Evaluation of Functional and Clinical Outcomes Following Surgical Repair of Complete Thumb Ulnar Collateral Ligament Injuries in Adults: A Systematic Review Across Diverse Populations
Notice bibliographique
Résumé
The ulnar collateral ligament (UCL) of the thumb is situated on the inner side of the thumb, near the ulnar aspect of the metacarpophalangeal joint. It plays a crucial role in stabilizing the base of the thumb and contributes to grip strength and overall hand function. UCL injuries account for approximately 86% of all injuries affecting the base of the thumb. Treatment for UCL injuries varies depending on severity. When the UCL of the thumb is completely torn, surgical intervention becomes necessary. Significant gaps in the literature still exist despite the growing number of publications on the surgical treatment of complete thumb UCL tears. Thus, this systematic review synthesized existing research to evaluate the functional and clinical outcomes of surgical treatments for complete UCL ruptures of the thumb across athletes and the general population. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. However, the review protocol was not prospectively registered in a systematic review database such as PROSPERO. Articles published between January 1, 2015 and January 30, 2025 were identified through reputable databases including PubMed, PubMed Central, Europe PubMed Central, ScienceDirect, Embase, and Google Scholar. This review included English-language studies with accessible full texts, conducted on human subjects; 12 studies were reviewed for analysis. The Assessment of Multiple Systematic Reviews 2 (AMSTAR2) critical appraisal tool was used to evaluate all selected systematic reviews, and the Newcastle-Ottawa Scale (NOS) was used to assess the cohort and longitudinal studies. A total of 335 patients from 12 studies were analyzed, with follow-up ranging from 6 months to 15 years. The studies included retrospective and prospective cohorts, as well as systematic reviews. Surgical techniques varied and included suture anchors, tendon grafts, suture tape augmentation, and novel methods such as ultrasound-welded anchors and U-shaped Kirschner wires. Most studies reported favorable outcomes in joint stability, range of motion, strength, pain relief, and patient satisfaction. Among athletes, return-to-sport rates were high (up to 98.1%), often within 5-8 weeks postoperatively. Conclusions indicate that surgical management remains the gold standard for complete UCL tears of the thumb, particularly in cases involving Stener lesions, joint instability, or failed conservative treatment. Techniques such as suture anchor repair, tendon graft reconstruction, and internal brace augmentation consistently yield favorable functional and clinical outcomes, including restored strength, reduced pain, and high patient satisfaction. Although earlier intervention generally leads to better results, positive outcomes are observed across diverse populations. This review highlights the need for high-quality randomized controlled trials to standardize surgical indications, techniques, and postoperative care.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,012 | 0,053 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,001 |
| Méta-épidémiologie (sens large) | 0,011 | 0,012 |
| Bibliométrie | 0,012 | 0,011 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,003 | 0,002 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».