Surgical Treatment

In patients with a Stener lesion, repair of the torn ligament, with reattachment to the bone, is recommended. A skin incision is made and the dorsal ulnar sensory branch of the superficial radial nerve is identified and protected (Fig. 51-8). The Stener lesion is then identified (Fig. 51-9). The adductor aponeurosis is cut at

Superficial Radial SensoryThumb Ulnar Reattachment
Figure 51—10. Curette to prepare bony bed.

90 degrees to its fibers. The MP joint is inspected for any soft tissue interposition. The proximal phalanx is curetted (Fig. 51—10) and prepared if the avulsion is off the proximal phalanx. The proximal phalanx is drilled. A minianchor is placed in the predrilled hole (Fig. 51-11A). The UCL is then repaired using the sutures

Ucl Thumb Repair

Figure 51—11. (A) Right thumb with drill in place for minianchor. (B) Left thumb with minianchor in place. (C) Sutures of mini-anchor coming out of the proximal phalanx in a left thumb. (D) Left thumb with sutures of minianchor protruding from the proximal phalanx. (E) Repair of the UCL in a right thumb.

Figure 51—11. (A) Right thumb with drill in place for minianchor. (B) Left thumb with minianchor in place. (C) Sutures of mini-anchor coming out of the proximal phalanx in a left thumb. (D) Left thumb with sutures of minianchor protruding from the proximal phalanx. (E) Repair of the UCL in a right thumb.

Adductor Aponeurosis

attached to the anchor (Fig. 11B-E). The adductor aponeurosis is repaired (Fig. 51—12). The skin is then closed. Postoperatively, the patient is placed in a wrist gauntlet cast (Fig. 51—13). At 6 weeks postoperative, the patient is given a functional hand splint, therapy is begun in the AP plane, and pronation/supination exercises are completed.

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook


Post a comment