Table 1.
Summary of RTP and Performance Data
| Author, Year∗ | No. of Patients | Follow-Up Time | MINORS Score | Sport | Surgical Technique | RTP Time frame | Performance Data | Complications |
|---|---|---|---|---|---|---|---|---|
| McCue et al,11 1974 | 41 | Not stated | 8 | Mix of sports (football, wrestling, skiing, baseball, basketball, lacrosse, polo, softball, and horse jumping) | “Reattachment of the ligament to periosteum and bone with a pull-out wire” | NA | 40/41 (97.6%) RTP at preinjury level | 1/40 (2.5%) with osteoarthritis, weakness, stiffness, and pain of the MCP joint |
| Derkash et al,12 1987 | 69 | 31.6 mo (range, 16–46 mo) | 7 | Skiing | Suture button + prolene 3-0 prolene | NA | 66/69 (96%) RTP at preinjury level Mild weakness of pinch in 31/69 (44.9%), moderate weakness in 2/69 (2.9%), and severe weakness in 1/69 (1.4%) |
3/69 (4.4%) could not RTP because of pain or fear of reinjury |
| Lane,13 1991 | 36 | 3.9 y (range, 2.0–8.5 y) | 11 | Mix of sports (football, tennis, skiing, and wrestling) | Old technique: pullout suture, K-wire fixation of joint New technique: suture to adductor pollicis or UCL remnant, K-wire fixation of bony avulsion, no fixation of joint |
RTP some level, earlier in new-technique patients Old: 8.8 ± 2.3 wk New: 4.6 ± 1.4 wk RTP previous level, earlier in new-technique patients Old: 14.1 ± 4.0 wk New: 10.2 ± 2.6 wk |
Old: 7/7 (100%) RTP at preinjury level. New: 29/29 (100%) RTP at preinjury level |
Failure of repair at 2 wk in 1/36 (2.7%), rerupture in 1/36 (2.7%) at 9 mo |
| Zeman et al,14 1998 | 45 | 18 mo (12–26 mo) | 8 | Skiing and mountain biking | Suture anchor + 2-0 PDS | Immediately after surgery | 44/45 (97.8%) RTP at preinjury level and had no complaints of instability at MCP joint | 7/45 (15.6%), numbness 3/45 (6.7%), pain with activities 12/45 (26.7%), reduced ROM |
| Badia,24 2006 | 12 | Mean, 34.2 mo (range, 12–84 mo) | 7 | Sport not specified | Arthroscopic debridement + K-wire fixation of the bony avulsion | 8 wk permitted; all patients returned to activities within 3 mo | 36/36 (100)% RTP at preinjury level | None |
| Werner et al,22 2014 | 18 | 6 y (range, 2.5–9.5 y) | 10 | Football | Suture anchor + braided polyester suture | 4 wk of nonskilled position, 7 wk of skilled position | 18/18 (100%) RTP at preinjry level. No significant differences in QuickDASH scores for skill vs nonskill position players |
None |
| Werner et al,23 2017 | 26 (17 isolated UCL; 9 combined UCL/RCL) | Not stated | 11 | Football | Suture anchor, braided polyester suture | 6 wk | 26/26 (100%) RTP at preinjury level, including 17 isolated UCL and 9 combined UCL + RCL | None |
| Jack et al,27 2018 | 21 | At least 1 y | 11 | Baseball | NA | Total: 120.0 ± 75.9 d In season: 56.2 ± 15.0 d |
21/21 (100%) RTP at preinjury level. Infielders had a lower rate of postoperative wins above replacement relative to before surgery. However, no differences in performance relative to controls, no difference based on hand dominance of injury, and no decrease in games per season or career length after injury |
None |
| Sochacki et al,28 2019 | 23 | At least 1 y | 10 | Football | NA | Total: 132.2 ± 126.1 d In season: 34.8 d |
22/23 (95.7%) RTP at preinjury level; 1-y NFL career survival rate of 87.0%. No differences in positions or compared with matched controls | 1/23 (4.3%) failed medical physical examination after surgery, unknown if related to surgery |
| Gibbs and Shin,30 2020 | 17 | At least 1 y | 10 | Mix of sports (baseball, basketball, hockey, and volleyball) | Suture anchor, suture tape, braided polyester suture | Total: RTP some level, 50.5 ± 53.77 d RTP same level, 58.5 ± 56.31 In season: RTP some level, 30.9 ± 10.06 d RTP same level, 36.3 ± 11.22 |
17/17 (100%) RTP at preinjury level | None |
| Bernstein et al,29 2020 | 3 | 1 y | 10 | Football | Suture anchor, braided polyester suture | 13.3 ± 2.9 d | 3/3 (100%) RTP at preinjury level | 3 ipsilateral PIP joint dislocations in two-third patients (67%) |
DASH, Disabilities of the Arm, Shoulder, and Hand; MINORS, Methodological Index for Non-Randomized Studies; NA, data unavailable; PDS, polydioxanone suture; PIP, proximal interphalangeal; RCL, radial collateral ligament.
∗
Articles are listed in chronological order.