Rodeo Thumb: To Replant or Not

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dc.contributor.advisorZhang, Andrewen
dc.contributor.committeeMemberSammer, Douglasen
dc.contributor.committeeMemberKoehler, Danielen
dc.creatorDavis, Justin Joeen
dc.creator.orcid0000-0003-3140-6161
dc.date.accessioned2022-06-24T21:32:05Z
dc.date.available2022-06-24T21:32:05Z
dc.date.created2020-05
dc.date.issued2020-05-01T05:00:00.000Z
dc.date.submittedMay 2020
dc.descriptionThe general metadata -- e.g., title, author, abstract, subject headings, etc. -- is publicly available, but access to the submitted files is restricted to UT Southwestern campus access and/or authorized UT Southwestern users.en
dc.descriptionThe student submitted 2 separate documents as part of his research project, and this is part 2 of 2. The first part has been uploaded to a separate record, which can be viewed at the Related URI listed in this record.en
dc.description.abstractOBJECTIVE: To investigate patient reported outcomes after surgical treatment of Rodeo Thumb to help guide clinical decision making at the time of injury. METHODS: A retrospective review was performed for all rodeo thumb amputations from 2009-2019. Outcomes measured included daily functionality determined by QuickDASH scores, roping ability, and overall satisfaction. These were then compared between different levels of injury and definitive treatment. Outcomes between older and younger patients were also compared. Two-sided t-tests were used for QuickDASH scores and Pearson's Chi square test for categorical data. RESULTS: Thirty-seven patients underwent replantation or amputation as definitive treatment. IP level injury patients treated with replantation had a lower average QuickDASH than those treated with amputation (1.36 vs. 8.11; p=0.07), but fewer were roping at the same level or better (40% vs 78.6%; p=0.262). Patients with MCP level injury treated with replantation also had an average QuickDASH less than those treated with amputation (7.32 vs 10.4; p=0.52) and were roping at same level or better (66.6% vs 55.6%; p=1.00). Younger patients had lower QuickDASH scores than older patients (5.53 vs. 8.19; p=0.42), more who were roping at the same level or better (100% vs. 53%; p=0.02), and more who were satisfied with their treatment decision (88.9% vs. 60.7%; p=0.22.). CONCLUSIONS: For IP level injury, amputation seems to result in the same or better roping abilities as replantation. Replantation is the preferred treatment for MCP level injury. Younger patients tend to have better outcomes, possibly due to increased adaptation to injury. LEVEL OF EVIDENCE: IVen
dc.format.mimetypeapplication/pdfen
dc.identifier.oclc1333220352
dc.identifier.urihttps://hdl.handle.net/2152.5/9910
dc.language.isoenen
dc.relation.urihttps://hdl.handle.net/2152.5/9909
dc.subjectAmputationen
dc.subjectAthletic Injuriesen
dc.subjectPatient Reported Outcome Measuresen
dc.subjectReplantationen
dc.subjectThumben
dc.titleRodeo Thumb: To Replant or Noten
dc.typeThesisen
dc.type.materialtexten
thesis.degree.departmentUT Southwestern Medical Schoolen
thesis.degree.disciplineResearchen
thesis.degree.grantorUT Southwestern Medical Centeren
thesis.degree.levelDoctoralen
thesis.degree.nameM.D. with Distinctionen

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