Ulnar Collateral Ligament Injury Specialists Bellaire TX

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Henry Small MD
(713) 864-1506
5420 W Loops S
Bellaire, TX
Specialties
Orthopedics

Data Provided By:
Joseph Fredrick Wade, MD
(931) 388-4276
6565 West Loop S Ste 650
Bellaire, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1989
Hospital
Hospital: Horizon Med Ctr, Dickson, Tn; Maury Regional Hospital, Columbia, Tn
Group Practice: Mid-Tennessee Bone & Joint

Data Provided By:
Charles Lawrence Metzger
(713) 333-9334
5420 West Loop S
Bellaire, TX
Specialty
Hand Surgery

Data Provided By:
David M Wadler, DDS
(713) 667-6000
5001 Bissonnet St Ste 105
Bellaire, TX
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Bruce Milton Miller, MD
(210) 846-0660
4537 Beech St
Bellaire, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Finch U Of Hs/Chicago Med Sch, North Chicago Il 60664
Graduation Year: 1996
Hospital
Hospital: Polly Ryon Hospital Authority, Richmond, Tx
Group Practice: Houston Orthopaedic

Data Provided By:
Christoph Meyer, MD
(713) 484-6200
8200 Wednesbury Ln
Houston, TX
Business
Center for Spinal Reconstruction
Specialties
Orthopedics

Data Provided By:
Rex A Marco
(713) 838-8300
6700 West Loop S
Bellaire, TX
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
David M Bloome
(713) 333-9334
5420 West Loop South
Bellaire, TX
Specialty
Orthopedic Surgery

Data Provided By:
Richard R.M. Francis, MD
(713) 383-7100
5420 W. Loop South, Suite 2500
Bellaire, TX
Specialties
Orthopedics, Spinal Surgery
Gender
Male
Languages
English, Spanish
Education
Graduation Year: 1988

Data Provided By:
Charles Bruce Malone III, MD
(713) 768-1500
4615 Spruce St
Bellaire, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1969
Hospital
Hospital: St Davids Med Ctr, Austin, Tx; Seton Med Ctr, Austin, Tx
Group Practice: Austin Bone & Joint Clinic

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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