Journal of Hand Therapy
Volume 23, Issue 1 , Pages 77-82 , January 2010

Treatment of Grade III Thumb Metacarpophalangeal Ulnar Collateral Ligament Injuries with Early Controlled Motion Using a Hinged Splint

  • Ernest J. Michaud, OTR/L, CHT

      Affiliations

    • Corresponding Author InformationCorrespondence and reprint requests to Ernest J. Michaud, OTR/L, CHT, Department of Rehabilitation - Out Patient Lutheran Hospital, a Cleveland Clinic Hospital, 1730 West 25th Street, Cleveland, Ohio 44113.

References 

  1. Campbell GA. Gamekeeper's thumb. J Bone Joint Surg [Br]. 1955;37:148–149
  2. Stener B. Displacement of the ruptured ulnar collateral ligament of the metacarpophalangeal joint of the thumb. J Bone Joint Surg. 1962;44B:869–879
  3. Pichora DR, McMurtry RY, Bell MJ. Gamekeeper's thumb: a prospective study of functional bracing. J Hand Surg. 1989;14A:567–573
  4. Landsman JC, Seitz WH, Froimson AI, Leb RB, Bachner EJ. Splint immobilization of gamekeeper's thumb. Orthopedics. 1995;18(12):1161–1165
  5. Kuz JE, Husband JB, Tokar NT, McPherson SA. Outcome of avulsion fractures of the ulnar base of the proximal phalanx of the thumb treated nonsurgically. J Hand Surg. 1999;24A:275–282
  6. Bowers WH, Hurst LC. Gamekeeper's thumb—evaluation by arthrography and stress roentgenography. J Bone Joint Surg. 1977;59A:519–524
  7. Sollerman C, Abrahamsson SO, Lundborg G, Adalbert K. Functional splinting versus plaster cast for ruptures of the ulnar collateral ligament of the thumb. Acta Orthop Scand. 1991;62(6):524–526
  8. Woo SLY, Inoue M, McGurk-Burleson E, Gomez MA. Treatment of the medial collateral ligament in injury. II: Structure and function of canine knees in response to differing treatment regimens. Am J Sports Med. 1987;15:22–29
  9. Gomez MA, Woo SLY, Amiel D, Harwood F, Kitabayashi L, Matyas JR. The effects of increased tension on healing medial collateral ligaments. Am J Sports Med. 1991;19:347–354
  10. Bray RC, Shrive NG, Frank CB, Chimmic DD. The early effects of joint immobilization on medial collateral ligament healing in an ACL-deficient knee: a gross anatomic and biomechanical investigation in the adult rabbit model. J Orthop Res. 1992;10:157–166
  11. Adams BD, Muller DL. Assessment of thumb positioning in the treatment of ulnar collateral ligament injuries: a laboratory study. Am J Sports Med. 1996;24:672–675
  12. Fess E, Philips C, Gettle K, Janson J. Hand and Upper Extremity Splinting: Principles and Methods. 3rd ed.. Philadelphia, PA: Elsevier Health Sciences; 2004;pp 120–39
  13. McKee P. Orthoses as enablers of occupation: client centered splinting for better outcomes. Can J Occup Ther. 2004;71(5):306–314

PII: S0894-1130(09)00131-8

doi: 10.1016/j.jht.2009.10.001

Journal of Hand Therapy
Volume 23, Issue 1 , Pages 77-82 , January 2010

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