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    [TITRE_TRAVAIL] => Array
        (
            [0] => SURGICAL TREATMENT OF SEVERE SPRAIN  OF THE MEDIAL LIGAMENT OF THE THUMB
        )

    [etablissement] => Array
        (
            [0] => hôpital FSI La Marsa
        )

    [nom] => Array
        (
            [0] => BEN ROMDHANE
        )

    [prenom] => Array
        (
            [0] => Majdi
        )

    [email] => Array
        (
            [0] => majdi.benromdhane@fmt.utm.tn
        )

    [telephone] => Array
        (
            [0] => 22635981
        )

    [auteurs] => Array
        (
            [0] => 
 
Nom prénom / Name Surname: Zaafouri Akram
Email: zaafouri1994@gmail.com
Hôpital / Hospital: hôpital FSI La Marsa

 
Nom prénom / Name Surname: Ben Romdhane Majdi,
Email: majdi.benromdhane@fmt.utm.tn
Hôpital / Hospital: hôpital FSI La Marsa

 
Nom prénom / Name Surname: Kamoun Haithem
Email: haithem.kamoun@fmt.utm.tn
Hôpital / Hospital: hôpital FSI La Marsa

 
Nom prénom / Name Surname: Sghaier Majdi
Email: sgh.majdi@gmail.com
Hôpital / Hospital: hôpital FSI La Marsa

 
Nom prénom / Name Surname: Elafram rafik
Email: rafik.elafram@gmail.com
Hôpital / Hospital: hôpital FSI La Marsa

        )

    [mots_cles] => Array
        (
            [0] => medial ligaments , thumb, metacarpophalangeal;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
        )

    [forme] => Array
        (
            [0] => none
        )

    [user_email] => Array
        (
            [0] => majdi.benromdhane@fmt.utm.tn
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction: 
The medial ligaments of the thumb's metacarpophalangeal articulation are comparable to the cruciate ligaments of the knee. If left untreated, there is a risk of chronic laxity, leading to instability and eventually to painful degenerative osteoarthritis, which can often become disabling.
Methods:
This is a retrospective descriptive study conducted over a 3-year period, involving 10 patients who underwent surgery for a recent severe sprain of the medial collateral ligament (MCL) of the thumb metacarpophalangeal articulation. This study was carried out with a minimum follow-up of 1 year, and was performed at the Orthopedic and Trauma Surgery Department of the Internal Security Forces Hospital in La Marsa.
Results: 
This study of 20 patients who underwent surgery for severe sprain of the medial collateral ligament (MCL) of the thumb metacarpophalangeal joint revealed the following results: Patients had an average age of 35 years and 6 months, and men predominated. Sports- and entertainment-related accidents were the most common cause, occurring in 60% of patients, with an average delay of 17 days before medical management. All patients presented with pain and hyper-laxity. In 26% of cases, the severe LLI sprain was associated with a bone fracture, mainly a small bone pad. Surgical procedures were performed under locoregional anesthesia, using a variety of surgical techniques. Therapeutic results were assessed in terms of absence of pain, joint stability, thumb opposition ability and patient satisfaction, showing a high rate of good results, with 75% very good and 19% good.

Conclusion: 
Metacarpophalangeal sprains of the thumb are common, but their gravity is often underestimated. A precise clinical examination of the thumb, supplemented by static and dynamic X-rays, as well as the use of ultrasound, are necessary to exclude a severe sprain. If this is not the case, surgery should be considered to prevent a possible progression to instability.
        )

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