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Journal of Hand Surgery (British and European Volume)
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The Two-Level Ulnar Collateral Ligament Injury of the Metacarpophalangeal Joint of the Thumb

H. GIELE
J. MARTIN

From the Department of Plastic Surgery, The Radcliffe Infirmary, Woodstock Road, Oxford, UK

Correspondence: Mr H. Giele, The Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, UK., Tel.: +44 1865 224 793; E-mail: henk.giele{at}nds.ox.ac.uk

Ulnar collateral ligament injuries of the thumb may present as avulsion fractures of the bone or as ligamentous tears. Displaced fracture fragments or Stener lesions demand operative management. Occasionally, both fracture and ligamentous tears may occur simultaneously, and the management of the ligamentous aspect may be overlooked in cases with undisplaced fractures leading to failure of non-operative treatment. It is important in cases with a relatively undisplaced fracture fragment to exclude a simultaneous ligamentous tear and Stener lesion by careful clinical examination and by examining the radiographs for telltale displaced flecks of bone.

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 1, 92-93 (2003)
DOI: 10.1054/JHSB.2002.0865
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