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Indications A complete tear of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MCP) joint of the thumb necessitates this procedure. An avulsion fracture at the attachment site of the UCL with displacement greater than 5 mm may also require…
Indications One indication is metacarpal malunion with angular, rotational, or shortening deformity, which results in functional deficits. Acceptable limits of each deformity are debatable (suggested indications for primary surgery are reviewed in Chapter 14 Techniques and Fixation of Metacarpal Fractures),…
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Indications Indications for this procedure include: Complex (or irreducible) metacarpophalangeal (MCP) joint dislocation. Concomitant fractures that require open reduction internal fixation. Clinical examination The index finger is the most common site of this injury. Most dislocations are dorsal and occur…
Closed reduction with kirschner wire fixation of metacarpal neck and shaft fractures Indications Surgery may be indicated for fractures that have recurrent or residual displacement after an attempt at reduction, especially if the fracture displacement results in disturbance in form…
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Indications Indications include: Unstable proximal interphalangeal (PIP) joint fracture–dislocations in which more than 50% of the palmar base of the middle phalanx is fractured or greater than 30 degrees of PIP joint flexion is required to maintain stability. Fracture of…
Indications Indications for this procedure include fracture dislocations of the proximal interphalangeal (PIP) joint that are unstable and in which the volar lip (buttress) of the middle phalanx base cannot be salvaged or reconstructed with other means. Volar plate arthroplasty…
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