Background: While the clinical presentation and mechanism of injury of ulnotriquetral (UT) ligament split tear had been well described, there has been no other studies that has reported on the outcome of a UT ligament repair. This study aims to look at the patient-reported outcomes following UT ligament split tear repair.
Methods: 18 wrists (13 right and 5 left) in 17 patients (12 males and 5 females, mean age 25.0 ± 8.4 years, range 16-50 years) who had UT ligament split tear and undergone surgical repair between November 2007 and December 2013 were retrospectively analysed. Patient-reported outcome of resolution of pain, and objective measurements such as improvement in grip strength and range of movement of the wrist were recorded. Patients were followed up until the pain was completely resolved or the last documented consultation. The mean follow-up duration was 16.2 months.
Results: 94% reported improvements post-surgery, of which 63% reported complete resolution of pain. 6% reported no improvement in pain post-operatively. No patient reported worsening of pain after the surgery. There was significant improvement in grip strength from a mean of 23.5 kg to 27.1 kg. There was no significant change in range of motion of the wrist.
Conclusions: The majority of patients reported resolution or improvement of pain after surgical repair. In addition, there was statistically significant improvement in grip strength recorded.
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http://dx.doi.org/10.1142/S0218810417500484 | DOI Listing |
Arthrosc Tech
December 2024
Orlin & Cohen Orthopedic Group, Smithtown, New York, U.S.A.
Direct repair of ulnar collateral ligament (UCL) injuries with suture augmentation has been successful in properly selected patients lacking chronic attritional wear of the medial elbow. Described is a Speed-Fix technique for direct UCL repair using SutureTape, with Brace augmentation. The Speed-Fix repair technique uses an inverted mattress knotless repair with a knotless SwiveLock anchor and FiberTape suture, which allows for theoretical compression at the repair site.
View Article and Find Full Text PDFJ Transl Med
December 2024
Department of General Surgery and Surgical-Medical Specialties, Unit of Periodontology, School of Dentistry, University of Catania, Via S. Sofia 78, Catania, Catania, 95123, Italy.
Background: Micro-RNAs (miRNAs) have been reported to play an important role during orthodontic tooth movement (OTM) through the regulation of periodontal soft and hard tissue homeostasis and functions. The aim of the present study was to assess the effects of miRNAs on OTM and to evaluate possible predictors that influenced the overall OTM amount at a 3-month follow-up.
Methods: Through a split-mouth design, 21 healthy patients (mean age 13.
J Strength Cond Res
November 2024
Department of Sports Sciences, Japan Institute of Sports Sciences, Tokyo, Japan; and.
Henderson, FJ and Shimokochi, Y. Inertial one-leg squat training and drop jump biomechanics in athletes with anterior cruciate ligament reconstruction after return to sport. J Strength Cond Res XX(X): 000-000, 2024-Athletes with anterior cruciate ligament reconstruction (ACLR) display altered jumping mechanics persisting long after returning to sport (RTS).
View Article and Find Full Text PDFArthroscopy
December 2024
Thomas Jefferson University Hospital and Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, U.S.A.
Since Dr. Frank Jobe performed the initial surgery on Tommy John in 1974, the ulnar collateral ligament (UCL) reconstruction (UCLR), colloquially "Tommy John Surgery," described in 1986 has evolved as the gold standard treatment for UCL tears. The crux of technique modifications involve flexor pronator mass (FPM) management, ulnar nerve transposition (UNT), graft selection, or graft-fixation options.
View Article and Find Full Text PDFClin Biomech (Bristol)
December 2024
Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Background: This study aimed to clarify whether the anterior hip capsular ligament is impinged between the acetabulum and femur during hip flexion or adduction and to determine the difference in the distance between the femur and capsular ligament in healthy adults and those with hip pain.
Methods: Magnetic resonance imaging of the hip joint was conducted at the following hip positions: 0° of flexion, 60° of flexion, maximal flexion, and maximal flexion with adduction. A three-dimensional model of the capsular ligament and femur was constructed.
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