Sagittal Band Injuries: From Yoke Splint to Reconstruction (Complete Surgical Guide) ) (arabic))

Video Description

Sagittal Band Injuries: From Yoke Splint to Reconstruction (Complete Surgical Guide)


Sagittal band injuries (aka “boxer’s knuckle”) can cause extensor tendon subluxation/dislocation at the MCP joint. In this step-by-step teaching video, we cover when to choose conservative care vs. surgery, how to build and position a Relative Motion Extension (Yoke) splint, and the key surgical options (primary repair, augmentation, and reconstruction such as Carroll/Kilgore, DTML/Watson, lumbrical transfer/Segalman, modified Elson). We finish with rehab timelines, outcomes, pitfalls, and special cases (RA, professional musicians/athletes).

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**For education only—not medical advice.**

## Learning objectives

* Recognize indications for nonoperative vs operative treatment based on acuity, instability, and patient demands
* Apply the Relative Motion Extension (Yoke) splint (15–20° relative MCP extension) and counsel on rehab
* Compare primary repair, augmentation (“gellar vs. guy-wire”) and reconstructive techniques (Carroll/Kilgore, PL graft, Juncturae transfer, DTML/Watson, Lumbrical transfer/Segalman, Modified Elson)
* Plan postop protocols and anticipate complications/return-to-sport



sagittal band injury, boxer’s knuckle, extensor tendon subluxation, MCP joint, yoke splint, relative motion extension splint, primary repair, augmentation, gellar, guy-wire, Carroll Kilgore, palmaris longus graft, juncturae tendinum transfer, Watson DTML reconstruction, lumbrical transfer Segalman, modified Elson technique, hand therapy, rehabilitation, return to sport, rheumatoid arthritis MCP, hand surgery education

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#orthopedics
#handsurgery
#sagittalband
#boxersknuckle
#extensortendon
#yokesplint
#handtherapy
#surgicaltechnique
#residenteducation
#drAhmedElAttar