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Journal of the Korean Society for Surgery of the Hand 2006;11(3):157-162.
Published online September 1, 2006.
Treatment of Stener Lesion using Modified Glickel Technique
Se-Min Woo, Kyung-Cheon Kim, Hyun-Dae Shin
변형된 Glickel 술식을 이용한 Stener 병변의 치료
우세민, 김경천, 신현대
Abstract
Purpose: To study the clinical results of operative treatment of Stener lesion using modified Glickel technique retrospectively. Materials and Methods: From March 2000 to March 2004, subjects were 8 patients underwent palmaris longus free tendon graft for the treatment of Stener lesion, which were impossible direct repair of ulnar collateral ligament. Evaluations of clinical results were determined by Glickel system, measuring postoperative limitations of normal daily activities, pain, stability, pinch strength and range of motion of thumb MP joint. Results: Six cases had no limitations in normal daily activities, and 2 cases complained of discomfort when they picked up heavy materials, and all cases showed no pain. Seven cases showed stability in metacarpophalangeal joint and 5 cases showed less than 15% loss of pinch strength compared to normal side. Three cases showed loss of 15~30% strength, and average pinch strength was 82N, which showed 14N loss compared to normal average pinch strength 96N. Average range of motion of MP joint of affected side measured 50 degrees, normal side 75 degrees, and limitation of motion measured 20 degrees. Conclusion: Using modified Glickel technique for reconstruction of ulnar collateral ligament of thumb is an efficient treatment for Stener lesion.
 


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