| Jeong (2018) |
– |
Dorsal ligament and volar oblique ligament |
|
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 |
|
– |
|
| 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 |
|
2 years |
|
| Wollstein (2016) |
– |
– |
|
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 |
|
| 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) |
– |
– |
|
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 |
|
| Matshuhashi (2010) |
|
– |
|
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 |
|
3 years |
-
•
Normal joint alignment, no evidence of subluxation, pain free
-
•
Return to pre-injury level of activity
|
| Kraus (2014) |
– |
– |
Closed reduction |
– |
|
| 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
|