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首页> 美国卫生研究院文献>Hand (New York N.Y.) >Early Return to Play With Thumb Spica Gauntlet Casting for UlnarCollateral Ligament Injuries Complicated by Adjacent Joint Dislocations inCollegiate Football Linemen
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Early Return to Play With Thumb Spica Gauntlet Casting for UlnarCollateral Ligament Injuries Complicated by Adjacent Joint Dislocations inCollegiate Football Linemen

机译：早期回归拇指Spica Gauntlet铸造尺骨毗邻关节脱位复杂的抵押品韧带损伤大学足球线队

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Background: Treatment of thumb ulnar collateral ligament (UCL)ruptures in elite athletes aims to restore thumb stability while minimizing lostplaying time. Thus, surgical repair with early protected return to play in athumb spica cast has been advocated. The purpose of this study was to documentadjacent joint dislocations after primary surgical repair sustained duringprotected return to play with thumb spica casting in elite-level footballplayers. Methods: Three Division I collegiate starting linemensustaining adjacent joint dislocations in thumb spica casts following acutesurgical repair of ipsilateral thumb UCL ruptures were retrospectively reviewed.Demographic data were recorded as well as the timeline for injury, treatment,and subsequent return to sport. Quick Disabilities of the Arm, Shoulder and Hand(QuickDASH) scores were obtained at final follow-up. Results: Themean time from thumb UCL injury to surgical repair was 8.7 days, and the meanreturn to sport was 13.3 days from surgery. There were 4 simple dislocationsincluding 3 proximal interphalangeal (PIP) joints and 1 elbow. Each PIPdislocation was close reduced and treated with buddy straps with immediatereturn to play. The elbow dislocation was close reduced and splinted with returnto play 22 days after injury. The mean QuickDASH score was 2.3 at 12 monthfollow-up. Conclusions: This report highlights that while thumbspica casting protects the surgically repaired thumb UCL and allows for earlierreturn to play, it risks placing additional stress upon adjacent joints andtherefore adjacent injury. Appropriate counseling of the risks and benefits ofthis treatment strategy is essential.
机译：背景：拇指Ulnar侧韧带的治疗（UCL）精英运动员的破裂旨在恢复拇指稳定性，同时最小化丢失演奏时间。因此，具有早期受保护的手术修复返回拇指Spica演员已被提倡。本研究的目的是记录在初级手术修复后相邻关节脱位持续受保护的回报与精英级别足球中的拇指光滑铸造玩家。方法：三师I师启动Linemen在急性急性上维持拇指SPICA的相邻关节脱位回顾性审查了同侧拇指UCL破裂的外科修复。记录人口统计数据以及伤害治疗的时间表，随后回归运动。快速的手臂，肩膀和手（QuickDash）在最终随访中获得了评分。结果：从拇指UCL伤害到手术修复的平均时间为8.7天，而平均值返回运动从手术恢复为13.3天。有4个简单的错位包括3个近端间angalangeal（pip）关节和1个肘部。每个皮路脱位关闭，并用友好立即处理了伙伴肩带回到玩。肘部脱位率紧密减少和拆分受伤后22天玩。平均QuickDash得分为2.3，12个月跟进。结论：此报告突出显示，拇指Spica Casting保护手术修复的拇指UCL并允许更早的返回播放，它风险在相邻的关节上放置额外的压力因此邻近伤害。适当的咨询风险和福利这种治疗策略至关重要。

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