Injuries of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb are very common. A review of the literature regarding the pertinent anatomy, injury mechanism, diagnostic modalities, and treatment options may yield a better understanding for future management.

PURPOSE Regaining hand function has been identified as the highest priority for persons with tetraplegia. In many patients, finger flexion can be restored with a tendon transfer of extensor carpi radialis longus to flexor digitorum profundus (FDP). In the absence of intrinsic function, this results in a roll-up finger movement, which tends to push large objects out of grasp. To enable patients ...

OBJECTIVE to assess the surgical technique using the modified palm open technique for the treatment of severe contractions of Dupuytren's disease. METHODS over a period of four years, 16 patients underwent surgical treatment, and in its entirety belonged to stages III and IV of the classification proposed by Tubiana et al. We performed measurements of the extension deficit of the metacarpopha...

Nine patients with rheumatoid arthritis, who had Silastic prostheses (Swanson's) introduced into 34 metacarpophalangeal joints, were reviewed 5 years after surgery. The most important long-term advantage conferred by the introduction of prostheses was pain relief; functional benefit was marginal. The majority of prostheses eventually fractured but this did not necessarily lead to a functional d...