77th ASSH Annual Meeting - Back to Basics: Practice and Education-IC20: Optimized Treatment of Acute and Chronic Thumb and Finger Ligament Injuries in 2022 (AM22)

IC20: Optimized Treatment of Acute and Chronic Thumb and Finger Ligament Injuries in 2022 (AM22)

Video Transcription

Video Summary

Dr. Kaufman and Dr. Boyce discuss the anatomy and treatment options for ligament issues in the thumb and fingers. They highlight the vulnerability of the thumb and small finger to ligament injuries, particularly the ulnar collateral ligament (UCL) in the thumb. They explain the anatomy of the thumb and fingers and the role of various ligaments in stabilizing the joints. Dr. Boyce mentions the option of repairing the accessory collateral ligament in the thumb, which some surgeons do not routinely do. Dr. Kaufman emphasizes the importance of restoring anatomy and stability in ligament injuries.<br /><br />The doctors discuss treatment options for ligament injuries, such as immobilization, repair, and reconstruction. They mention the use of suture anchors and tendon grafts for reconstruction. They also mention the potential use of augmentation with suture tape or internal brace, but highlight the controversy surrounding its long-term effects.<br /><br />Dr. Boyce shares some studies comparing the outcomes of different treatment methods for ligament injuries. He highlights the importance of considering stability and range of motion when deciding on a treatment approach. Dr. Kaufman mentions his preference for reconstruction over fusion in certain cases.<br /><br />They discuss the challenges of examining patients who are in pain and share their strategies for conducting a physical exam in such cases. They also address the issue of stiffness after surgery and the importance of maintaining flexion during immobilization.

Meta Tag

Session Tracks Ligament

Speaker John R. Fowler, MD

Speaker Robert A. Kaufmann, MD

Speaker Robert J. Goitz, MD

Keywords

ligament issues

thumb

fingers

ulnar collateral ligament

anatomy

treatment options

immobilization

reconstruction

suture anchors

stability