Primary Repair Thumb MCPJ UCL Injury - Surgical Technique

The goal of this surgery is to restore strength against valgus force whilst preserving soft tissue structures identified during dissection.
Primary Repair Thumb MCPJ UCL Injury - Surgical Technique

Surgical Checklist


Prepare: Regional or general anaesthesia, tourniquet, and loupes.
Design: ulnar mid-axial side distal to dorsal-ulnar border proximal.
Dissect: Protect dorsal nerve, incise aponeurosis, capsulotomy.
Primary Repair: ligament-ligament, ligament-periosteum.
Close: Layered closure of capsule, aponeurosis & skin.
Post-Op: Elevation, analgesia, immobilization, hand Therapy.


Primary Contributor: Dr Suzanne Thomson, Educational Fellow.
Reviewer: Dr Kurt Lee Chircop, Educational Fellow.

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