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Ulnar collateral ligament reconstruction

Authoring team

The ulnar collateral ligament may need to be reconstructed at the metacarpophalangel joint of the thumb. Options include:

  • plication of the existing ulnar collateral ligament
  • creation of a new ligament with a:
    • flap of local periosteum
    • tendon graft such as palmaris longus
    • use of a slip of the FDS tendon from the middle or ring fingers if this has been used to undertake an opponensplasty

If there is a paucity of soft tissue, a fusion may be attempted eg chondrodesis to permit future growth of the physis.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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