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At the ulnar aspect of the thumb MCP joint, a longitudinal midaxial incision is made. endstream endobj 80 0 obj <>/Metadata 3 0 R/Outlines 7 0 R/PageLayout/OneColumn/Pages 77 0 R/StructTreeRoot 32 0 R/Type/Catalog>> endobj 81 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 82 0 obj <>stream m"cpQ|fP]3{&N5)M7!s( c A@%'I0*>% J$WNDoN`OM" ,aIENP57SNP zg FQVI@L+ F}t 8Bpt 3x` Q/}2cd}2"[& VL1zeGe:Jz). (} oA%Yv:JzFQA 0X"5o A%U- MLZ;?3%RO8?DnQN['y]{_5%x@iSt>K2! endobj x[[o:~xpPh.IvEMmi3C]lQ,z X3*{c{XKbMa;{;o>H&PIffS+e@.+>|7mw;L"cH"dMn8)Sy,2*npGWwE&k=|"tbE}%2*R0(jK(s#.$"X$VcY#>J>2pCMW[XHOq{ = wD0NC?IF5tV$ZtR& K"=,`y];]NxIo>r?R'n)locmMuf$[g6\1eu8^s=POm6|GHkOzDuDiIpqT+"'"%;ED/,H$g=Ie9fRH*/ 6Tc`;GJEwvQ*X}:LGKX`n)Bq)su9:qF~b. h!DWl{$A4L61)H}hJftyrI%kSQLc]5sbGP U_8v}9|(O(( qsMfGiICYL|*'VL+b% Recently, Dugas et al. If 79 0 obj <> endobj 502 0 obj <> endobj hb```) $- `>bPO,VLW0ba6d.fb>4mfBs2hef`t| Late effect of dislocation (nonspecific) (905.6) Repair lateral collateral ligament, elbow, with local tissue (24343) Repair lateral collateral ligament, elbow, with tendon graft, including graft harvest (24344) Repair medial collateral ligament, elbow, with local tissue (24345) Repair medial collateral . We describe the surgical technique of suture tape augmentation for thumb UCL repair. Diagnosis relies upon thumb MCP radial-ulnar stress exam and MRI studies. The ulnar collateral ligament (UCL) does not play a large role in elbow stability for most activities of daily living, but it does undergo tremendous stresses with overhead throwing and is susceptible to injury in overhead athletes. Educate the patient on anti edema management. Walters BL, Cain EL, Emblom BA, Frantz JT, Dugas JR. Brotzman, S. & Novotny, S. (2018). hbbd```b``"'Iwh"HVqD``\y "g= ] l+ =&KU20R4@ US Rehab Protocol - Thumb UCL Repair (Internal Brace Only) Dr. Broering PRECAUTIONS Full time splint use except for ROM. 2 0 obj PDF | Background: Combined injuries of ipsilateral wrist and elbow joints are rare in clinical practice, characterized by multiple joint dislocations. r e c . Thumb UCL Repair and Reconstruction With Internal Brace Ligament Augmentation Repair Ulnar collateral ligament (UCL) tears of the thumb are common injuries. stream xZS8~AO[H[ULj!W0"Esvo 0h2ULlYRZ?.-ax0Iz_]0lnY>__-\x2`\DL^dRrzIE:d2bdcz{Izw^,&={y@{w=:'=aa=T()VCA6kGQlS9?LX|^+#{zX/.zLNT^Z^jg]X6g8If55/_BYjWpE\,#w+"6A UCL Repair Ulnar Collateral Ligament Repair Protocol Ulnar Collateral Ligament Repair Protocol Phase I: Immediate Post-Surgical Phase (Days 1 - 21) Goals: Protect healing tissue, decrease pain and inflammation, increase scar mobility, prevent muscular atrophy Exercises: 2019 Apr;49(4):253-261. doi: 10.2519/jospt.2019.8215. % The brace may be removed for showering and gentle active motion exercises directed by the therapist. The goal is to These tears often occur as a result of a radially directed force on an extended thumb. The length of each phase varies depending on each patient and depends on tissue healing and progression. invite research legit; orange county police department california; hydra stop brake booster !V!B;nkGL#_cz5asG) 0<>;Qm4P]3@41oJ5i~o;sJvQv9f r4A-C -Z]>T]Fo <> endobj In a recent laboratory study conducted by the Arthrex Research Department using cadaver specimens, the thumb UCL with internal brace was four times stronger than the standard repair with suture alone. The triangular fibrocartilage complex (TFCC) is an important stabilizer of the distal radioulnar joint (DRUJ). The rise of ulnar collateral ligament reconstruction and the fall of ulnar collateral ligament repair. 1 0 obj Non-weight bearing to operative extremity. <>>> <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Thumb UCL Repair With InternalBrace Ligament Augmentation What's New in Orthopedics 207K subscribers Subscribe 24 Save 3.8K views 1 year ago .more .more Notice Age-restricted video. The primary goal of this surgery is to enhance elbow joint stability while the ligament is healing and to allow earlier return to sport after UCL reconstruction. <>/Metadata 83 0 R/ViewerPreferences 84 0 R>> the thumb. Epub 2019 Mar 12. Diagnosis s/p RIGHT/LEFT UCL Repair with Internal Brace Date of Surgery_____ Frequency: ____ times/week Duration: _____ Weeks Week 1: Elbow is immobilized in Hinged Elbow Brace at 75 degrees flexion (7 - 10 days), wrist free, in sling. %PDF-1.3 <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> During this time, active ROM is started as well as light isotonic . *XM qD#qHU vr@^zo+Uwe#-`0XLij1 c5(Ly%CDer,ZbE+ImgILF cy9 '_'n}Zj #:qdAa C;wB.Cx/mu 3hf_u*m"ZeD!\4' (l{aef"];c4#P9G4e't\Y1AM)DmgT?G -rG" ojqQPy3e8AcR:N~ N :#1YGokb &h(TA(VG[H}FQ. 9f(I#]F)jQ#qbgMkZVcqhLL9{3qjU2s7)#t&"lCn'_|m+L(J:vGagJ}nab<4WGSlc.t)rT)B4"& iaS?DVn##oI&70x~o >I9XbiV`J"mE,R6,qQz"n@d,dSqd{]kE=Jxf0@.,M8^sqAGa[)^-6^`sAI@Q|p4&.grv-P_8 | Whilst both terms are often used interchangeably, the skier's thumb refers to the cause as being acute injury. 6,15,19,20,24,29 First described by Frank Jobe in 1986, the procedure has undergone significant evolution . 6=J). Clinical Orthopeadic Rehabilitation: A Team Approach E-Book, 4th Edition. endobj K\'~8_c3(rKC-,9/$&nd#{:+H>>*/yGG`b9.`\z. Phase I (weeks 0 to 3): Splint for one week, then transition to a hinged elbow brace with gentle motion from 30 to 110 progressing to 10 to 125 at week 3. The new procedure involves repairing the damaged ligament and reinforcing it with a collagen-coated fiber tape in contrast with the traditional UCL reconstruction that involves drilling tunnels in the bone and using a graft from a tendon in your arm or leg. 4 0 obj 3 0 obj 128 0 obj <>stream They demonstrated a significantly greater resistance to gapping with valgus stress with the UCL repair with internal brace (mean SD, 0.35 0.16 mm) compared to UCL reconstruction (0.53 0.23 mm). V8FW endstream endobj startxref -Hand based thumb spica brace (comfort cool) . K`d:V0!QGXCor&J;#Z?='lH3cy?_pOk0qWR_heBU] u)dh5Q :e16&\H11}8 1AE Qf>`?SLXSu {q?u,:g@l2;1FhCSTV9}WKH}[agS~?P3{47*c:lg3l#`vLx}{*_Q]}O)D5*wX[PB{A8k1GtM{@onC 0Ggtz=CiZM.sVLCbi`JC3T)q7]tZ4c^l&XkC~?G.9J7 ]sO0h5_K]@GB[q[Vg"$(MjTy hbbd```b``3@$S=d`6;dq7.`.df`\0LE-`6H rlg4okAdaHMH Phone: 574.247.9441 Fax: 574.247.9442 www.sbortho.com REHABILITATION PROTOCOL: THUMB UCL/RCL REPAIR SAM FULLER, M.D. 60 0 obj <>/Filter/FlateDecode/ID[<0AF1E1B641B34B46855587C2A48FF27B><237A0C35EE1B4C46B05DEA8683FB9A51>]/Index[49 44]/Info 48 0 R/Length 76/Prev 328473/Root 50 0 R/Size 93/Type/XRef/W[1 3 1]>>stream %PDF-1.7 DOI: 10.32474/OSMOAJ.2019.03.000151. 15 The results of this study suggest that the technique of augmented UCL repair with internal brace replicates failure strength of the . Elbow Ulnar Collateral Ligament (UCL) Repair Rehabilitation Protocol Kelly Holtkamp, M.D. Joint destruction compresses nerve roots, resulting in pain, paresthesia, sensory loss, dysautonomia, and spasticity. @` I8 thumb ucl repair with internal brace protocol. Dressing changed at 7-10 days after surgery Week 2 <> Abstract and Figures Acute rupture of the ulnar collateral ligament (UCL) of the thumb - also known as 'skier's thumb' - is a common injury which may cause long-term complications if. Elsevier. It's pretty neat to see how it has taken on a whole world of uses, including in the knee and ankle. J Orthop Sports Phys Ther. 3BRKpw.4/Y. EXHIBIT(S) - D (Motion #1) EXHIBIT D - Verified Bill of Particulas and Responses to Various Demands Redacted per 22 NYCRR - EXHIBIT D - Verified Bill of Particulas and Responses to Various Demands Redacted February 09, 2023. % 1 Major components of the TFCC are the articular disc (AD), meniscus homolog, radioulnar ligaments, and extensor carpi . Thumb UCL Repair with InternalBrace Ligament Augmentation 17,933 views Sep 6, 2018 89 Dislike Share Save Arthrex 64.2K subscribers Show more Comments are turned off. The InternalBrace %PDF-1.7 endobj <>/Metadata 558 0 R/ViewerPreferences 559 0 R>> <> ULNAR COLLATERAL LIGAMENT (UCL) REPAIR REHABILITATION PROTOCOL Brace: Hinged elbow brace open to achievable and comfortable ROM as determined by therapist ROM: 0-100 by week 4 Progress active elbow flexion as tolerated Full shoulder and wrist ROM Therapeutic Exercises: Wrist isometrics (pronation, supination) 1 0 obj endstream endobj 503 0 obj <. Finger and hand range of motion: maintain AROM and PROM The athletes that were treated with UCL repair and internal . At 6 weeks after surgery, the supportive brace should be worn with activities, but you may do light tasks, such as typing without it. 2 0 obj As the internal brace technique continues to mature, its application has been gradually expanded to include repair of the anterior talofibular ligament and deltoid ligament in the ankle, anterior and posterior cruciate ligaments, medial and lateral collateral ligaments and medial patellar ligaments in the knee, and ulnar collateral ligaments in . endobj &H<0LElM0i""(P f4G0 H2a`70&E00v$`?W r <> There was gross instability of the ulnar collateral . 1 0 obj Revision Date: 10/29/2021. A recently developed UCL repair procedure with an internal brace, utilizing collagen tape, is gaining popularity. 2 0 obj 4 0 obj Background:Thumb ulnar collateral ligament (UCL) tears are common in competitive athletes. With the UCL repair, the surgeon will repair your native ligament and re-attach it to it's respective insertion site. Postoperative Rehabilitation 7-10 days postop The bulky compressive dressing is removed. %PDF-1.6 % The anti edema management will continue for several weeks. The repeated microtrauma is a result of a lack of muscle protection and destroys cartilage, ligaments, and disc spaces, leading to vertebrae destruction, joint instability, subluxation, and dislocation. Surgery may also require repairing the avulsion fracture using a pin, screw, or bone anchor. Jsx cx=[wOGvu UV]QEMtejL11eO2\5~B*q>vvcu9]dtUbqjNU{ %PDF-1.5 8g14IRxEm`YH#V b6 be1Gv=*K:.;>'!y^vf%lX")z^-vr3[\)U8RnOG8+5[Y#l'^aAWgI>i];%*8jpht4%< pKV[t/ 8]oQ5JF*+zWQ61Hu^DDJT.0H>? 1 0 obj The success of that surgery resulted in it being called the Tommy John procedure. Elevate, ice and modalities to reduce pain and inflammation . endobj %%EOF Thumb UCL Repair (Internal Brace) 0-2 weeks: The postoperative dressing is removed. 0 |C&K 0g-Pf4/.B{s. Phase I - Maximum Protection: 0 to 7 Days: Immobilization in posterior splint at 60-90 of elbow flexion . This animation demonstrates repair of the ulnar collateral ligament of the thumb with the InternalBrace ligament augmentation procedure. POST-OPERATIVE WEEK 2. The internalbrace is the underpinning of the repair procedure. <> ["BIA+ryv_cNaICaNJ!E.|dXTp3g@9< HTxS Hrut LF?L . 148 0 obj <>stream A longitudinal incision was made over the thumb over the metacarpophalangeal (MP) joint, the skin flaps elevated, the extensor shroud released, tendon pulled back, the adductor attachment released and the ulnar collateral ligament identified. . % Thumb UCL Repair With InternalBrace Ligament Augmentation. Thumb Collateral Ligament Injuries, most commonly ulnar collateral (UCL), are athletic injuries that lead to a decrease in effective thumb pinch and grasp. 3 0 obj % hbbd```b`` "gA$d^ %PDF-1.6 % This includes, but not limited to, self-retrograde massage, cold therapy, and extremity elevation. aY_dM\\Kq[SZ 6| F8$b2d`FVw028WYMlS:/2]pI*uIR>75f/Vz&) q3R`?.Xn:$ hw7tJw?8yZ |%1_. 14 Days Postoperative Do NOT remove the surgical bandage. Ulnar collateral ligament (UCL) injuries have significantly increased over the past few decades, especially in young throwing athletes. Triangular fibrocartilage complex injury is one of the most common causes of ulnar wrist pain and can impair daily activities, such as door opening and handshaking. endstream endobj startxref 533 0 obj <>/Filter/FlateDecode/ID[<6B9C59BBC5B61A4384B9FC807F8AE13A><1E4DC5E074430D4EA5AA205F41080698>]/Index[502 56]/Info 501 0 R/Length 138/Prev 267459/Root 503 0 R/Size 558/Type/XRef/W[1 3 1]>>stream by | Jun 3, 2022 | james carone florida energy | when a man criticizes another woman | Jun 3, 2022 | james carone florida energy | when a man criticizes another woman <>/Metadata 554 0 R/ViewerPreferences 555 0 R>> <> A bP .a+ZY^tL3ab`y7*n&++c x[[oF~70/ 8m6EMc/El%{JaeQlQCwnz5fy3iboob9jV hbbd```b``Z";d,d"? Read court documents, court records online and search Trellis.law comprehensive legal database for any state court documents. Instruct the patient to begin active range of motion exercises of the thumb without stressing the UCL/RCL repair. 1 0 obj UCL Repair; Young overhead athletes who sustain an injury to their medial ulnar collateral ligament (UCL) complex, isolated to the proximal or distal end of the ligament and without chronic attritional damage, may benefit from a repair rather than a reconstruction procedure.1 Reference 1. 15 -17,19 Therefore, UCL reconstruction has become a common procedure to address UCL insufficiency in adolescent, collegiate, and professional throwers. /&E-{BpR`buqyxw{y1E2vzy!`reY,$OcvCnbv_]pyu_//~0]8~t2Vj-/U Thumb UCL Repair- Conservative This protocol is intended to provide the clinician with a guideline for the postoperative rehabilitation course of a patient who has undergone thumb UCL reconstruction/repair. endstream endobj 111 0 obj <>/Metadata 5 0 R/Outlines 9 0 R/PageLayout/OneColumn/Pages 108 0 R/StructTreeRoot 16 0 R/Type/Catalog>> endobj 112 0 obj <>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 113 0 obj <>stream Mrtl7"l\Q`?v`d: 4 0 obj endobj !bq\n#z0y/16C0DLP"2wn|e&35`MX2 @@^ !+~(l)2B3% !!PsEUr,!NAqYkT0(*${YNB_sYGDa|)jN!vE ` Gc^N.&/v;5$*'BDh8P}!k!2YK-|)T\{|eF_xXC'o]8 yLt)n (1) See image 2. Rehabilitation Guidelines The UCL repair with Internal Brace was developed as a faster alternative to a full UCL reconstruction. | Find, read and cite all the research you . ULNAR COLLATERAL LIGAMENT REPAIR with INTERNAL BRACE Postop protocol for Daniel Myer, M.D. 104 0 obj <>/Filter/FlateDecode/ID[<33B8DE36AB984B418169C7A4E24F203B><19F8EE0B324BFE44BA1CA95B759557F5>]/Index[79 50]/Info 78 0 R/Length 117/Prev 108309/Root 80 0 R/Size 129/Type/XRef/W[1 3 1]>>stream When the tear results in pain and instability, surgical repair offers a predictably successful outcome. Initiate Throwing: 14-16 weeks (3.22 Months for Comparison) Bullpens: 24 Weeks (5.52 Months) Live BPs: 30-33 Weeks . ~Y$'h9N`haq8"% {s D)gZ2J =ky~ pP],DQgUh6*DM6`vlK ,R /"0q^p3S;LrV?-VS(6E?VAQJ@p EQQKiqLf[~vA]"`qW `!a`05I**ThsrAD8WH6SXb^h:R.?Q(oeR~R^N Orthop & Spo Med Op Acc J 3(1)- 2019. 4 0 obj This internal brace surgery was developed by surgical company Arthrex. %PDF-1.7 TREATMENT: Treatment consists of either a period of splintage or if completely torn,a repair of the ligament with an operation. endobj % SYMPTOMS: The thumb may be swollen, bruised and painful. FWfvgYpmphZsrDo\!WG-W.4BAj]Z^4~v:34a'9cl'LlL/Ka:XsWpv>{|MGK>\#(hO endstream endobj startxref ( E`\Boy 'n"%QBiClMVmfzKRbq"j>Ws$ ULNAR COLLATERAL LIGAMENT OF THE ELBOW RECONSTRUCTION USING AUTOGENOUS GRAFT PROTOCOL 3 Progress shoulder isometrics to isotonics, emphasize rotator cuff strengthening (Avoid resisted external rotation until 6th week to minimize forces on repaired UCL) Week 6 Brace - hinged elbow brace set 0-130 degrees. The rehabilitation protocol after a Ulnar Collateral Ligament Repair with Internal Brace surgery typically involves several phases. In a reconstruction the old, damaged ligament is removed, new portal holes are drilled and (in an autograft situation) a tendon from somewhere else in your body (palmaris longus, hamstring, etc) is docked as the new UCL. &Dam[L1-J" iiBUq[{0R 3xVoEouUja,Jd> k '! << /Length 5 0 R /Filter /FlateDecode >> 132 0 obj <>/Filter/FlateDecode/ID[<74EC21535A719E4081B6460A7EF86336>]/Index[110 39]/Info 109 0 R/Length 107/Prev 88703/Root 111 0 R/Size 149/Type/XRef/W[1 3 1]>>stream 1). General time frames are given for reference to the average, but individual patients will progress at different rates depending on their age, <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> At 4 to 6 weeks, removable thumb spica splint, and protected range-of-motion exercises. % 2 WEEKS (1st Visit) Fit with custom hand based thumb spica splint (Please allow thumb IPJ motion) OT INSTRUCTIONS - Ok to work on wrist, CMP, IPJ motion, & scar massage No driving. x[k_!l&.]>d!EMeK-y2+^]=2>P?tq:LzN=VA5X\SWZiu*zzmjN5Ru= QRN>`:N}x^_o?y,A\C/WiNQu)Ftz#CBk_QoTk-)WUT^\QBOSRM]8zb'ai+Zd|oc5&hYGkC(KURumUHkf]*A+KU"1OZ&AUh )M4p0m|iMLku=uJ Acute UCL tears: Thumb spica splint/cast for up to 4 weeks, interphalangeal joint free. y!my6gvF-~g,8\'N&p[t|x0 u0vNzSKjZ*C(hZ}szu9`3_?=/ <> *`]hgTTS:MV{gXS&K|-3m thumb ucl repair with internal brace protocolbest mossberg 500 heat shield Fine Art LLC thumb ucl repair with internal brace protocol . Ulnar Collateral. endobj endstream endobj 50 0 obj <>/Metadata 3 0 R/Pages 47 0 R/StructTreeRoot 10 0 R/Type/Catalog>> endobj 51 0 obj <>/MediaBox[0 0 612 792]/Parent 47 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 52 0 obj <>stream . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Splint: A hand-based thumb spica splint with IP free (for thumb) or Safe Position Splint (for other digits) with medial or lateral stops on the opposite site of the repaired ligament is constructed to be worn between exercises and at night. Thumb strengthening: Pick up small objects, such as paper clips, pencils, and coins, using your thumb and each of your other fingers, one at a time. stream @B 8XqhPTU&] ia$A{B;*QX% ]p7L`k?g.G{"z)UU(YY%y\*.ic-PtB *qjbeBA1~ sHSlC:">)n2oAGV?vtE6f?r83bSXk8[~@t(zQXA>)V|@)} 1&%_qU}VuA (nKS"(;VB| >`UVtXb#xEpF,Z%ZX["'XP To date, no literat. Return to Play in Athletes After Thumb Ulnar Collateral Ligament Repair With Suture Tape Augmentation - Daniel B. Gibbs, Steven S. Shin, 2020 stream x[[o~70/5+/@`dk4],`hHp}9C9\YBKP.e?}|S-~K3KbEpSXy~ldpL"$.XHf>_~}d?Te5Zs$Rpdt The UCL may be strained or torn (partially or completely) producing a weakened grasping or pinching ability of the thumb. hYmO8+NR)nEr'@]fuv4RUB;OfP&,!z3$Q"9#*m cLC. `eDp4)J00"2N$b\3HZhSCR Edema control is initiated with a light compression dressing. endobj stream PubMed PMID: 30862273. &AaBCZKqi =ip;!%RqhH%1[6[8]fwFxw l4)W%5 stream hb``g``Zs01G83023>"`*`+MKx.00e)zz oIB`F2Af*LoApKX@D l^" << /Length 5 0 R /Filter /FlateDecode >> 4 0 obj 4 0 obj Reference Number: AN1-00264-en-US | Version: C. Related Pages. Z\m>~?)I|%X$;-5X&gV+Kms?XRC5%x_ui6q |KdeW7mQUY3s`NB) =gY|6:51c_t]]MixSTB 1 i^D=)ngloqvb_3.&3e/.[A GF;'YDL65_lZ4l$!`,yv I(=wY */xZFXDI6%t0^&2L7@~DSN1& Traditional custom-fitted thumb spica orthosis In a recent cadaver study by Gil et. rt$mZE%'l6gIM*9;J1HIo1Z5F`$y-J+"kI.h&pjIhcLS[Ks9Ol|2:}Uu>i4~]t5sY=Bpnjb.-q M=q]9B!EOc6,Oq%4M 5eZ?DwEH 6h3)N1gzSVuQFoaxsARd. Right after the surgery, the elbow is secured in a brace at a 60- to 90-degree angle. 02M_+ ! You are still advised to avoid gripping, grasping and twisting with your thumb. %PDF-1.6 % At 10 to 12 weeks, return to . Citation: Kevin E Wilk, Christopher A A, Rebekah J A. This design severely limits functional use of the thumb. % UCL Repair with Internal Bracing versus UCL Reconstruction (Tommy John). <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> Practice this exercise for about 5 minutes. What causes GameKeeper's Thumb? >W ` 8;d3^ endobj 1-6 weeks: If the ligament is partially torn then a splint or cast is usually worn for six weeks and after its removal a programme of exercises is . Thumb UCL may be repaired with Internal Brace Ligament Augmentation. x\ms6|:6B]3~H-ST]HJHcG@>`w,@~9}}&w]|!\=|'t{_?|qcy5ca|O8%Y,npm&7& sMA-#IG71ub~ZE\@>l3c2fW?$->+zz\{M;)kO1yTS^ ^uoS7I? 3 0 obj 557 0 obj <>stream q fPD. 0 A UCL repair with internal brace is reserved for use in cases of partial or complete tears at the origin or insertion of the UCL with good ligament tissue and low-grade mid-substance partial UCL tears [10]. This technique involves the reattachment of the ligaments to the bone using FiberWire. 49 0 obj <> endobj H00:GCp#r x endstream endobj startxref al., a radial-based thumb MCP orthosis designed to leave the thumb IP and CMC joints free limited thumb abduction which reduced the strain on the thumb UCL when loads were applied. Dr. Allen Thumb UCL Reconstruction Rehabilitation Protocol Phase I: Immediate Post-Op (Weeks 0-2) . 213 Figure 1: The UCL repair with the internal brace inserted within the ligament. Duration: 01:52. <> <> 2 0 obj UCL REPAIR WITH INTERNAL BRACE . Subsequently, the adductor pollicis aponeurosis and extensor mechanism are identified, incised, and retracted. Background: The purpose of this study is to describe our technique of thumb ulnar collateral ligament (UCL) repair with suture tape augmentation and to evaluate the short-term outcomes in our initial series of patients treated with this method of repair.Methods: Patients with minimum one-year follow up after isolated UCL repair with suture tape augmentation were contacted for clinical .