Case ReportNo Access

Modified Thompson–Littler Method for Chronic Instability of the Proximal Interphalangeal Joint: A Report of Two Cases

Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan

Correspondence to: Taku Suzuki, Department of Orthopaedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. Tel: +81-3-5363-3812.

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Hiroo KIMURA

Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan

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, and

Takuji IWAMOTO

Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan

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https://doi.org/10.1142/S2424835523720049Cited by:1 (Source: Crossref)

Abstract

A 40-year-old patient and a 45-year-old patient presented with chronic dorsal and lateral subluxation of the proximal interphalangeal (PIP) joint of the little finger and underwent surgeries. Through a dorsal approach, the ulnar lateral band was transected and transferred to the radial side through the volar side of the PIP joint. The transferred lateral band and the remnant of the radial collateral ligament were secured with an anchor on the radial side of the proximal phalanx. Satisfactory results were obtained without the loss of flexion and recurrence of subluxation of the finger. This method enabled the correction of both dorsal and lateral instability of the PIP joint through a dorsal incision. The modified Thompson–Littler technique was useful for chronic instability of the PIP joint.–

Level of Evidence: Level V (Therapeutic)

Keywords:

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