A modified spica-splint in postoperative early-motion management of skier's thumb lesion: a randomized clinical trial.

Abstract:

BACKGROUND:Rupture of ulnar collateral ligament of the thumb (UCL) represents a frequent injury of the hand. Surgical repair is considered the gold standard but postoperative immobilization causes partial stiffness in a percentage of cases. AIM:The aim of this paper was to assess the effectiveness of a postoperative functional hand-based splint for the thumb which allows immediate postoperative motion. DESIGN:Randomized prospective clinical trial. SETTING:The study was carried out at the Orthopedics and Hand Surgery Unit of The Catholic University School of Medicine, Rome, Italy. POPULATION:Thirty consecutive patients, with a diagnosis of acute complete tear of the UCL, were selected to be treated surgically (predominantly men, mean age 39). Cases presenting associated injuries were not included. METHODS:Patients were randomized postoperatively into 2 groups of 15 (one using the new splint and the other using a standard spica splint). After four weeks of splinting, clinical outpatient evaluations were carried on (at one, two, six, twelve months) on both groups to evaluate: joint stability; pain; pinch strength; range of motion; time lost from work; sessions of physiotherapy. RESULTS:Immediate postoperative motion of the operated joint produced faster and better functional results. No cases of recurrence were recorded. CONCLUSIONS:Surgical repair, combined with active metacarpophalangeal motion allowed by the new functional splint, was effective, safe and well tolerated. CLINICAL REHABILITATION IMPACT:Enhancing the patients' function and reducing the time of functional recovery, the reported treatment presents potential advantages in the management of this frequent acute hand injury.

journal_name

Eur J Phys Rehabil Med

authors

Rocchi L,Merolli A,Morini A,Monteleone G,Foti C

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

49-57

issue

1

eissn

1973-9087

issn

1973-9095

pii

R33Y9999N00A0266

journal_volume

50

pub_type

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