# Early Thumb Carpometacarpal Subluxation Stabilized with a Mini TightRope: A Report of Two Cases

## TL;DR

This paper reports two cases where a suture suspension device effectively stabilized thumb carpometacarpal instability, offering a promising alternative to traditional surgery.

## Contribution

The study introduces suture suspension as an effective treatment for thumb instability in patients with ligamentous laxity.

## Key findings

- Both patients experienced significant and lasting improvement in pain and function.
- Radiographic outcomes were excellent following the suture suspension procedure.
- The method avoids donor site morbidity and is suitable for patients with ligamentous laxity.

## Abstract

Two patients with thumb carpometacarpal instability were stabilized using a suture suspension device. Both patients had symptomatic thumb carpometacarpal instability in the setting of clinical hyperlaxity without known connective tissue disorder that was recalcitrant to nonsurgical modalities. Both patients had significant, lasting improvement in their pain and function with excellent radiographic outcomes. Suture suspension as a treatment for thumb carpometacarpal instability with an intact trapezium is an effective alternative to ligamentous reconstruction that avoids donor site morbidity and may have added benefit in patients with underlying ligamentous laxity.