gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Stener Lesion: A Comparison Between Two Methods Of Primary Repair

Meeting Abstract

  • presenting/speaker Eduardo Ramalho Silva - Hospital Ortopédico Sant´Iago do Outão, Setúbal, Portugal
  • Gonçalo Lavareda - Hospital Ortopédico Sant´Iago do Outão, Setúbal, Portugal
  • Sofia Carvalho - Hospital Ortopédico Sant´Iago do Outão, Setúbal, Portugal
  • Filipe Machado - Hospital Ortopédico Sant´Iago do Outão, Setúbal, Portugal
  • Francisco Gonçalves - Hospital Ortopédico Sant´Iago do Outão, Setúbal, Portugal
  • Catarina Bispo - Hospital Ortopédico Sant´Iago do Outão, Setúbal, Portugal
  • João Neves - Hospital Ortopédico Sant´Iago do Outão, Setúbal, Portugal

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1340

doi: 10.3205/19ifssh0236, urn:nbn:de:0183-19ifssh02368

Published: February 6, 2020

© 2020 Ramalho Silva et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Objectives/Interrogation: The aim of this work is to compare the results achieved with two different techniques on the primary repair of Stener lesion.

Methods: The patients (N = 16) with stener lesion were divided in two groups according to the surgical procedure: Group 1 (n = 7) - reattach with miniature intra-osseus suture anchor and Group 2 (n = 9) reattach with pre-fashioned steel wire, the Barb-wire of Jennings (Tendofil®). The clinical assessment included a physical examination and functional testing (QuickDash score, range of motion, grip strength, pinch strength, instability and pain).

Results and Conclusions: The sample average age was 47.8 years (25 to 69 years) with an average follow-up of 57 months (24 to 101 months). The QuickDash score on group 1 was on average 16,5 and on group 2 18,6. The reduction of the grip and pinch strength on both groups was less than 10%. The loss of metacarpo-phalangeal (MP) joint motion was on average 5 degrees. There were no nerve injuries, infections, device failures or reoperations recorded. Persistent instability was not observed in any of the patients. Controlled active range of motion exercises started 3 to 4 weeks after open surgical repair. Protective splinting was continued until the sixth week and unrestricted use allowed at 12 weeks after injury.

The authors concluded that these two methods are safe and effective for repair of complete tears of the ulnar collateral ligament of the first MP joint, verifying a slightly better DASH score with the reattach using miniature intra-osseus suture anchor. There were no significant statistical differences in the grip and pinch strength. In general both have yielded good joint stability and a near-full recover of range of motion, showing a good to excellent functional outcome.