{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T18:54:07Z","timestamp":1775328847494,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Chronic complete tears of the ulnar collateral ligament of the thumb metacarpophalangeal joint often require surgical reconstruction. The indications, materials used, and the methods for reconstruction remain controversial. We describe a technique for reconstruction that utilizes a slip of the extensor retinaculum for reconstruction. The advantages of extensor retinaculum as a graft choice are that it matches the native ligament with a synovial and nonsynovial surface, has elasticity similar to the ligament and minimal donor site morbidity. Reconstruction of the ulnar collateral ligament with this graft successfully restores pinch.<\/jats:p>","DOI":"10.1097\/bth.0000000000000326","type":"journal-article","created":{"date-parts":[[2020,11,8]],"date-time":"2020-11-08T21:00:26Z","timestamp":1604869226000},"page":"165-168","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Using Extensor Retinaculum to Reconstruct the Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament"],"prefix":"10.1097","volume":"25","author":[{"given":"Daniel","family":"Mastella","sequence":"first","affiliation":[{"name":"Hand Center, Glastonbury, CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Gorski","sequence":"additional","affiliation":[{"name":"Hand Center, Glastonbury, CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duffield","family":"Ashmead","sequence":"additional","affiliation":[{"name":"Hand Center, Glastonbury, CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronit","family":"Wollstein","sequence":"additional","affiliation":[{"name":"New York University School of Medicine, Huntington Station, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,9]]},"reference":[{"key":"R1-20250512","first-page":"1558944719868518","article-title":"Biomechanical analysis of thumb ulnar collateral ligament tear kinematics","author":"Lin","year":"2019","journal-title":"Hand (N Y)"},{"key":"R2-20250512","first-page":"e15","article-title":"The accuracy of ultrasonography in detection of ulnar collateral ligament of thumb injuries; a cross-sectional study","volume":"6","author":"Shekarchi","year":"2018","journal-title":"Emerg (Tehran)"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"714","DOI":"10.12688\/f1000research.15065.1","article-title":"Therapeutic interventions for acute complete ruptures of the ulnar collateral ligament of the thumb: a systematic review","volume":"7","author":"Mikhail","year":"2018","journal-title":"F1000Res"},{"key":"R6-20250512","first-page":"11","article-title":"The stener lesion and complete ulnar collateral ligament injuries of the thumb: a review","volume":"77","author":"Beutel","year":"2019","journal-title":"Bull Hosp Jt Dis (2013)"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jhsa.2019.09.005","article-title":"Kinematics of thumb ulnar collateral ligament repair with suture tape augmentation","volume":"45","author":"Patel","year":"2020","journal-title":"J Hand Surg Am"},{"key":"R8-20250512","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1142\/S2424835520500046","article-title":"Thumb ulnar collateral ligament repair with suture tape augmentation","volume":"25","author":"Lee","year":"2020","journal-title":"J Hand Surg Asian Pac Vol"},{"key":"R9-20250512","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1007\/s00402-018-2877-1","article-title":"Biomechanical in vitro comparison of suture anchors for thumb UCL repair","volume":"138","author":"Wagner","year":"2018","journal-title":"Arch Orthop Trauma Surg"},{"key":"R10-20250512","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s11552-008-9145-8","article-title":"Injury to the ulnar collateral ligament of the thumb","volume":"4","author":"Tsiouri","year":"2009","journal-title":"Hand (N Y)"},{"key":"R11-20250512","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1097\/00130911-200209000-00006","article-title":"Thumb metacarpophalangeal joint ulnar collateral ligament reconstruction using a tendon graft","volume":"6","author":"Glickel","year":"2002","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R12-20250512","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00130911-200103000-00003","article-title":"Bone-tendon ligamentoplasty for chronic ulnar instability of the thumb metacarpophalangeal joint: an anatomic reconstruction of the ulnar collateral ligament","volume":"5","author":"Fusetti","year":"2001","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R13-20250512","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.csm.2014.09.004","article-title":"Thumb ulnar collateral and radial collateral ligament injuries","volume":"34","author":"Schroeder","year":"2015","journal-title":"Clin Sports Med"},{"key":"R14-20250512","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1016\/j.jhsa.2012.06.024","article-title":"Anatomy of the thumb metacarpophalangeal ulnar and radial collateral ligaments","volume":"37","author":"Carlson","year":"2012","journal-title":"J Hand Surg Am"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000326","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:09:55Z","timestamp":1747066195000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000326"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,6]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000326","relation":{},"ISSN":["1531-6572"],"issn-type":[{"value":"1531-6572","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,6]]}}}