{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:49:58Z","timestamp":1740167398131,"version":"3.37.3"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Dorsal thumb carpometacarpal (CMC) instability can occur after traumatic injury and can lead to persistent pain and dysfunction of the hand. We present a case report of a joint-sparing technique for recurrent thumb CMC instability after failed Eaton\u2013Littler procedure.<\/jats:p><jats:p>\n          Case Description\u2003We describe a technique to repair the dorsal radial ligament and augment the repair with dorsal synthetic tape. To illustrate this technique, we describe a patient who underwent the synthetic tape augmentation procedure for recurrent thumb CMC instability after a failed Eaton\u2013Littler reconstruction. Preoperative and postoperative grip strength, appositional pinch, oppositional pinch, radial abduction, palmar abduction, and postoperative quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) were recorded. At final follow-up 18 months after surgery, the patient had returned to manual work without any functional sequelae. The thumb CMC joint was stable and his postoperative QuickDASH score was 15.9.<\/jats:p><jats:p>\n          Literature Review\u2003Thumb CMC instability has traditionally been treated with Eaton\u2013Littler ligament reconstruction which uses a slip of flexor carpi radialis tendon to reconstruct the deficient ligaments. More recently, the importance of the dorsal radial ligament in joint stability has been recognized and new procedures have been described to reconstruct the dorsal radial ligament. To our knowledge, synthetic tape augmentation for thumb CMC instability has not yet been described for this pathology.<\/jats:p><jats:p>\n          Clinical Relevance\u2003Synthetic tape augmentation for dorsal thumb CMC instability may be considered in the management of dorsal thumb CMC joint instability.<\/jats:p>","DOI":"10.1055\/s-0043-1770789","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T23:00:22Z","timestamp":1688425222000},"page":"356-361","source":"Crossref","is-referenced-by-count":0,"title":["Synthetic Tape Augmentation for Thumb Carpometacarpal Joint Instability: Surgical Technique"],"prefix":"10.1055","volume":"13","author":[{"given":"Sarah","family":"Townsley","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2886-1510","authenticated-orcid":false,"given":"Sanjeev","family":"Kakar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,3]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.jhsa.2010.10.029","article-title":"Current concepts of the anatomy of the thumb trapeziometacarpal joint","volume":"36","author":"J O Edmunds","year":"2011","journal-title":"J Hand Surg Am"},{"issue":"08","key":"ref2","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.2106\/00004623-197355080-00010","article-title":"Ligament reconstruction for the painful thumb carpometacarpal joint","volume":"55","author":"R G Eaton","year":"1973","journal-title":"J Bone Joint Surg 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