Ulnar Collateral Ligament Injury Specialists Barre VT

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Dr.Stephanie Landvater
(802) 223-0014
82 E View Ln # 1
Barre, VT
Gender
F
Education
Medical School: Mi State Univ Coll Of Human Med
Year of Graduation: 1987
Speciality
Orthopedic Surgeon
General Information
Hospital: Gifford Medical Center
Online Appt Scheduling: Yes
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Christopher M Meriam
(802) 229-2663
130 Fisher Rd
Berlin, VT
Specialty
Orthopedic Surgery

Data Provided By:
Stephanie J Landvater, MD
(802) 229-2325
195 Hospital Loop Ste 1
Berlin, VT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Graduation Year: 1987

Data Provided By:
Christopher M Meriam, MD
(802) 223-6039
286 Hospital Loop
Berlin, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1990
Hospital
Hospital: Gifford Med Ctr, Randolph, Vt; Central Vermont Med Ctr, Barre, Vt

Data Provided By:
Elizabeth Ann McLarney, MD
(802) 254-7787
17 Belmont Ave
Brattleboro, VT
Specialties
Orthopedics, Sports Medicine-Family Practice
Gender
Female
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1992
Hospital
Hospital: Brattleboro Mem Hosp, Brattleboro, Vt

Data Provided By:
Christian H.g. Bean
(802) 229-2663
130 Fisher Rd
Berlin, VT
Specialty
Orthopedic Surgery

Data Provided By:
Stephanie J Landvater
(802) 223-0014
195 Hospital Loop
Berlin, VT
Specialty
Orthopedic Surgery

Data Provided By:
Christian Howard Bean, MD
(802) 229-2663
286 Hospital Loop
Berlin, VT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Brown Univ Program In Med, Providence Ri 02912
Graduation Year: 1989

Data Provided By:
William E Minsinger
(802) 728-2455
3 Maple St
Randolph, VT
Specialty
Orthopedic Surgery

Data Provided By:
Elizabeth Ann McLarney
(802) 254-7787
17 Belmont Avenue
Brattleboro, VT
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery

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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