Department of Orthopedics and Physical Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 708, Charleston, SC 29425, USA.
Atrium Musculoskeletal Institute, Charlotte Medical Center, 1000 Blythe Boulevard, Charlotte, NC 28203, USA.
Clin Sports Med. 2020 Apr;39(2):443-455. doi: 10.1016/j.csm.2019.12.003.
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.
拇指掌指关节侧副韧带损伤在运动员中较为常见，发生于拇指被迫外展或过伸时。其治疗主要取决于韧带损伤的程度，以及是否存在 Stener 损伤或较大的撕脱骨折。外科医生应考虑运动员的位置、惯用手、赛季剩余时间和目标。关于手术时机的共同决策至关重要。急性损伤时，可行主要韧带修复术，也可采用韧带增强术。慢性侧副韧带损伤则可通过韧带重建术有效治疗。虽然有许多手术技术被描述，但尚无一种具有优势。术后康复方案则基于修复质量和特定于运动的考虑因素而有所不同。
