Practice forum| Volume 36, ISSUE 1, P241-244, January 2023

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Can we do it faster? accelerated rehabilitation following thumb ulnar collateral ligament repair with suture tape augmentation

Published:April 18, 2021DOI:


      Ulnar Collateral Ligament (UCL) injuries are the most common thumb metacarpophalangeal joint ligamentinjury. Rehabilitation protocols traditionally permit return to sport at 12 weeks post-surgery. In this article, we propose anacellerated rehabilitation protocol permitting return to sport at 5-6 post-surgery in the recreational athlete.
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        • Baskies MA
        • Lee SK
        Evaluation and treatment of injuries of the ulnar collateral ligament of the thumb metacarpophalangeal joint.
        Bull NYU Hosp Jt Dis. 2009; 67: 68-74
        • Arnold DM
        • Cooney WP
        • Wood MB
        Surgical management of chronic ulnar collateral ligament insufficiency of the thumb metacarpophalangeal joint.
        Orthop Rev. 1992; 21: 583-588
        • Mahajan M
        • Rhemrev SJ
        Rupture of the ulnar collateral ligament of the thumb - a review.
        Int J Emerg Med. 2013; 6: 31
        • Anderson D
        Skier's thumb.
        Aust Fam Physician. 2010; 39: 575-577
        • Chuter GS
        • Muwanga CL
        • Irwin LR
        Ulnar collateral ligament injuries of the thumb: 10 years of surgical experience.
        Injury. 2009; 40: 652-656
        • De Giacomo AF
        • Shin SS
        Repair of the thumb ulnar collateral ligament with suture tape augmentation.
        Tech Hand Up Extrem Surg. 2017; 21: 164-166
        • Shin SS
        • van Eck CF
        • Uquillas C
        Suture tape augmentation of the thumb ulnar collateral ligament repair: A biomechanical study.
        J Hand Surg Am. 2018; 43: 868 e1-e6

      JHT Read for Credit

      Quiz: # 925

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • # 1.
        The authors advocate an approach that will allow return to recreational sports at approximately ______ post repair
        • a.
          4 weeks
        • b.
          5-6 weeks
        • c.
          7-8 weeks
        • d.
          10 weeks
      • # 2.
        The authors’ primary criticism of the traditional approach is that it calls for
        • a.
          intensive post-op rehabilitation
        • b.
          cast immobilization
        • c.
          early motion
        • d.
          restricting early motion
      • # 3.
        A key feature of the recommended surgery is
        • a.
          6 strand suture technique
        • b.
          interoperative antibiotic bathing
        • c.
          suture tape for a protected repair
        • d.
          its low cost
      • # 4.
        AROM is initiated at approximately _________ post-op
        • a.
          day 1
        • b.
          7-10 days
        • c.
          14-18 days
        • d.
          3 weeks
      • # 5.
        The authors do not claim that this article contains sufficient scientific data to establish the method as “best practices”. They advocate more investigation to more fully demonstrate its advantages over the traditional method of care.
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.