ArticleHand (New York, N.Y.)2026
Suture-Button Stabilisation for Thumb Carpometacarpal Joint Instability and Dislocation: A Retrospective Case Series.
Article in Hand (New York, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
backgroundSuture-button suspension is commonly used post trapeziectomy, stabilising the first metacarpal base to its adjacent counterpart. It has more recently been used in the setting of carpometacarpal instability, avoiding the morbidity of tendon harvest and large tunnels required in traditional stabilisation techniques. Evidence for its use in this setting remains limited.
methodsA retrospective review of 13 consecutive patients, including 4 adolescents, with CMC1 instability treated with suture-button stabilisation by 2 fellowship-trained hand surgeons between 2018 and 2024 was performed. Mean follow-up was 11.8 months (3-24). Ten patients had chronic instability; 3 had acute traumatic dislocation with persistent instability. Outcomes included visual analog scale (VAS) pain scores, Kapandji scores, key pinch strength, complications, radiographic reduction, and return to work or sport.
resultsSeven chronic instability patients had paired quantitative data. Mean VAS decreased by 4.43 points (
conclusionsSuture-button stabilisation provided reliable restoration of stability, pain relief, and early functional recovery. It may be considered an alternative to ligament reconstruction or Kirschner wire stabilisation in select patients.
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