Ulnar Collateral Ligament Injury Specialists Bear DE

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David T Sowa, MD
(302) 731-2888
4745 Ogletown Stanton Rd
Newark, DE
Business
First State Orthopaedics PA
Specialties
Orthopedics

Data Provided By:
Randeep Kahlon, MD
Newark, DE
Specialty
Orthopaedic Sugeon

Data Provided By:
Dr.David Solacoff
(302) 477-0900
2600 Glasgow Ave # 104
Newark, DE
Gender
M
Education
Medical School: Johns Hopkins Univ Sch Of Med
Year of Graduation: 1993
Speciality
Orthopedic Surgeon
General Information
Hospital: Christiana Care -Wilmington, Wilmington, De
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 2, reviews.

Data Provided By:
David Kenan Solacoff, MD
(302) 832-6220
2600 Glasgow Ave Ste 104
Newark, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1993
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De
Group Practice: Casscells Orthopedics

Data Provided By:
First State Orthopaedics
Newark, DE
Specialty
Orthopaedic Sugeon

Data Provided By:
Ali S Husain, DDS
(609) 838-1400
1400 Peoples Plz Ste 312
Newark, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Angelo Anthony Cairo, DDS
(302) 453-1400
220 Christiana Medical Ctr
Newark, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Victor Ray Kalman, DO
2600 Glasgow Ave
Newark, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Philadelphia Coll Of Osteo Med, Philadelphia Pa 19131
Graduation Year: 1986

Data Provided By:
Jerry Lee Case
(302) 368-5500
430 Christiana Medical Ctr
Newark, DE
Specialty
Orthopedic Surgery

Data Provided By:
Jerry L Case, MD
(302) 368-5500
430 Christiana Medical Ctr
Newark, DE
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1960
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De

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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