The primairy goal of this study is to evaluate the long term follow up of the operative treatment of ulnar collateral ligament injuries regarding function(-al restriction), in which the treated extremity will be compared to the contralateral…
ID
Source
Brief title
Condition
- Tendon, ligament and cartilage disorders
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Impairment of function, pain and radio graphical findings after operatieve
treatment of ulnar collateral ligament injury in the long term.
Secondary outcome
- Sex
- Age
- Treated hand (left/right)
- Classification (I, II, III or bony)
- Preoperative artrosis (narrowing of the joint, sclerosis, osteofyts)
- Artrosis at follow up ((narrowing of the joint, sclerosis, osteofyts)
- Size bony fragment (millimeters)
- Dominance
- Mechanism of trauma
- Other injuries
- Injury Severity Score (ISS)
- Medical history
- Days until diagnosis
- Days until operation
- Use of tourniquet (yes/no)
- Peroperative X-ray (yes/no)
- Damage of the nerves
- Postoperative treatment (plaster immobilization, functional, other)
- Complications (infection of the wound, postoperative instability)
- Reoperations (no, same hospital, elsewhere)
Background summary
Ulnar colateral ligament injury of the thumb can occur in extreme radial
deviation of the thumb in the metocarpophalangeal (MCP) joint. Ulnar collateral
ligament injury, also called skier's thumb, may be treated non-opertive through
plaster cast immobilisation or by an operation. In casa of a total rupture an
opertive treatment is seen as the gold standard, since an inadequate treatment
may lead to chronic instability and complaints of pain of the MCP joint. There
have been many techniques described for the opertive treatment of ulnar
collateral ligament injury. A often used technique is a 'Mitek anchor', in
which a bone anchor with a suture wire attached is used to refixate the
ligament. Another technique is a 'pull through wire' in which a suture wire
with a led anchor is used to refixate the ligament and is led out of the skin.
The wire is removed after several weeks. The results of different opertive
techniques have never been described in the long term.
Study objective
The primairy goal of this study is to evaluate the long term follow up of the
operative treatment of ulnar collateral ligament injuries regarding
function(-al restriction), in which the treated extremity will be compared to
the contralateral extremity. Secondary goals are evaluation of persistent
complaints of pain, restrictions in daily life, work and sports environment.
Also the objective radio graphical findings of time of treatment and follow up
will be compared.
Study design
Investigation of the medical records and a retrospective follow up study.
Study burden and risks
Two X-rays of the hand provide an estimated 75 microGray, which equals an
effective dose of 1.5 microSievert per patient. In the effective dose, the
sensitivity of organs to radiation is included in the calculation, providing a
value which can be used to calculate the statistical risk of cancer. Using
previously mentioned values, the statistical risk of induction of cancer is one
in seven billion, which can be considered negligible. Timewise, the outpatient
clinic appointment will take about twenty minutes in total.
Hilvarenbeekseweg 60
Tilburg 5022 GC
NL
Hilvarenbeekseweg 60
Tilburg 5022 GC
NL
Listed location countries
Age
Inclusion criteria
- Ulnar collateral ligament injury confirmed through radiagraphic or per-operative findings
- Age 16 or older at time of treatment
- Treatment before December 2009
Exclusion criteria
- Mental retardation or incompetence of mind
- Language barrier
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL50057.028.14 |