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. 2021 Apr 1;25:59–63. doi: 10.1016/j.jor.2021.03.015

Table 2.

Injury and Surgical Characteristics Injury characteristics, treatment details, and clinical results.

First author (Year) Other injuries Affected ligament Treatment Follow-up Clinical results
Jeong (2018) Dorsal ligament and volar oblique ligament
  • Open reduction with ligamentous reconstruction using Flexor Carpi Radialis tendon on the left thumb

  • Closed reduction with fixation with K-wires on the right thumb

16 months
  • Normal ROM and strength without joint instability

  • Mild stiffness, no pain or chronic instability of the left thumb

Lahiji (2015) Dorsal and oblique collateral ligament
  • Open reduction with ligamentous reconstruction (tendon not specified)

  • Closed reduction

  • Near normal ROM without tenderness

Kose (2015) Closed reduction 6 months
  • Full ROM in the CMC joint, without pain or instability

  • Final hand radiographs demonstrated congruent CMC joint and trapezium fracture union

Annappa (2015) Dorsal ligament complex
  • Open reduction

  • Fixation with K-wires

  • Ligamentous reconstruction with Flexor Carpi Radialis tendon

2 years
  • Full ROM without instability

  • No evidence of subluxation or early osteoarthritis

Wollstein (2016)
  • Suspension and interposition arthroplasty

  • Removal of trapezium

6 months
  • Re-gain of full function, stable MCP joint during power pinch and grip

  • Retrospective DASH improved to 78 vs. 100 pre-op

Takwale (2004) Anterior oblique ligament Ligamentous reconstruction with Flexor Carpi Radialis tendon 4 years
  • Significant relief from pain and symptoms in 87% of the patients

  • Mean grip strength recovered to 86% of the contralateral side

Stauffer (2019) Ligamentous reconstruction with Abductor Pollicis Longus tendon Average 3.5 years (1.3–5.8)
  • Mean DASH score: 13.3

  • Mean VAS score: 1.1 at rest

  • Mean Nelson score: 87.7

  • Mean Kapanji opposition score (ROM evaluation): 9.8/10

  • No significant difference in grip, pinch strength, and passive stability between operated and non-operated hands

Baker (2014)
  • Ligamentous reconstruction with Palmaris Longus tendon as an intermetacarpal spacer and sling

  • Trapeziectomy

6 months
  • Post-op DASH score improved to 52.6 vs. 64.7 pre-op

  • Post-op VAS score improved to 0 vs. 8 pre-op

  • Postop grip strength (% contralateral) improved to 83 vs. 64 pre-op

  • Kapanji opposition score (ROM evaluation): 10/10

  • No reported complications

Chan (2013) Manipulation under anesthesia 2 months
  • Full ROM of the first CMC joint without pain

Matshuhashi (2010)
  • Median nerve recurrent branch injury

  • Passive reduction

  • Opponenplasty with Flexor Digtorium Superficialis tendon

7 months
  • Improved radial and palmar abduction

  • No apparent joint instability of the affected CMC joint

  • Articular congruity with reduction of CMC joint subluxation

  • Recovered thumb opposition

Suresh (2012) Closed reduction 15 months
  • Full ROM of the thumb, well reduced and stable TM joint without any signs of arthritis

  • Possible calcification in the straight anterolateral ligament

Lyengar (2013) Anterior oblique ligament
  • After failed closed reduction, modified Eaton-Littler technique

  • Fixation K-wires

  • Ligamentous reconstruction with Flexor Carpi Radialis tendon

1 year
  • Full range of joint mobility of the thumb without pain

  • Return to pre-injury level of activity

  • Improved grip strength by Jamar hand dynamometer (10.6 kg pre op to 20.8 kg post op) and improved pinch grip (4.7 kg–6.5 kg)

Fotiadis (2010) Dorsoradial ligament
  • Closed reduction

  • Reconstruction of the dorsal capsuloligamentous complex due to joint instability

3 years
  • Normal joint alignment, no evidence of subluxation, pain free

  • Return to pre-injury level of activity

Kraus (2014) Closed reduction
  • None reported (Emergency department case report)

Slocum (2019) Closed reduction 2 years
  • Full ROM of the thumb, well reduced and stable TM joint without any signs of arthritis

  • Return to pre-injury work and daily activity level

DASH: Disabilities of the Arm, Shoulder, and Hand Questionnaire; VAS: Visual Analogue Scale; ROM: Range of Motion; CMC: Carpometacarpal; MCP: Metacarpophalangeal.