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Chronic Instability of the Fingers and Thumb

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Disorders of the Hand

Abstract

The human hand explores a hostile environment. Injuries are common and frequently involve the joints of the thumb and fingers. The impact of injuries to these small joints can be surprisingly significant. Partial injuries to the ligaments, or sprains, often heal well, but have a tendency to stiffness if not mobilized soon. Complete ruptures of ligaments have a tendency to instability, a less common but more disabling outcome.

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References

  1. Bowers W, Wolf JW, Nehil JL, Bittinger S. The proximal interphalangeal joint volar plate. I. An anatomical and biomechanical study. J Hand Surg Am. 1980;5:79–88.

    Article  CAS  PubMed  Google Scholar 

  2. Cooney WP, Chao EY. Biomechanical analysis of static forces in the thumb during function. J Bone Joint Surg Am. 1977;59(1):28–36.

    Google Scholar 

  3. Brunelli GA, Brunelli GR. Anatomical study of the distal insertion of the abductor pollicis longus. Concept of a new musculo-tendinous unit: the abductor carpi muscle. Ann Hand Surg. 1991;10:569–76.

    CAS  Google Scholar 

  4. Edmunds JO. Current concepts of the anatomy of the thumb trapeziometacarpal joint. J Hand Surg Am. 2011;36A:170–82.

    Article  Google Scholar 

  5. Ladd AL, Lee J, Hagert E. Macroscopic and microscopic analysis of the thumb carpometacarpal ligaments: a cadaveric study of ligament anatomy and histology. J Bone Joint Surg Am. 2012;94(16):1468–77.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Wolf JM, Oren TW, Ferguson B, Williams A, Petersen B. The carpometacarpal stress view radiograph in the evaluation of trapeziometacarpal joint laxity. J Hand Surg Am. 2009;34(8):1402–6.

    Article  PubMed  Google Scholar 

  7. Collins ED. Magnetic resonance imaging technology in evaluating the presence and integrity of the anterior oblique ligament of the thumb. Orthop Rev (Pavia). 2012;4(2):e23.

    Article  Google Scholar 

  8. Koff MF, Shrivastava N, Gardner TR, Rosenwasser MP, Mow VC, Strauch RJ. An in vitro analysis of ligament reconstruction or extension osteotomy on trapeziometacarpal joint stability and contact area. J Hand Surg Am. 2006;31(3):429–39.

    Article  PubMed  Google Scholar 

  9. Shaw SJ, Morris MA. The range of movement of motion of the metacarpophalangeal joint of the thumb and its relationship to injury. Br J Hand Surg. 1992;17:164–6.

    Article  CAS  Google Scholar 

  10. Campbell CS. Gamekeeper’s thumb. J Bone Joint Surg. 1955;37B:148–9.

    Google Scholar 

  11. Neviaser RJ, Wilson JN, Lievano A. Rupture of the ulnar collateral ligament of the thumb (gamekeeper’s thumb): correction by dynamic repair. J Bone Joint Surg Am. 1971;53:1357–64.

    CAS  PubMed  Google Scholar 

  12. Eaton RG, Floyd WE. Thumb metacarpophalangeal capsulodesis: and adjunct procedure to basal joint arthroplasty for collapse deformity of the first ray. J Hand Surg Am. 1988;13:461–5.

    Article  Google Scholar 

  13. Tomkin MA, Beard AJ, Kemp SJ. Sesamoid arthrodesis for hyperextension of the thumb metacarpophalangeal joint. J Hand Surg Am. 1995;20:334–8.

    Article  Google Scholar 

  14. Posner MA, Langa V, Ambrose L. Intrinsic muscle advancement to treat chronic palmar instability of the metacarpophalangeal joint of the thumb. J Hand Surg Am. 1988;13:110–5.

    Article  CAS  PubMed  Google Scholar 

  15. Bowers W. The anatomy of the interphalangeal joints. In: Bowers WH, editor. The interphalangeal joints. New York: Churchill Livingstone; 1987. p. 2–13.

    Google Scholar 

  16. Allison DM. Anatomy of the collateral ligaments of the proximal interphalangeal joint. J Hand Surg Am. 2005;30A:1026–31.

    Article  Google Scholar 

  17. Kiefhaber TR, Stern PJ. Fracture dislocations of the proximal interphalangeal joint. J Hand Surg Am. 1998;23:368–80.

    Article  CAS  PubMed  Google Scholar 

  18. Merrel G, Slade JF. Dislocations and ligament injuries in the digits: chapt. 9. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, editors. Green’s operative hand surgery, vol. 1. 6th ed. Philadelphia: Elsevier/Churchill Livingstone; 2011. p. 291–332.

    Chapter  Google Scholar 

  19. Williams RM, Kiefhaber TR, Sommerkamp TG, Stern PJ. Treatment of unstable dorsal proximal interphalangeal joint fracture dislocations using a hemi-hamate autograft. J Hand Surg Am. 2003;28:856–65.

    Article  PubMed  Google Scholar 

  20. Melone CP, Polatsch DB, Beldner S, Khorsandi M. Volar plate repair for posttraumatic hyperextension deformity of the proximal interphalangeal joint. Am J Orthop. 2010;39(4):190–4.

    PubMed  Google Scholar 

  21. Kiefhaber TR, Stern PJ, Grood ES. Lateral stability of the proximal interphalangeal joint. J Hand Surg Am. 1986;11:661–9.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Pulvertaft Hand Centre, Royal Derby Hospital, Derby, UK

    Carlos Heras-Palou LMS, FRCSEd, FRCS(Tr & Orth)

Authors
  1. Carlos Heras-Palou LMS, FRCSEd, FRCS(Tr & Orth)
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Correspondence to Carlos Heras-Palou LMS, FRCSEd, FRCS(Tr & Orth) .

Editor information

Editors and Affiliations

  1. Wrightington Hospital, Wigan, United Kingdom

    Ian A. Trail

  2. St George's Hospital, London, United Kingdom

    Andrew N.M. Fleming

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© 2015 Springer-Verlag London

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Heras-Palou, C. (2015). Chronic Instability of the Fingers and Thumb. In: Trail, I., Fleming, A. (eds) Disorders of the Hand. Springer, London. https://doi.org/10.1007/978-1-4471-6560-6_9

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  • DOI: https://doi.org/10.1007/978-1-4471-6560-6_9

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6559-0

  • Online ISBN: 978-1-4471-6560-6

  • eBook Packages: MedicineMedicine (R0)

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