Ulnar Collateral Ligament Injury Specialists Bainbridge Island WA

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Christopher C Kain, MD
(360) 479-2544
2500 Cherry Ave Ste 304
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1981
Hospital
Hospital: Harrison Memorial Hospital, Bremerton, Wa
Group Practice: Olympic Orthopedic & Fracture

Data Provided By:
Gordon N Cromwell Jr, MD
(360) 479-2360
2600 Cherry Ave Ste 202
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1970
Hospital
Hospital: Harrison Memorial Hospital, Bremerton, Wa
Group Practice: Peninsula Orthopedic Assoc

Data Provided By:
Christopher Colin Rankin, MD
(360) 782-3300
2600 Cherry Ave
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1995

Data Provided By:
Kenneth Ray Koskella, MD
(360) 479-2003
2600 Wheaton Way Ste 311
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1973

Data Provided By:
Lynn Leroy Staker
(360) 479-0106
900 Sheridan Medical Center
Bremerton, WA
Specialty
Orthopedic Surgery

Data Provided By:
Jennifer Lynn Ashmore, DMD
(360) 479-2323
1425 NE Franklin Ave
Bremerton, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gordon N Cromwell
(360) 479-2360
2600 Cherry Avenue
Bremerton, WA
Specialty
Orthopedic Surgery

Data Provided By:
Bradley Jay Watters, MD
(360) 782-3300
2600 Cherry Ave Ste 203
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1985

Data Provided By:
Gordon N Cromwell, MD
(360) 479-2360
2600 Cherry Ave
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1970

Data Provided By:
James R Mayfield, DDS
(360) 479-2323
1425 NE Franklin Ave
Bremerton, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Data Provided By:

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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