Ulnar Collateral Ligament Injury Specialists Anchorage AK

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William M Dotson, DDS
(907) 563-2828
3401 Denali St Ste 203
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Brett Mason
(907) 279-5589
2751 Debarr Rd # 300
Anchorage, AK
Gender
M
Education
Medical School: Des Moines Univ, Coll Osteo Med & Surg
Year of Graduation: 1984
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.2, out of 5 based on 9, reviews.

Data Provided By:
Victoria Matt, MD
(907) 729-1614
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Marc J Kornmesser
(907) 562-2277
3801 Lake Otis Pkwy, Suite 300
Anchorage, AK
Specialty
Orthopedic Surgery

Data Provided By:
Adrian Ben Ryan, MD
(907) 563-3145
3260 Providence Dr Ste 200
Anchorage, AK
Specialties
Orthopedics, Family Medicine
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1984
Hospital
Hospital: Providence Alaska Med Ctr, Anchorage, Ak
Group Practice: Anchorage Fracture Clinic

Data Provided By:
Dr.Douglas Vermilion
(907) 644-6055
Physical Therapy - Suite 325, 3260 Providence Drive, St 200
Anchorage, AK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Alaska Regoinal
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
John David Frost, MD
(907) 563-7072
4100 Lake Otis Pkwy Ste 302
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1968
Hospital
Hospital: Alaska Reg Hosp, Anchorage, Ak; Providence Alaska Med Ctr, Anchorage, Ak
Group Practice: John D Frost Inc

Data Provided By:
Bradley David Smith, MD
(907) 729-1611
4315 Diplomacy Dr
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1993

Data Provided By:
George Francis Gates III, MD
(907) 561-1656
PO Box 140803
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1969
Hospital
Hospital: Alaska Reg Hosp, Anchorage, Ak; Providence Alaska Med Ctr, Anchorage, Ak; South Peninsula Hosp, Homer, Ak

Data Provided By:
Stephen Sidney Tower, MD
(907) 563-3145
3260 Providence Dr Ste 200
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1983

Data Provided By:
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Ulnar Collateral Ligament Injuries: Diagnosis and Treatment

Injuries of the ulnar collateral ligament of the metacarpophalangeal
joint in the thumb sometimes referred to as “skier's thumb” are very
common and account for well over half of all thumb injuries. These
injuries, especially prevalent in skiers (representing nearly a third
of all skiing injuries), commonly affect participants in volleyball,
soccer, handball, basketball, and rugby as well. They are typically
the result of a fall. As people attempt to catch themselves, the
ligaments exceed their weight-bearing ability and the thumb pulls away
from the hand. In these conditions, the strong band of tissue attached
to the middle joint of the thumb sustains significant stress and
eventually tears.

Determining whether an individual suffers from skier's thumb requires
a comprehensive physical examination as well as thorough review of
one's patient history. Early diagnosis is paramount to successful
outcomes. Ulnar colateral ligament injuries are frequently overlooked
in initial diagnosis, and this inattention can limit the potential
stability of the restored joint. As such, it is necessary to pay close
attention to a patient's symptoms. Patients typically present with
swelling and pain around the joint, as well as difficulty holding or
grasping objects. Stress testing is crucial for accurate diagnosis and
may require local anesthesia to elicit full patient cooperation.
Patients suffering acute injuries may be extremely guarded, making
palpitation and, therefore, diagnosis difficult.

Much of the image diagnosis of skier's thumb relies solely on
radiographs. Though MRIs have proven accurate, there is some debate as
to whether they are cost-effective. Ultrasound, on the other hand,
holds promise. While its effectiveness can be limited by several
factors like examiner skill, quality of equipment, and the time
elapsed from injury, ultrasound has the potential to be both accurate
and cost-effective. However, more studies are necessary before
ultrasound may replace radiographs as the preferred form of imaging in
these cases.

Treatment options for ulnar collateral ligament injuries rely solely
on whether the ligament has been ruptured or only partially torn. In
cases of rupture, surgical repair is required, but partially torn
ligaments can only be treated with nonoperatively. Much of the
literature concerning treatment options has remained the same,
however, there has been rising debate concerning the management for
avul...

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