Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency

Ida Neergård Sletten; Jarkko Jokihaara; Anne Birgit Stavenes; Mona Irene Winge

doi:10.1177/17531934231187813

Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency

Ida Neergård Sletten^*
, Jarkko Jokihaara
, Anne Birgit Stavenes
, Mona Irene Winge

^*Corresponding author for this work

TULE, Musculoskeletal diseases centre

Research output: Contribution to journal › Article › Scientific › peer-review

3 Citations (Scopus)

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Abstract

We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative multidirectional instability in the metacarpophalangeal joint. We reconstructed 22 ulnar and 16 radial collateral ligaments. At follow-up, all the metacarpophalangeal joints were stable ulnarly. Seven metacarpophalangeal joints were unstable radially despite ligament reconstruction but had no related complaints. We recommend the flexor digitorum superficialis opponensplasty as a safe and reliable procedure in hypoplastic thumbs to create stability and augment thumb strength.

Original language	English
Pages (from-to)	1151-1158
Journal	Journal of Hand Surgery: European Volume
Volume	48
Issue number	11
Early online date	2023
DOIs	https://doi.org/10.1177/17531934231187813
Publication status	Published - 2023
Publication type	A1 Journal article-refereed

Funding

Congenital hand surgeon Jan-Ragnar Haugstvedt operated on two of the cohort’s patients. We thank him for introducing the FDS4 opponensplasty in hypoplastic thumbs to our hand unit in 2009. We thank Professor Gilles Dautel, Nancy, France, for teaching us his reconstructive MCPJ technique, illustrated in his cited 2013 paper. We thank the Norwegian Professional Network for Congenital Limb Anomalies for supporting the writing of this paper with a research grant, and orthopaedic surgeon Andreas Lødrup, Oslo University Hospital, for the two illustrations.

Keywords

Congenital thumb hypoplasia
flexor digitorum superficialis
ligament reconstruction
opponensplasty

Publication forum classification

Publication forum level 1

ASJC Scopus subject areas

Surgery

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10.1177/17531934231187813Licence: CC BY

sletten-et-al-2023-satisfactory-thumb-metacarpophalangeal-joint-stability-after-ligament-reconstruction-with-flexorFinal published version, 352 KBLicence: CC BY

https://urn.fi/URN:NBN:fi:tuni-202309298543Licence: CC BY

Cite this

@article{c9bfee07aec54bf28a9765588c01e9c5,

title = "Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency",

abstract = "We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative multidirectional instability in the metacarpophalangeal joint. We reconstructed 22 ulnar and 16 radial collateral ligaments. At follow-up, all the metacarpophalangeal joints were stable ulnarly. Seven metacarpophalangeal joints were unstable radially despite ligament reconstruction but had no related complaints. We recommend the flexor digitorum superficialis opponensplasty as a safe and reliable procedure in hypoplastic thumbs to create stability and augment thumb strength.",

keywords = "Congenital thumb hypoplasia, flexor digitorum superficialis, ligament reconstruction, opponensplasty",

author = "Sletten, \{Ida Neerg{\aa}rd\} and Jarkko Jokihaara and Stavenes, \{Anne Birgit\} and Winge, \{Mona Irene\}",

note = "Funding Information: Congenital hand surgeon Jan-Ragnar Haugstvedt operated on two of the cohort{\textquoteright}s patients. We thank him for introducing the FDS4 opponensplasty in hypoplastic thumbs to our hand unit in 2009. We thank Professor Gilles Dautel, Nancy, France, for teaching us his reconstructive MCPJ technique, illustrated in his cited 2013 paper. We thank the Norwegian Professional Network for Congenital Limb Anomalies for supporting the writing of this paper with a research grant, and orthopaedic surgeon Andreas L{\o}drup, Oslo University Hospital, for the two illustrations. Publisher Copyright: {\textcopyright} The Author(s) 2023.",

year = "2023",

doi = "10.1177/17531934231187813",

language = "English",

volume = "48",

pages = "1151--1158",

journal = "Journal of Hand Surgery: European Volume",

issn = "1753-1934",

publisher = "Sage Publications",

number = "11",

}

Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency. / Sletten, Ida Neergård; Jokihaara, Jarkko; Stavenes, Anne Birgit et al.
In: Journal of Hand Surgery: European Volume, Vol. 48, No. 11, 2023, p. 1151-1158.

Research output: Contribution to journal › Article › Scientific › peer-review

TY - JOUR

T1 - Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency

AU - Sletten, Ida Neergård

AU - Jokihaara, Jarkko

AU - Stavenes, Anne Birgit

AU - Winge, Mona Irene

N1 - Funding Information: Congenital hand surgeon Jan-Ragnar Haugstvedt operated on two of the cohort’s patients. We thank him for introducing the FDS4 opponensplasty in hypoplastic thumbs to our hand unit in 2009. We thank Professor Gilles Dautel, Nancy, France, for teaching us his reconstructive MCPJ technique, illustrated in his cited 2013 paper. We thank the Norwegian Professional Network for Congenital Limb Anomalies for supporting the writing of this paper with a research grant, and orthopaedic surgeon Andreas Lødrup, Oslo University Hospital, for the two illustrations. Publisher Copyright: © The Author(s) 2023.

PY - 2023

Y1 - 2023

N2 - We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative multidirectional instability in the metacarpophalangeal joint. We reconstructed 22 ulnar and 16 radial collateral ligaments. At follow-up, all the metacarpophalangeal joints were stable ulnarly. Seven metacarpophalangeal joints were unstable radially despite ligament reconstruction but had no related complaints. We recommend the flexor digitorum superficialis opponensplasty as a safe and reliable procedure in hypoplastic thumbs to create stability and augment thumb strength.

AB - We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative multidirectional instability in the metacarpophalangeal joint. We reconstructed 22 ulnar and 16 radial collateral ligaments. At follow-up, all the metacarpophalangeal joints were stable ulnarly. Seven metacarpophalangeal joints were unstable radially despite ligament reconstruction but had no related complaints. We recommend the flexor digitorum superficialis opponensplasty as a safe and reliable procedure in hypoplastic thumbs to create stability and augment thumb strength.

KW - Congenital thumb hypoplasia

KW - flexor digitorum superficialis

KW - ligament reconstruction

KW - opponensplasty

U2 - 10.1177/17531934231187813

DO - 10.1177/17531934231187813

M3 - Article

AN - SCOPUS:85165284985

SN - 1753-1934

VL - 48

SP - 1151

EP - 1158

JO - Journal of Hand Surgery: European Volume

JF - Journal of Hand Surgery: European Volume

IS - 11

ER -

Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency

Abstract

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Keywords

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