{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:53Z","timestamp":1787755553348,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 20-year-old woman presented with painful, snapping extensor pollicis longus (EPL) tendon subluxation and trapeziometacarpal (TMC) joint instability. Hemi\u2013extensor carpi radialis longus (ECRL) tendon autograft stabilized the TMC joint, reconstructing the 1-2 intermetacarpal ligament. The subluxed EPL tendon was centralized over the dorsal first metacarpal by tightening the metacarpophalangeal radial sagittal band and creating a dorsal first metacarpal \u201cneosheath\u201d pulley using ECRL graft remnant. Postoperative rehabilitation included Spica bracing and immediate thumb interphalangeal joint exercises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The patient's pain due to EPL tendon subluxation and TMC joint instability completely resolved. Postoperative thumb range of motion and function were equivalent to the nonaffected side.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00478","type":"journal-article","created":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T16:54:31Z","timestamp":1616691271000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Snapping Extensor Pollicis Longus Tendon Subluxation Secondary to Trapeziometacarpal Instability"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1757-8410","authenticated-orcid":false,"given":"Spencer R.","family":"Anderson","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Plastic Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3168-1879","authenticated-orcid":false,"given":"Lucas M.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Wright State University Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7985-6204","authenticated-orcid":false,"given":"Sunishka M.","family":"Wimalawansa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Plastic Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,1]]},"reference":[{"issue":"7","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"386","DOI":"10.2519\/jospt.2003.33.7.386","article-title":"The carpometacarpal joint of the thumb: stability, deformity, and therapeutic intervention","volume":"33","author":"Neumann","year":"2003","journal-title":"J Orthop Sports Phys Ther."},{"issue":"7","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"e4","DOI":"10.2106\/JBJS.RVW.17.00156","article-title":"Treatment of basilar thumb arthritis: a critical analysis review","volume":"6","author":"Gottschalk","year":"2018","journal-title":"JBJS Rev."},{"issue":"8","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.2106\/00004623-197355080-00010","article-title":"Ligament reconstructoin for the painful thumb carpometacarpal joint","volume":"55","author":"Eaton","year":"1973","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/S0363-5023(84)80015-5","article-title":"Ligament reconstruction for the painful thumb carpometacarpal joint: a long-term assessment","volume":"9","author":"Eaton","year":"1984","journal-title":"J Hand Surg Am."},{"issue":"1","key":"bib5-20240731","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/S0266-7681(85)80036-X","article-title":"Ligament reconstruction of the thumb carpometacarpal joint using a modified Eaton and Littler technique","volume":"10","author":"Magnusson","year":"1985","journal-title":"J Hand Surg Br."},{"issue":"220","key":"bib6-20240731","first-page":"52","article-title":"Ligament reconstruction for the painful \u201cprearthritic\u201d thumb carpometacarpal joint","author":"Lane","year":"1987","journal-title":"Clin Orthop Relat Res."},{"issue":"5","key":"bib7-20240731","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/S0363-5023(96)80195-X","article-title":"Traumatic dislocation of the thumb carpometacarpal joint: early ligamentous reconstruction versus closed reduction and pinning","volume":"21","author":"Simonian","year":"1996","journal-title":"J Hand Surg Am."},{"issue":"4","key":"bib8-20240731","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1053\/jhsu.2001.26122","article-title":"Ligament reconstruction of the painful, unstable, nonarthritic thumb carpometacarpal joint","volume":"26","author":"Lane","year":"2001","journal-title":"J Hand Surg Am."},{"issue":"4","key":"bib9-20240731","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1302\/0301-620X.86B4.13976","article-title":"Post-traumatic instability of the trapeziometacarpal joint of the thumb. Diagnosis and the results of reconstruction of the Beak ligament","volume":"86","author":"Takwale","year":"2004","journal-title":"J Bone Joint Surg Br."},{"issue":"5","key":"bib10-20240731","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1007\/s00238-016-1212-8","article-title":"Surgical stabilization for the symptomatic carpometacarpal hypermobility: a randomized comparison of a Dorsal and a Volar technique and a cohort of the Volar technique","volume":"39","author":"Spekreijse","year":"2106","journal-title":"Eur J Plast Surg."},{"issue":"3","key":"bib11-20240731","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.jhsa.2006.12.002","article-title":"Effects of the deep anterior oblique and dorsoradial ligaments on trapeziometacarpal joint stability","volume":"32","author":"Colman","year":"2007","journal-title":"J Hand Surg Am."},{"issue":"16","key":"bib12-20240731","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.2106\/JBJS.K.00329","article-title":"Macroscopic and microscopic analysis of the thumb carpometacarpal ligaments","volume":"94","author":"Ladd","year":"2012","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib13-20240731","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1007\/s11999-013-2879-9","article-title":"Trapeziometacarpal joint stability: the evolving importance of the dorsal ligaments","volume":"472","author":"Lin","year":"2014","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib14-20240731","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.jhsa.2014.02.025","article-title":"Comparison of the anatomical dimensions and mechanical properties of the dorsoradial and anterior oblique ligaments of the trapeziometacarpal joint","volume":"39","author":"D'Agostino","year":"2014","journal-title":"J Hand Surg Am."},{"issue":"3","key":"bib15-20240731","first-page":"500","article-title":"Chronic dislocation of the base of the metacarpal of the thumb","volume":"27","author":"Eggers","year":"1945","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib16-20240731","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/S0363-5023(85)80200-8","article-title":"The extensor sling procedure for an unstable carpometacarpal joint","volume":"10","author":"Biddulph","year":"1985","journal-title":"J Hand Surg Am."},{"issue":"8","key":"bib17-20240731","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1016\/j.jhsa.2006.07.002","article-title":"Trapeziectomy and intermetacarpal ligament reconstruction with the extensor carpi radialis longus for osteoarthritis of the trapeziometacarpal joint: surgical technique and long-term results","volume":"31","author":"Illarramendi","year":"2006","journal-title":"J Hand Surg Am."},{"issue":"6","key":"bib18-20240731","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/j.jhsa.2008.01.039","article-title":"Fuctional anatomy of the thumb sagittal band","volume":"33","author":"Jaibaji","year":"2008","journal-title":"J Hand Surg Am."},{"issue":"6","key":"bib19-20240731","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1053\/jhsu.2000.18495","article-title":"The sagittal band: anatomic and biomechanical study","volume":"25","author":"Young","year":"2000","journal-title":"J Hand Surg Am."},{"issue":"6","key":"bib20-20240731","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1007\/s00256-018-3061-y","article-title":"Radial artery aneurysm secondary to dynamic entrapment by extensor pollicis longus tendon: a case of snapping thumb","volume":"48","author":"Alabsi","year":"2019","journal-title":"Skeletal Radiol."},{"issue":"2","key":"bib21-20240731","first-page":"89","article-title":"Surgical correction of congenital bilateral dislocations of the extensor tendons of the thumb","volume":"20","author":"Rudigier","year":"1988","journal-title":"Handchir Mikrochir Plast Chir."},{"issue":"1","key":"bib22-20240731","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s12593-012-0067-x","article-title":"Modified Eaton-Littler's reconstruction for traumatic dislocation of the carpometacarpal joint of the thumb: a case report and review of literature","volume":"5","author":"Iyengar","year":"2013","journal-title":"J Hand Microsurg."},{"issue":"11","key":"bib23-20240731","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1302\/0301-620X.97B11.35482","article-title":"An alternative technique for stabilization of the carpometacarpal joint of the thumb after dislocation of subluxation","volume":"97-B","author":"Zhang","year":"2015","journal-title":"Bone Joint J."},{"issue":"3","key":"bib24-20240731","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1055\/s-0037-1607423","article-title":"Modified Eaton-Littler's reconstruction for traumatic thumb carpometacarpal joint instability: operative technique and clinical outcomes","volume":"7","author":"Iyengar","year":"2018","journal-title":"J Wrist Surg."},{"issue":"2","key":"bib25-20240731","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/0266-7681_89_90128-9","article-title":"Stabilization of the trapezio-metacarpal joint","volume":"14","author":"Brunelli","year":"1989","journal-title":"J Hand Surg Br."},{"issue":"2","key":"bib26-20240731","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.jhsa.2012.11.009","article-title":"Dorsoradial capsulodesis for trapeziometacarpal joint instability","volume":"38","author":"Rayan","year":"2013","journal-title":"J Hand Surg Am."},{"issue":"2","key":"bib27-20240731","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1097\/BTH.0000000000000045","article-title":"A new technique of first carpometacarpal joint suspension arthroplasty with palmaris longus tendon graft","volume":"18","author":"Baker","year":"2014","journal-title":"Tech Hand Up Extrem Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00478","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:20Z","timestamp":1787751860000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00478"}},"subtitle":["Case Report and Technique"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00478","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}