{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:35:48Z","timestamp":1782603348431,"version":"3.54.5"},"reference-count":13,"publisher":"World Scientific Pub Co Pte Lt","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p> Background: Chronic volar plate instability of the thumb metacarpal phalangeal joint (MCPJ) is a disabling clinical problem. Patients usually present with pain and disability in terms of reduction in pinch and grip power. Numerous surgical techniques have been described for the treatment of this condition. Here we describe a novel method for the treatment of this condition by thermal shrinkage of the volar plate via thumb MCPJ arthroscopy. <\/jats:p><jats:p> Methods: A retrospective review of 8 patients with chronic thumb MCPJ volar plate instability treated with the novel technique of thermal shrinkage of the volar plate via thumb MCPJ arthroscopy. The primary outcome is maintenance of saggital plane stability at the thumb MCPJ. Secondary outcomes include pinch and grip power, The Disabilities of the Arm, Shoulder and Hand (DASH) Score and thumb MCPJ range of movement. The duration of follow up and complications were also reviewed. <\/jats:p><jats:p> Results: The mean follow up period was 41.4 months (range, 2\u2013134 months). One case had recurrence of instability requiring open volar plate capsulodesis. All other cases had their thumb hyperextensibility resolved and maintained throughout the entire follow up period, up to 134 months for the case with the longest duration of follow up. <\/jats:p><jats:p> Conclusions: Preliminary results suggest this novel, minimally invasive technique for the treatment of thumb MCPJ volar plate instability is effective and the long term follow up results are durable. <\/jats:p>","DOI":"10.1142\/s2424835519500449","type":"journal-article","created":{"date-parts":[[2019,8,23]],"date-time":"2019-08-23T08:04:51Z","timestamp":1566547491000},"page":"347-352","source":"Crossref","is-referenced-by-count":3,"title":["Arthroscopic Thermal Shrinkage: A Novel Method for the Treatment of Chronic Volar Plate Instability at the Metacarpal Phalangeal Joint of the Thumb"],"prefix":"10.1142","volume":"24","author":[{"given":"Yu Chung","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Prince of Wales Hospital, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pak Cheong","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Prince of Wales Hospital, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"219","published-online":{"date-parts":[[2019,8,23]]},"reference":[{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90060-S"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810413970034"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80036-X"},{"issue":"2","key":"p_5","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1308\/147870805X28145","volume":"87","author":"Gwilym S","year":"2005","journal-title":"Ann R Coll Surg Engl."},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(88)80029-7"},{"key":"p_7","doi-asserted-by":"publisher","DOI":"10.3109\/02844318109103427"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197961060-00017"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(86)80053-9"},{"issue":"3","key":"p_11","first-page":"723","volume":"10","author":"Chen YC","year":"1979","journal-title":"Orthop Clin North Am."},{"key":"p_12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.02.020"},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-010-9187-7"},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.05.013"},{"key":"p_17","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20120725-20"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835519500449","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T09:30:35Z","timestamp":1572946235000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/abs\/10.1142\/S2424835519500449"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,23]]},"references-count":13,"journal-issue":{"issue":"03","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1142\/S2424835519500449"],"URL":"https:\/\/doi.org\/10.1142\/s2424835519500449","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,23]]}}}