case_images: PMC10837295_01
case_images: Anteroposterior radiograph of the right thumb demonstrating radial deviation of the thumb CMC and MCP joints.
case_images: gr1.jpg
case_images: PMC10837295_01_gr1.jpg
case_images: fig1
case_images: Plain radiographs demonstrated radial subluxation of the thumb CMC and MCP joints with magnetic resonance imaging evidence of thumb UCL disruption (Figure 1, Figure 2).
case_images: Sequential right thumb coronal sections of a proton density sequence demonstrating disruption of the MCP UCL with hyperintensity of the bony insertion on the metacarpal head.
case_images: gr2.jpg
case_images: PMC10837295_01_gr2.jpg
case_images: fig2
case_images: Plain radiographs demonstrated radial subluxation of the thumb CMC and MCP joints with magnetic resonance imaging evidence of thumb UCL disruption (Figure 1, Figure 2).
case_images: Postoperative day 13 posteroanterior, oblique and lateral right thumb radiographs showing reduction of the thumb CMC joint stabilized with two Arthrex Mini Tightropes and two K-wires.
case_images: gr3.jpg
case_images: PMC10837295_01_gr3.jpg
case_images: fig3
case_images: On postoperative day 13, radiographs demonstrated stable alignment, and she was transitioned to a short arm thumb spica cast for an additional 8 weeks (Fig. 3).
case_images: Fourteen-week postoperative posteroanterior, oblique and lateral radiographs of the right thumb demonstrating anatomic alignment of the thumb CMC joint with interval K-wire removal.
case_images: gr4.jpg
case_images: PMC10837295_01_gr4.jpg
case_images: fig4
case_images: Radiographs demonstrated stable hardware with anatomic alignment of the thumb CMC joint (Fig. 4).
case_images: Two-year postoperative posteroanterior, oblique and lateral right thumb radiographs demonstrating stable alignment of the thumb CMC joint with interval reconstruction of the UCL of the MCP joint.
case_images: gr5.jpg
case_images: PMC10837295_01_gr5.jpg
case_images: fig5
case_images: Her thumb MCP joint was stable to varus and valgus stress, and radiographs demonstrated anatomic alignment of both the thumb MCP and CMC joints (Fig. 5).
case_images: PMC10837295_02
case_images: A Presenting posteroanterior bilateral hand radiographs left evidence of left thumb CMC radial subluxation with a steep trapezial articular slope. B and C Dedicated posteroanterior and oblique left thumb radiographs with evidence of mild CMC joint space narrowing and osteophytosis.
case_images: gr6.jpg
case_images: PMC10837295_02_gr6.jpg
case_images: fig6
case_images: Radiographs demonstrated radial subluxation with mild CMC arthritis, volar osteophytosis, and subchondral stress edema seen on magnetic resonance imaging (Figure 6, Figure 7).
case_images: Cross-referenced coronal (left) and axial (right) sections of a proton density sequence of the left hand demonstrating erosive thumb CMC changes with volar osteophytosis, subchondral stress edema, and degeneration of the capsuloligamentous complex.
case_images: gr7.jpg
case_images: PMC10837295_02_gr7.jpg
case_images: fig7
case_images: Radiographs demonstrated radial subluxation with mild CMC arthritis, volar osteophytosis, and subchondral stress edema seen on magnetic resonance imaging (Figure 6, Figure 7).
case_images: Fifteen-month postoperative posteroanterior, oblique and lateral bilateral hand radiographs with improved left thumb CMC alignment.
case_images: gr8.jpg
case_images: PMC10837295_02_gr8.jpg
case_images: fig8
case_images: At her latest follow-up 15 months after surgery, she was able to oppose her thumb to the base of the small finger (Kapandji score 10) and had radiographic evidence of anatomic thumb CMC joint alignment (Fig. 8).