的弹响声,无踝关节扭伤既往史。入院查体:左踝关节外踝前下方肿胀及皮下青紫瘀斑明显,距腓后韧带压痛不明显,距腓前韧带距骨止点处     

膝关节内侧副韧带钙化性肌腱炎诊治1例报道

钙化性肌腱炎是一种较常见的自限性疾病,其特征是关节周围软组织中钙盐沉积。钙化性肌腱炎主要见于肩关节,但其他部位也有报道为,如手腕,髋关节,大腿,膝关节,足踝等,以每个部位的剧烈疼痛、肿胀和活动受限为特征。膝关节内侧副韧带钙化性肌腱炎国外曾有相关文献描述,而国内却少见报道。本文特报道本科室收治一例膝关节内侧副韧带钙化性肌腱炎病例。     

Treatment of chronic post-traumatic hyperextension deformity of proximal interphalangeal joint using the suture anchor: a case report.

We present a case of chronic post-traumatic hyperextension of the PIP joint of the little finger. The volar plate was reattached at the original attachment site of the proximal phalanx using two suture anchors and tenodesis of the radial half slip of the FDS tendon was added. An acceptable result was obtained.     

Avulsion fracture and complete rupture of the thumb radial collateral ligament

Purpose

Acute grade III tears of the radial collateral ligament (RCL) of the thumb as well as certain bony avulsion fractures receive early surgical repair at our institution. The aim of this study was to evaluate if patients would benefit from this treatment algorithm at long-term.

Methods

47 patients with RCL bony avulsion fracture or grade III RCL tear were evaluated at a median follow-up of 4.5 years (range 1–17.3 years). Grade III RCL tears were treated operatively when presenting >30° angulation in stress X-ray together with palmar subluxation of ≥3 mm. Further, avulsed bony fragments with diastasis >2 mm or fragment rotation >30°–45° in conventional X-ray underwent surgery. 6 patients with grade III RCL tear as well as 9 patients with bony avulsion underwent surgical repair.

Results

At follow-up, metacarpophalangeal joint stability and pain free ROM did not differ significantly between the groups. Subjective satisfaction based on the Catalano grading system revealed excellent results in operatively and conservatively treated patients.

Conclusions

This retrospective analysis indicates that early surgical repair in severe RCL injuries is associated with unrestricted ROM, persistent joint stability, and subjective patient satisfaction. This data suggest that surgical treatment in certain RCL injuries might be a feasible therapeutic option in order to avoid chronic instability.     

Rupture of the radial collateral ligament of the fifth metacarpophalangeal joint

Isolated rupture of the radial collateral ligament of the metacarpophalangeal joint of the fifth digit is a rare but disabling injury. Treatment is complicated by the influence of the hypothenar musculature, which deviates toward the ulna and flexes the digit. We have managed two cases, one chronic and one acute, by open reduction and repair. Both cases demonstrated distraction of the collateral ligament ends by the extensor sagittal band. This operative finding is not too dissimilar from the interposition of the adductor pollicis tendon between the ends of a ruptured ulnar collateral ligament in a gamekeeper's thumb injury. Because of this finding, we believe that open reduction and repair of a ruptured radial collateral ligament of the metacarpophalangeal joint of the fifth digit is indicated.