We use our hands and wrists to perform everyday tasks. Any damage to the ligaments or tendons in these areas can cause these tasks to become chores for many. The hand and wrist are complex structures, and they need the care of a specialist.
This surgical video shows the repair of a small finger collateral ligament using a suture anchor.
David Ratliff, …: Hey guys, it’s Dr. Ratliff. This video will show the repair of a small finger MCP collateral ligament. This patient was injured in a car accident and had persistent pain at that ligament.
We approach this through the dorsal aspect of the metacarpophalangeal joint. The extensor tendon is split, which will later be repaired. Capsule is isolated from the tendon and the joint is opened, which will allow us to see the collateral ligament peeled off from the base of the proximal failings. Ligament in its insertion site at the palmar side of the bone are debraided. I place the suture anchor and confirmed that it is secure. Sutures from that anchor are passed through the ligament and tied to secure and compress the ligament back to its insertion site.
Testing after ligament repair shows that it is secure. Capsule and tendon are subsequently repaired. Solid repair allows for early motion after surgery to prevent stiffness.
As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free.