Ulnar Collateral Ligament Injury Specialists Bartlesville OK

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Carl Franklin Painter, MD
(918) 331-1653
3550 E Frank Phillips Blvd
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1995
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: Bartlesville Orthopedic Assoc

Data Provided By:
Dr.Carl Painter
(918) 331-1653
4140 Southeast Adams Road
Bartlesville, OK
Gender
M
Education
Medical School: Univ Of Ks Sch Of Med
Year of Graduation: 1995
Speciality
Orthopedic Surgeon
General Information
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Accepting New Patients: Yes
RateMD Rating
2.9, out of 5 based on 4, reviews.

Data Provided By:
Scott D Cochran
(918) 331-1400
3550 E Frank Phillips Blvd
Bartlesville, OK
Specialty
Orthopedic Surgery

Data Provided By:
Jay L Bryngelson
(918) 333-3432
222 Se Debell Ave
Bartlesville, OK
Specialty
Orthopedic Surgery

Data Provided By:
James Wilson Zeiders, MD
(918) 335-1811
222 SE Debell Ave
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1960
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: James W Zeiders Inc

Data Provided By:
Jay Leigh Bryngelson, MD
(918) 333-3432
222 SE Debell Ave
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1975
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: Bartlesville Orthopedic Clinic

Data Provided By:
William D Smith
(918) 335-2511
222 Se Debell Ave
Bartlesville, OK
Specialty
Orthopedic Surgery

Data Provided By:
Sperry G Zervas, DDS
(918) 333-3223
4200 SE Adams Rd
Bartlesville, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
William Dale Smith, MD
(918) 333-3469
222 SE Debell Ave
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1967
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: Internal Medicine Assoc

Data Provided By:
Scott Douglas Cochran, MD
(918) 331-1400
3550 E Frank Phillips Blvd
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1985
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: Bartlesville Orthopedic Assoc

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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