Patient-Reported Outcomes and Function after Surgical Repair of the Ulnar Collateral Ligament of the Thumb

Ingmar W.F. Legerstee; Mark J.W. van der Oest; the Hand-Wrist Study Group; J. Sebastiaan Souer; Caroline A. Hundepool; Liron S. Duraku; Ruud W. Selles; J. Michiel Zuidam

doi:10.1016/j.jhsa.2023.05.003

Patient-Reported Outcomes and Function after Surgical Repair of the Ulnar Collateral Ligament of the Thumb

Ingmar W.F. Legerstee^*, Mark J.W. van der Oest, the Hand-Wrist Study Group, J. Sebastiaan Souer, Caroline A. Hundepool, Liron S. Duraku, Ruud W. Selles, J. Michiel Zuidam

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

3 Citations (Scopus)

79 Downloads (Pure)

Abstract

Purpose: The purpose of this study was to report prospectively collected patient-reported outcomes of patients who underwent open thumb ulnar collateral ligament (UCL) repair and to find risk factors associated with poor patient-reported outcomes. Methods: Patients undergoing open surgical repair for a complete thumb UCL rupture were included between December 2011 and February 2021. Michigan Hand Outcomes Questionnaire (MHQ) total scores at baseline were compared to MHQ total scores at three and 12 months after surgery. Associations between the 12-month MHQ total score and several variables (i.e., sex, injury to surgery time, K-wire immobilization) were analyzed. Results: Seventy-six patients were included. From baseline to three and 12 months after surgery, patients improved significantly with a mean MHQ total score of 65 (standard deviation [SD] 15) to 78 (SD 14) and 87 (SD 12), respectively. We did not find any differences in outcomes between patients who underwent surgery in the acute (<3 weeks) setting compared to a delayed setting (<6 months). Conclusions: We found that patient-reported outcomes improve significantly at three and 12 months after open surgical repair of the thumb UCL compared to baseline. We did not find an association between injury to surgery time and lower MHQ total scores. This suggests that acute repair for full-thickness UCL tears might not always be necessary. Type of study/level of evidence: Therapeutic II.

Original language	English
Pages (from-to)	780-787
Number of pages	8
Journal	Journal of Hand Surgery
Volume	48
Issue number	8
Early online date	9 Jun 2023
DOIs	https://doi.org/10.1016/j.jhsa.2023.05.003
Publication status	Published - Aug 2023

Bibliographical note

Funding Information:
The authors thank all patients who have filled out questionnaires as part of their clinical care and who have agreed that their data could be used anonymously for the present study. In addition, we thank the members of the Hand-Wrist Study Group, caregivers, and personnel of Xpert Clinic, Handtherapie Nederland, and Equipe Zorgbedrijven for assisting in the routine outcome measurements that are the basis for this article.

Publisher Copyright:
© 2023 American Society for Surgery of the Hand

Access to Document

10.1016/j.jhsa.2023.05.003Licence: CC BY

PIIS0363502323002356Final published version, 507 KBLicence: CC BY

Cite this

@article{94107e842635434a83c5993bdbcfde9e,

title = "Patient-Reported Outcomes and Function after Surgical Repair of the Ulnar Collateral Ligament of the Thumb",

abstract = "Purpose: The purpose of this study was to report prospectively collected patient-reported outcomes of patients who underwent open thumb ulnar collateral ligament (UCL) repair and to find risk factors associated with poor patient-reported outcomes. Methods: Patients undergoing open surgical repair for a complete thumb UCL rupture were included between December 2011 and February 2021. Michigan Hand Outcomes Questionnaire (MHQ) total scores at baseline were compared to MHQ total scores at three and 12 months after surgery. Associations between the 12-month MHQ total score and several variables (i.e., sex, injury to surgery time, K-wire immobilization) were analyzed. Results: Seventy-six patients were included. From baseline to three and 12 months after surgery, patients improved significantly with a mean MHQ total score of 65 (standard deviation [SD] 15) to 78 (SD 14) and 87 (SD 12), respectively. We did not find any differences in outcomes between patients who underwent surgery in the acute (<3 weeks) setting compared to a delayed setting (<6 months). Conclusions: We found that patient-reported outcomes improve significantly at three and 12 months after open surgical repair of the thumb UCL compared to baseline. We did not find an association between injury to surgery time and lower MHQ total scores. This suggests that acute repair for full-thickness UCL tears might not always be necessary. Type of study/level of evidence: Therapeutic II.",

author = "Legerstee, {Ingmar W.F.} and {van der Oest}, {Mark J.W.} and {the Hand-Wrist Study Group} and Souer, {J. Sebastiaan} and Hundepool, {Caroline A.} and Duraku, {Liron S.} and Selles, {Ruud W.} and Zuidam, {J. Michiel} and Blomme, {R. A.M.} and Sluijter, {B. J.R.} and {van der Avoort}, {D. J.J.C.} and Halbesma, {G. J.} and A. Kroeze and J. Smit and J. Debeij and Walbeehm, {E. T.} and {van Couwelaar}, {G. M.} and Vermeulen, {G. M.} and {de Schipper}, {J. P.} and Temming, {J. F.M.} and {van Uchelen}, {J. H.} and {de Boer}, {H. L.} and {de Haas}, {K. P.} and K. Harmsen and Z{\"o}phel, {O. T.} and R. Feitz and R. Koch and Hovius, {S. E.R.} and Moojen, {T. M.} and X. Smit and R. Hagen and {van Huis}, R. and Pennehouat, {P. Y.} and K. Schoneveld and {van Kooij}, {Y. E.} and Wouters, {R. M.} and {Esteban Lopez}, L. and {de Ridder}, {W. A.} and Slijper, {H. P.} and Porsius, {J. T.} and J. Tsehaie and R. Poelstra and Jansen, {M. C.} and L. Hoogendam and Teunissen, {J. S.} and Koopman, {J. E.} and J. Dekker and {ter Stege}, {M. H.P.} and {van Nieuwenhoven}, {C. A.} and {van der Heijden}, {B. E.P.A.} and Colaris, {J. W.}",

note = "Funding Information: The authors thank all patients who have filled out questionnaires as part of their clinical care and who have agreed that their data could be used anonymously for the present study. In addition, we thank the members of the Hand-Wrist Study Group, caregivers, and personnel of Xpert Clinic, Handtherapie Nederland, and Equipe Zorgbedrijven for assisting in the routine outcome measurements that are the basis for this article. Publisher Copyright: {\textcopyright} 2023 American Society for Surgery of the Hand",

year = "2023",

month = aug,

doi = "10.1016/j.jhsa.2023.05.003",

language = "English",

volume = "48",

pages = "780--787",

journal = "Journal of Hand Surgery",

issn = "0363-5023",

number = "8",

}

TY - JOUR

T1 - Patient-Reported Outcomes and Function after Surgical Repair of the Ulnar Collateral Ligament of the Thumb

AU - Legerstee, Ingmar W.F.

AU - van der Oest, Mark J.W.

AU - the Hand-Wrist Study Group

AU - Souer, J. Sebastiaan

AU - Hundepool, Caroline A.

AU - Duraku, Liron S.

AU - Selles, Ruud W.

AU - Zuidam, J. Michiel

AU - Blomme, R. A.M.

AU - Sluijter, B. J.R.

AU - van der Avoort, D. J.J.C.

AU - Halbesma, G. J.

AU - Kroeze, A.

AU - Smit, J.

AU - Debeij, J.

AU - Walbeehm, E. T.

AU - van Couwelaar, G. M.

AU - Vermeulen, G. M.

AU - de Schipper, J. P.

AU - Temming, J. F.M.

AU - van Uchelen, J. H.

AU - de Boer, H. L.

AU - de Haas, K. P.

AU - Harmsen, K.

AU - Zöphel, O. T.

AU - Feitz, R.

AU - Koch, R.

AU - Hovius, S. E.R.

AU - Moojen, T. M.

AU - Smit, X.

AU - Hagen, R.

AU - van Huis, R.

AU - Pennehouat, P. Y.

AU - Schoneveld, K.

AU - van Kooij, Y. E.

AU - Wouters, R. M.

AU - Esteban Lopez, L.

AU - de Ridder, W. A.

AU - Slijper, H. P.

AU - Porsius, J. T.

AU - Tsehaie, J.

AU - Poelstra, R.

AU - Jansen, M. C.

AU - Hoogendam, L.

AU - Teunissen, J. S.

AU - Koopman, J. E.

AU - Dekker, J.

AU - ter Stege, M. H.P.

AU - van Nieuwenhoven, C. A.

AU - van der Heijden, B. E.P.A.

AU - Colaris, J. W.

N1 - Funding Information: The authors thank all patients who have filled out questionnaires as part of their clinical care and who have agreed that their data could be used anonymously for the present study. In addition, we thank the members of the Hand-Wrist Study Group, caregivers, and personnel of Xpert Clinic, Handtherapie Nederland, and Equipe Zorgbedrijven for assisting in the routine outcome measurements that are the basis for this article. Publisher Copyright: © 2023 American Society for Surgery of the Hand

PY - 2023/8

Y1 - 2023/8

N2 - Purpose: The purpose of this study was to report prospectively collected patient-reported outcomes of patients who underwent open thumb ulnar collateral ligament (UCL) repair and to find risk factors associated with poor patient-reported outcomes. Methods: Patients undergoing open surgical repair for a complete thumb UCL rupture were included between December 2011 and February 2021. Michigan Hand Outcomes Questionnaire (MHQ) total scores at baseline were compared to MHQ total scores at three and 12 months after surgery. Associations between the 12-month MHQ total score and several variables (i.e., sex, injury to surgery time, K-wire immobilization) were analyzed. Results: Seventy-six patients were included. From baseline to three and 12 months after surgery, patients improved significantly with a mean MHQ total score of 65 (standard deviation [SD] 15) to 78 (SD 14) and 87 (SD 12), respectively. We did not find any differences in outcomes between patients who underwent surgery in the acute (<3 weeks) setting compared to a delayed setting (<6 months). Conclusions: We found that patient-reported outcomes improve significantly at three and 12 months after open surgical repair of the thumb UCL compared to baseline. We did not find an association between injury to surgery time and lower MHQ total scores. This suggests that acute repair for full-thickness UCL tears might not always be necessary. Type of study/level of evidence: Therapeutic II.

AB - Purpose: The purpose of this study was to report prospectively collected patient-reported outcomes of patients who underwent open thumb ulnar collateral ligament (UCL) repair and to find risk factors associated with poor patient-reported outcomes. Methods: Patients undergoing open surgical repair for a complete thumb UCL rupture were included between December 2011 and February 2021. Michigan Hand Outcomes Questionnaire (MHQ) total scores at baseline were compared to MHQ total scores at three and 12 months after surgery. Associations between the 12-month MHQ total score and several variables (i.e., sex, injury to surgery time, K-wire immobilization) were analyzed. Results: Seventy-six patients were included. From baseline to three and 12 months after surgery, patients improved significantly with a mean MHQ total score of 65 (standard deviation [SD] 15) to 78 (SD 14) and 87 (SD 12), respectively. We did not find any differences in outcomes between patients who underwent surgery in the acute (<3 weeks) setting compared to a delayed setting (<6 months). Conclusions: We found that patient-reported outcomes improve significantly at three and 12 months after open surgical repair of the thumb UCL compared to baseline. We did not find an association between injury to surgery time and lower MHQ total scores. This suggests that acute repair for full-thickness UCL tears might not always be necessary. Type of study/level of evidence: Therapeutic II.

UR - http://www.scopus.com/inward/record.url?scp=85163415748&partnerID=8YFLogxK

U2 - 10.1016/j.jhsa.2023.05.003

DO - 10.1016/j.jhsa.2023.05.003

M3 - Article

C2 - 37294237

AN - SCOPUS:85163415748

SN - 0363-5023

VL - 48

SP - 780

EP - 787

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

IS - 8

ER -

Patient-Reported Outcomes and Function after Surgical Repair of the Ulnar Collateral Ligament of the Thumb

Abstract

Bibliographical note

Access to Document

Other files and links

Fingerprint

Cite this