J Hand Microsurg 2017; 09(02): 095-097
DOI: 10.1055/s-0037-1604292
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Hook Plate Fixation for the Thumb Ulnar Collateral Ligament Fracture-Avulsion

Ali Tabrizi
1   Department of Orthopedics, Urmia University of Medical Sciences, Urmia, Iran
,
Ahmadreza Afshar
1   Department of Orthopedics, Urmia University of Medical Sciences, Urmia, Iran
› Author Affiliations
Further Information

Publication History

03 May 2017

20 June 2017

Publication Date:
19 July 2017 (online)

Abstract

During a taekwondo competition, a 20-year-old female competitor injured her left thumb. There was pain, swelling, and tenderness at the ulnar side of the metacarpophalangeal joint. Plain radiography demonstrated an avulsion fracture with a small-size fragment at the base of the proximal phalanx. A mini hook plate was used to repair the lesion. The patient was satisfied with the results and returned to her sports activities after 2 months.

 
  • References

  • 1 Bovard RS, Derkash RS, Freeman JR. Grade III avulsion fracture repair on the UCL of the proximal joint of the thumb. Orthop Rev 1994; 23 (02) 167-169
  • 2 Carlsen BT, Moran SL. Thumb trauma: Bennett fractures, Rolando fractures, and ulnar collateral ligament injuries. J Hand Surg Am 2009; 34 (05) 945-952
  • 3 Dinowitz M, Trumble T, Hanel D, Vedder NB, Gilbert M. Failure of cast immobilization for thumb ulnar collateral ligament avulsion fractures. J Hand Surg Am 1997; 22 (06) 1057-1063
  • 4 Jupiter JB, Sheppard JE. Tension wire fixation of avulsion fractures in the hand. Clin Orthop Relat Res 1987; (214) 113-120
  • 5 Moharram AN. Repair of thumb metacarpophalangeal joint ulnar collateral ligament injuries with microanchors. Ann Plast Surg 2013; 71 (05) 500-502
  • 6 Katolik LI, Friedrich J, Trumble TE. Repair of acute ulnar collateral ligament injuries of the thumb metacarpophalangeal joint: a retrospective comparison of pull-out sutures and bone anchor techniques. Plast Reconstr Surg 2008; 122 (05) 1451-1456
  • 7 Pulos N, Shin AY. Treatment of ulnar collateral ligament injuries of the thumb: a critical analysis review. JBJS Rev 2017; 5 (02) 21
  • 8 Shin EH, Drake ML, Parks BG, Means Jr KR. Hook plate versus suture anchor fixation for thumb ulnar collateral ligament fracture-avulsions: a cadaver study. J Hand Surg Am 2016; 41 (02) 192-195
  • 9 Tsiouri C, Hayton MJ, Baratz M. Injury to the ulnar collateral ligament of the thumb. Hand (NY) 2009; 4 (01) 12-18
  • 10 Weiland AJ, Berner SH, Hotchkiss RN, McCormack Jr RR, Gerwin M. Repair of acute ulnar collateral ligament injuries of the thumb metacarpophalangeal joint with an intraosseous suture anchor. J Hand Surg Am 1997; 22 (04) 585-591
  • 11 Kang GC, Yam A, Phoon ES, Lee JY, Teoh LC. The hook plate technique for fixation of phalangeal avulsion fractures. J Bone Joint Surg Am 2012; 94 (11) e72