Shoulder injuries from alpine skiing and snowboarding. Aetiology, treatment and prevention.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 15. Clin Sports Med. 2020 Apr;39(2):443-455. doi: 10.1016/j.csm.2019.12.003. Thumb Metacarpophalangeal Ulnar and Radial Collateral Ligament Injuries. Daley D(1), Geary M(2), Gaston RG(3). Author information: (1)Department of Orthopedics and Physical Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 708, Charleston, SC 29425, USA. (2)Atrium Musculoskeletal Institute, Charlotte Medical Center, 1000 Blythe Boulevard, Charlotte, NC 28203, USA. (3)Atrium Musculoskeletal Institute, OrthoCarolina, 1915 Randolph RD, Charlotte, NC 28207, USA. Electronic address: Glenn.gaston@orthocarolina.com. Thumb metacarpophalangeal collateral ligament injuries are common in athletes and occur via forced abduction or hyperextension. Management primarily depends on the grade of ligamentous injury and the presence of a Stener lesion or large avulsion fracture. Surgeons should consider the athlete's position, hand dominance, duration of season remaining, and goals. Shared decision making regarding timing of surgery is imperative. Acutely, primary ligamentous repair with or without augmentation is achievable. Chronic collateral ligament injuries are effectively treated with ligament reconstruction. Numerous surgical techniques have been described without 1 showing superiority. Postoperative rehabilitation protocols vary based on repair quality and sports-specific considerations. Copyright © 2019 Elsevier Inc. All rights reserved. DOI: 10.1016/j.csm.2019.12.003