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The American Journal of Sports Medicine 26:644-650 (1998)
© 1998 American Orthopaedic Society for Sports Medicine

Acute Skier’s Thumb Repaired With a Proximal Phalanx Suture Anchor

Craig Zeman, MD, Robert E. Hunter, MD*, John R. Freeman, MD, Mark L. Purnell, MD and Jackie Mastrangelo, MPA, RN

Orthopaedic Associates of Aspen and Glenwood and the Aspen Foundation for Sports Medicine, Education and Research, Aspen, Colorado

* Address correspondence and reprint requests to Robert E. Hunter, MD, Aspen Foundation for Sports Medicine, Education and Research, 100 East Main Street, Suite 202, Aspen, CO 81611

The purpose of this study was to determine the functional outcome of a surgical technique for the repair of injuries of the ulnar collateral ligament of the thumb. A 14-point questionnaire was developed to determine functional outcome after surgical repair of acute ulnar collateral ligament rupture. Early ulnar collateral ligament repair was performed on 58 patients with grade III sprains (complete rupture) of the ligament using a new technique that employs a suture anchor for fixation. Forty-five patients were interviewed at a minimum postoperative interval of 12 months and were included in this study. Forty-four patients (98%) believed they had a stable repair, were satisfied with their surgery, and would have it again if necessary. Forty-four patients (98%) were not hindered in their day-to-day activities and had a functional range of motion. Mild discomfort was felt by eight of our patients (17%), but only three patients (7%) had pain with activities. The average time to return to skiing was 1.7 days. The use of a suture anchor provided a strong and stable repair if the surgery was performed early.






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Copyright © 1998 by the American Orthopaedic Society for Sports Medicine.