%PDF-1.6 % 3BRKpw.4/Y. PDF ULNAR COLLATERAL LIGAMENT REPAIR with INTERNAL BRACE Postop protocol Thumb Ulnar Collateral Ligament Repair Post-Operative Protocol Days 0- until first Post-Op Apt. Right after the surgery, the elbow is secured in a brace at a 60- to 90-degree angle. *XM qD#qHU vr@^zo+Uwe#-`0XLij1 m"cpQ|fP]3{&N5)M7!s( c A@%'I0*>% J$WNDoN`OM" ,aIENP57SNP zg FQVI@L+ F}t 8Bpt 3x` Q/}2cd}2"[& VL1zeGe:Jz). See Tua at the University of Alabama, for examaple. 4 0 obj Surgical management of acute combined injuries of the ipsilateral wrist <> thumb ucl repair with internal brace protocolbest mossberg 500 heat shield Fine Art LLC thumb ucl repair with internal brace protocol . PDF Ulnar Collateral Ligament (UCL) Injury to the Thumb The rehabilitation protocol after a Ulnar Collateral Ligament Repair with Internal Brace surgery typically involves several phases. Background: The purpose of this study is to describe our technique of thumb ulnar collateral ligament (UCL) repair with suture tape augmentation and to evaluate the short-term outcomes in our initial series of patients treated with this method of repair.Methods: Patients with minimum one-year follow up after isolated UCL repair with suture tape augmentation were contacted for clinical . 15 The results of this study suggest that the technique of augmented UCL repair with internal brace replicates failure strength of the . <> UCL REPAIR WITH INTERNAL BRACE . (1) See image 2. 79 0 obj <> endobj Thumb MCP UCL InjuriesHow Much Do We Need to Immobilize? - BraceLab Rehabilitation Following UCL Repair with Internal Brace - Lupine Publishers PDF | Background: Combined injuries of ipsilateral wrist and elbow joints are rare in clinical practice, characterized by multiple joint dislocations. Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation Resource Type: Surgical Technique Animations. Rehabilitation following UCL repair with internal brace is accelerated by comparison to Tommy John Surgery. Skier's Thumb (Ulnar Collateral Ligament Sprain) Exercises Repair of the Thumb Ulnar Collateral Ligament With Suture Tape UCL Repair With Internal Bracing - The Wave of the Future? Brotzman, S. & Novotny, S. (2018). endobj Arthrex - Thumb UCL Repair and Reconstruction With InternalBrace Background:Thumb ulnar collateral ligament (UCL) tears are common in competitive athletes. ULNAR COLLATERAL LIGAMENT REPAIR with INTERNAL BRACE Postop protocol for Daniel Myer, M.D. Elsevier. Dr. Allen Thumb UCL Reconstruction Rehabilitation Protocol Phase I: Immediate Post-Op (Weeks 0-2) . Phase I - Maximum Protection: 0 to 7 Days: Immobilization in posterior splint at 60-90 of elbow flexion . Skier's thumb - Physiopedia 9f(I#]F)jQ#qbgMkZVcqhLL9{3qjU2s7)#t&"lCn'_|m+L(J:vGagJ}nab<4WGSlc.t)rT)B4"& iaS?DVn##oI&70x~o >I9XbiV`J"mE,R6,qQz"n@d,dSqd{]kE=Jxf0@.,M8^sqAGa[)^-6^`sAI@Q|p4&.grv-P_8 | endobj The brace may be removed for showering and gentle active motion exercises directed by the therapist. Foveal Triangular Fibrocartilage Complex Tear Repair with Nonabsorbent UCL Repair with Internal Brace - Elite Baseball Performance <> !bq\n#z0y/16C0DLP"2wn|e&35`MX2 @@^ !+~(l)2B3% !!PsEUr,!NAqYkT0(*${YNB_sYGDa|)jN!vE ` Gc^N.&/v;5$*'BDh8P}!k!2YK-|)T\{|eF_xXC'o]8 yLt)n K`d:V0!QGXCor&J;#Z?='lH3cy?_pOk0qWR_heBU] u)dh5Q :e16&\H11}8 1AE Qf>`?SLXSu {q?u,:g@l2;1FhCSTV9}WKH}[agS~?P3{47*c:lg3l#`vLx}{*_Q]}O)D5*wX[PB{A8k1GtM{@onC 0Ggtz=CiZM.sVLCbi`JC3T)q7]tZ4c^l&XkC~?G.9J7 ]sO0h5_K]@GB[q[Vg"$(MjTy At the ulnar aspect of the thumb MCP joint, a longitudinal midaxial incision is made. thumb ucl repair with internal brace protocol The UCL is the main ligament, located on the inner aspect at the base of the thumb, which stabilizes the metacarpophalangeal (MCP) joint. UCL Repair; Young overhead athletes who sustain an injury to their medial ulnar collateral ligament (UCL) complex, isolated to the proximal or distal end of the ligament and without chronic attritional damage, may benefit from a repair rather than a reconstruction procedure.1 Reference 1. Skier's thumb is an acute partial or complete rupture of the ulnar collateral ligament (UCL) of the thumb's metacarpophalangeal joint (MCPJ) due to a hyperabduction trauma of the thumb. 213 Figure 1: The UCL repair with the internal brace inserted within the ligament. The rise of ulnar collateral ligament reconstruction and the fall of ulnar collateral ligament repair. '_'n}Zj #:qdAa C;wB.Cx/mu 3hf_u*m"ZeD!\4' (l{aef"];c4#P9G4e't\Y1AM)DmgT?G -rG" ojqQPy3e8AcR:N~ N :#1YGokb &h(TA(VG[H}FQ. They demonstrated a significantly greater resistance to gapping with valgus stress with the UCL repair with internal brace (mean SD, 0.35 0.16 mm) compared to UCL reconstruction (0.53 0.23 mm). endobj Open your fingers to stretch the rubber band. 8q`Au8UnN6LW6eS4zdH 7gJRco6aDA+)vg+|Pn.Tz8W>dt+O)1L At 4 to 6 weeks, removable thumb spica splint, and protected range-of-motion exercises. Brace: Elbow ROM 30-100 Cryotherapy: Continue ice to elbow joint and graft site . . Thumb UCL Repair with InternalBrace Ligament Augmentation 17,933 views Sep 6, 2018 89 Dislike Share Save Arthrex 64.2K subscribers Show more Comments are turned off. Late effect of dislocation (nonspecific) (905.6) Repair lateral collateral ligament, elbow, with local tissue (24343) Repair lateral collateral ligament, elbow, with tendon graft, including graft harvest (24344) Repair medial collateral ligament, elbow, with local tissue (24345) Repair medial collateral . 0 x[[oF~70/ 8m6EMc/El%{JaeQlQCwnz5fy3iboob9jV Tommy John vs UCL Repair Armored Heat endobj Finger and hand range of motion: maintain AROM and PROM %PDF-1.5 Return to Play in Athletes After Thumb Ulnar Collateral Ligament Repair OSMOAJ.MS.ID.000151. Thumb UCL Repair With InternalBrace Ligament Augmentation. /&E-{BpR`buqyxw{y1E2vzy!`reY,$OcvCnbv_]pyu_//~0]8~t2Vj-/U hbbd```b``3@$S=d`6;dq7.`.df`\0LE-`6H rlg4okAdaHMH Splint: A hand-based thumb spica splint with IP free (for thumb) or Safe Position Splint (for other digits) with medial or lateral stops on the opposite site of the repaired ligament is constructed to be worn between exercises and at night. % 1). What causes GameKeeper's Thumb? |1WwD >(E>[ X\j&7< 6whY+}v39v/1/wJU-nGQ v JCJX*?=XrtbgS#Nl|wk\6Ac /{h6*!(K6abZ}6M3RUl+pm@k=do3aCyF*wrVN7DixiDaLb^x)G. At 6 weeks after surgery, the supportive brace should be worn with activities, but you may do light tasks, such as typing without it. ]rav?4V&%n\(blvdf)TUL"Q+zaH$!EWq,0S4o~!dAf36J5/JqR^)jUx}2}`4vT.5l;c6gA>< MVSxwkHW *LLGrj iBy+9,[Ld~!VpQ[/zT-k.x #M'Ismi>uw a8G PeT{qo| R7RP2rAK(; 0 Edema control is initiated with a light compression dressing. 1 0 obj UCL Surgery- Internal Brace Repair or Reconstruction - Lenny Macrina %PDF-1.6 % The ulnar collateral ligament (UCL) does not play a large role in elbow stability for most activities of daily living, but it does undergo tremendous stresses with overhead throwing and is susceptible to injury in overhead athletes. Rehabilitation Following UCL Repair with Internal Brace. Thumb UCL Repair (Internal Brace) 0-2 weeks: The postoperative dressing is removed. Thumb UCL Repair with InternalBrace Ligament Augmentation On July 25, 1974, Dr Frank Jobe performed the first ulnar collateral ligament (UCL) reconstruction on Los Angeles Dodgers pitcher Tommy John ( Fig. This animation demonstrates repair of the ulnar collateral ligament of the thumb with the InternalBrace ligament augmentation procedure. 3 0 obj 557 0 obj <>stream your repair for 4 more weeks. k,/f&;}P7# Lg W*lwHOPC(LZc>XgI3j:][1/+YX-?p%"6_NaWFv%k]|{6e@Ij hb``g``Zs01G83023>"`*`+MKx.00e)zz oIB`F2Af*LoApKX@D l^" The length of each phase varies depending on each patient and depends on tissue healing and progression. No driving. 2 WEEKS (1st Visit) Fit with custom hand based thumb spica splint (Please allow thumb IPJ motion) OT INSTRUCTIONS - Ok to work on wrist, CMP, IPJ motion, & scar massage PDF Rehabilitation Protocol: Ulnar Collateral Ligament Repair <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Nexus Day Surgery Centre on LinkedIn: Thumb UCL Repair With xZS8~AO[H[ULj!W0"Esvo 0h2ULlYRZ?.-ax0Iz_]0lnY>__-\x2`\DL^dRrzIE:d2bdcz{Izw^,&={y@{w=:'=aa=T()VCA6kGQlS9?LX|^+#{zX/.zLNT^Z^jg]X6g8If55/_BYjWpE\,#w+"6A Phase I (weeks 0 to 3): Splint for one week, then transition to a hinged elbow brace with gentle motion from 30 to 110 progressing to 10 to 125 at week 3. 533 0 obj <>/Filter/FlateDecode/ID[<6B9C59BBC5B61A4384B9FC807F8AE13A><1E4DC5E074430D4EA5AA205F41080698>]/Index[502 56]/Info 501 0 R/Length 138/Prev 267459/Root 503 0 R/Size 558/Type/XRef/W[1 3 1]>>stream Z\m>~?)I|%X$;-5X&gV+Kms?XRC5%x_ui6q |KdeW7mQUY3s`NB) =gY|6:51c_t]]MixSTB 2 0 obj Hand and Wrist 128 0 obj <>stream thumb ucl repair with internal brace protocol Dressing changed at 7-10 days after surgery Week 2 Arthrex - InternalBrace % This design severely limits functional use of the thumb. Duration: 01:52. V8FW x[[o:~xpPh.IvEMmi3C]lQ,z X3*{c{XKbMa;{;o>H&PIffS+e@.+>|7mw;L"cH"dMn8)Sy,2*npGWwE&k=|"tbE}%2*R0(jK(s#.$"X$VcY#>J>2pCMW[XHOq{ = wD0NC?IF5tV$ZtR& K"=,`y];]NxIo>r?R'n)locmMuf$[g6\1eu8^s=POm6|GHkOzDuDiIpqT+"'"%;ED/,H$g=Ie9fRH*/ 6Tc`;GJEwvQ*X}:LGKX`n)Bq)su9:qF~b. endobj Revision Date: 10/29/2021. PDF Institute for Orthopaedic Surgery Injuries to the ulnar collateral ligament of the thumb metacarpophalangeal joint (gamekeeper's thumb). 1 i^D=)ngloqvb_3.&3e/.[A GF;'YDL65_lZ4l$!`,yv I(=wY */xZFXDI6%t0^&2L7@~DSN1& A UCL repair with internal brace is reserved for use in cases of partial or complete tears at the origin or insertion of the UCL with good ligament tissue and low-grade mid-substance partial UCL tears [10]. UCL Repair with Internal Bracing versus UCL Reconstruction (Tommy John). PDF Ulnar Collateral Ligament Repair With Augmentation Rehabilitation Protocol 6f*&aibfSwv{tNcj7Dcg_7ml0`afdMq{Ccbm*"CAp lI"5JK>nt=tuGi0E1O{c2{n BOIu}B)wQ78LyWe-|k#$B/y*jY8 t7X,RpATy+{,q(3#/Plb 'xA+^v(o[l!O U=2EE#/gtcXjQO17D[=tvq;2T(=X"#n:fZ=%S-` %%EOF The new procedure involves repairing the damaged ligament and reinforcing it with a collagen-coated fiber tape in contrast with the traditional UCL reconstruction that involves drilling tunnels in the bone and using a graft from a tendon in your arm or leg. As the internal brace technique continues to mature, its application has been gradually expanded to include repair of the anterior talofibular ligament and deltoid ligament in the ankle, anterior and posterior cruciate ligaments, medial and lateral collateral ligaments and medial patellar ligaments in the knee, and ulnar collateral ligaments in . . << /Length 5 0 R /Filter /FlateDecode >> Non-weight bearing to operative extremity. Tommy John Surgery | UCL Injury Overview | Dr. Christopher Ahmad REHABILITATION PROTOCOL: ULNAR COLLATERAL LIGAMENT REPAIR/RECONSTRUCTION RADIAL COLLATERAL LIGAMENT REPAIR/RECONSTRUCTION THUMB MP JOINT WITH INTERNAL BRACE A. J. Mencias, M.D. endstream endobj 111 0 obj <>/Metadata 5 0 R/Outlines 9 0 R/PageLayout/OneColumn/Pages 108 0 R/StructTreeRoot 16 0 R/Type/Catalog>> endobj 112 0 obj <>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 113 0 obj <>stream 92 0 obj <>stream hbbd```b``Z";d,d"? Practice this exercise for about 5 minutes. DOI: 10.32474/OSMOAJ.2019.03.000151. Hrut LF?L . When the tear results in pain and instability, surgical repair offers a predictably successful outcome. by | Jun 3, 2022 | james carone florida energy | when a man criticizes another woman | Jun 3, 2022 | james carone florida energy | when a man criticizes another woman The success of that surgery resulted in it being called the Tommy John procedure. The internalbrace is the underpinning of the repair procedure. Ligament / Volar Plate CPT Codes. endstream endobj 80 0 obj <>/Metadata 3 0 R/Outlines 7 0 R/PageLayout/OneColumn/Pages 77 0 R/StructTreeRoot 32 0 R/Type/Catalog>> endobj 81 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 82 0 obj <>stream Ultrasound-Assisted Assessment of Medial Elbow Stability POST-OPERATIVE WEEK 2. ,.l(\r @48 dJ^ %$HU 44HK[Y.D;2d8A1 d9\Imog|G|L8p,b}- BT"/q[[%p4)dl0( TOO#]x~0zKGeyk7-Zb!Z]#_@As r1'B04Lq0tS>Yf0lUQ0z.?9M7eCe[4^orMi|yF`8j_z\p=-g:I}^\RVDw*w Triangular fibrocartilage complex injury is one of the most common causes of ulnar wrist pain and can impair daily activities, such as door opening and handshaking. The UCL repair with Internal Brace was developed as a faster alternative to a full UCL reconstruction. endobj ~Y$'h9N`haq8"% {s D)gZ2J =ky~ pP],DQgUh6*DM6`vlK ,R /"0q^p3S;LrV?-VS(6E?VAQJ@p EQQKiqLf[~vA]"`qW `!a`05I**ThsrAD8WH6SXb^h:R.?Q(oeR~R^N Thumb UCL Repair With InternalBrace Ligament Augmentation What's New in Orthopedics 207K subscribers Subscribe 24 Save 3.8K views 1 year ago .more .more Notice Age-restricted video. hbbd```b`` "gA$d^ <> ?3U,a_~`XRUWcQT2r?B73pgry.v3}w/2\Fz?6-SHK PXUU9:!$\@j)b;}r% /5 V5uz @ TY}]7KX75F1"3#TZLY|A/+{gc_?olhfGmHwiiB%"=CH$ai-`75 gdkZ_ ULNAR COLLATERAL LIGAMENT OF THE ELBOW RECONSTRUCTION USING AUTOGENOUS GRAFT PROTOCOL 3 Progress shoulder isometrics to isotonics, emphasize rotator cuff strengthening (Avoid resisted external rotation until 6th week to minimize forces on repaired UCL) Week 6 Brace - hinged elbow brace set 0-130 degrees. PDF Dr. Allen Thumb UCL Reconstruction Rehabilitation Protocol General time frames are given for reference to the average, but individual patients will progress at different rates depending on their age, @B 8XqhPTU&] ia$A{B;*QX% ]p7L`k?g.G{"z)UU(YY%y\*.ic-PtB *qjbeBA1~ 2 0 obj Rehab Protocol - Thumb UCL Repair (Internal Brace Only) Dr. Broering PRECAUTIONS Full time splint use except for ROM. 3 0 obj PDF Thumb Ulnar Collateral Ligament Repair Post-Operative Protocol Subsequently, the adductor pollicis aponeurosis and extensor mechanism are identified, incised, and retracted. 1 0 obj The triangular fibrocartilage complex (TFCC) is an important stabilizer of the distal radioulnar joint (DRUJ). Thumb Ulnar Collateral Ligament repair; A Step by Step Guide endobj c5(Ly%CDer,ZbE+ImgILF cy9 <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> %%EOF &H+JIKv)ATPJ};CH Thumb strengthening: Pick up small objects, such as paper clips, pencils, and coins, using your thumb and each of your other fingers, one at a time. thumb ucl repair with internal brace protocol. -Hand based thumb spica brace (comfort cool) . SYMPTOMS: The thumb may be swollen, bruised and painful. The repeated microtrauma is a result of a lack of muscle protection and destroys cartilage, ligaments, and disc spaces, leading to vertebrae destruction, joint instability, subluxation, and dislocation. hYmO8+NR)nEr'@]fuv4RUB;OfP&,!z3$Q"9#*m cLC. `eDp4)J00"2N$b\3HZhSCR The Effect of Ulnar Collateral Ligament Repair With Internal Brace This includes, but not limited to, self-retrograde massage, cold therapy, and extremity elevation. There was gross instability of the ulnar collateral . Repair and InternalBrace Augmentation of the Medial Ulnar Collateral Instruct the patient to begin active range of motion exercises of the thumb without stressing the UCL/RCL repair. PDF UCL/RCL Thumb MP Joint Repair Rehabilitation Protocol - Ortho Illinois stream <>/Metadata 558 0 R/ViewerPreferences 559 0 R>> 15 -17,19 Therefore, UCL reconstruction has become a common procedure to address UCL insufficiency in adolescent, collegiate, and professional throwers. 60 0 obj <>/Filter/FlateDecode/ID[<0AF1E1B641B34B46855587C2A48FF27B><237A0C35EE1B4C46B05DEA8683FB9A51>]/Index[49 44]/Info 48 0 R/Length 76/Prev 328473/Root 50 0 R/Size 93/Type/XRef/W[1 3 1]>>stream x]kF_!BBf%I(BTb%]3NrqO%)(V}nu+;jvcyiwuY[_4*j{]e>gUQU~"_e? Rehabilitation Guidelines Please fax initial evaluation and progress notes to 8153817498. thumb ucl repair with internal brace protocol - store28dz.com The athletes that were treated with UCL repair and internal . PDF Thumb UCL Repair- Early Mobilization - UW Health During this time, active ROM is started as well as light isotonic . stream DU?f7 # *S Postoperative Rehabilitation 7-10 days postop The bulky compressive dressing is removed. <>/Metadata 83 0 R/ViewerPreferences 84 0 R>> 4 0 obj 4 0 obj 1-3 Candidates for repair are most commonly young er (pre-professional) and present In a reconstruction the old, damaged ligament is removed, new portal holes are drilled and (in an autograft situation) a tendon from somewhere else in your body (palmaris longus, hamstring, etc) is docked as the new UCL. Phone: 574.247.9441 Fax: 574.247.9442 www.sbortho.com REHABILITATION PROTOCOL: THUMB UCL/RCL REPAIR SAM FULLER, M.D. invite research legit; orange county police department california; hydra stop brake booster PDF Rehabilitation Following UCL Repair with Internal Brace - Lupine Publishers Key Timeframes: (Dr Meister/TMI Protocol) Plyometric Phase: 12-14 weeks. PubMed PMID: 30862273. %%EOF Above protocol adapted from Dugas and Wilk: Wilk KE, Arrigo CA, Bagwell MS, Rothermich MA, Dugas JR. Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation Following Internal Brace Surgery. A bP .a+ZY^tL3ab`y7*n&++c endstream endobj startxref 2 0 obj %PDF-1.6 % The UCL provides up to 50% of the frontal plane stabilization of the Abbreviations UCL, ulnar collateral ligament; US, elbow against a valgus load.5 During the clinical evaluation, the ultrasound patient's elbow is placed under a valgus load with the elbow in vary- ing amounts of exion. %PDF-1.6 % Volume 3 ssue 1 Coprig Kevin ilk et al. If <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> Traditional custom-fitted thumb spica orthosis In a recent cadaver study by Gil et. At 10 to 12 weeks, return to . endobj Initiate Throwing: 14-16 weeks (3.22 Months for Comparison) Bullpens: 24 Weeks (5.52 Months) Live BPs: 30-33 Weeks . EXHIBIT(S) - D (Motion #1) EXHIBIT D - Verified Bill of Particulas and Responses to Various Demands Redacted per 22 NYCRR - EXHIBIT D - Verified Bill of Particulas and Responses to Various Demands Redacted February 09, 2023. << /Length 5 0 R /Filter /FlateDecode >> 502 0 obj <> endobj Thumb Collateral Ligament Injuries, most commonly ulnar collateral (UCL), are athletic injuries that lead to a decrease in effective thumb pinch and grasp. endobj Orthop & Spo Med Op Acc J 3(1)- 2019. stream >W ` 8;d3^ PDF Rehabilitation Guidelines for UCL Repair with Internal Brace. -Aggressive thumb active motion -The use of the internal brace makes for a very stable construct -AROM and PROM of thumb CMC and IP -No pinching/grabbing/lifting . ["BIA+ryv_cNaICaNJ!E.|dXTp3g@9< HTxS endobj <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 8g14IRxEm`YH#V b6 be1Gv=*K:.;>'!y^vf%lX")z^-vr3[\)U8RnOG8+5[Y#l'^aAWgI>i];%*8jpht4%< pKV[t/ 8]oQ5JF*+zWQ61Hu^DDJT.0H>? H00:GCp#r x This technique involves the reattachment of the ligaments to the bone using FiberWire. Journal articles: 'Muscle microtrauma' - Grafiati % The UCL may be strained or torn (partially or completely) producing a weakened grasping or pinching ability of the thumb. Reference Number: AN1-00264-en-US | Version: C. Related Pages. !-twF)rm16:M.J r]Sc]Oi~ PDF Brandon J. Erickson, MD Mackenzie Lindeman, ATC 176 3 - Rothman Ortho These tears often occur as a result of a radially directed force on an extended thumb. Thumb UCL Repair With Internal Brace Ligament Augmentation 110 0 obj <> endobj Steven Shin, MD, treats elite athletes in his clinic, but you don't have to play for a professional team to benefit from his groundbreaking technique for treating thumb ulnar collateral ligament (UCL) injuries.. For injuries that need more than a cast, internal brace augmentation gives better and much faster results than conventional surgery, according to Shin, executive vice chair of Cedars . Ligament / Volar Plate CPT Codes %PDF-1.7 Athletes Can Return to Play in Half the Time with New Thumb Ligament <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2 0 obj We describe the surgical technique of suture tape augmentation for thumb UCL repair. the thumb. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Thumb Collateral Ligament Injury - Hand - Orthobullets hb```) $- `>bPO,VLW0ba6d.fb>4mfBs2hef`t| 4 0 obj It was grossly incompetent and irreparable. Epub 2019 Mar 12. |C&K 0g-Pf4/.B{s.
thumb ucl repair with internal brace protocol
thumb ucl repair with internal brace protocol
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thumb ucl repair with internal brace protocol
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thumb ucl repair with internal brace protocol
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