Ulnar Collateral Ligament Injury Specialists Bellevue NE

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Wayne A Labart, DDS
(402) 292-4141
1411 J F Kennedy Dr
Bellevue, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jon Robert Shereck
(402) 294-6606
2501 Capehart Rd
Offutt A F B, NE
Specialty
Orthopedic Surgery

Data Provided By:
Charles Eugene Giangarra, MD
(402) 280-4342
3802 Raynor Pkwy
Bellevue, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1981

Data Provided By:
Douglas Patrick Mc Innis, MD
(208) 667-7459
8536 Harrison St
La Vista, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1997

Data Provided By:
Kathleen M Hubley, MD
(402) 559-2258
2826 S 34th St
Omaha, NE
Specialties
Orthopedics
Gender
Female
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 2001

Data Provided By:
Brett Michael Andres, MD
(402) 294-6606
2501 Capehart Rd
Offutt A F B, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1998

Data Provided By:
Jon Robert Shereck, MD
(402) 294-6606
2501 Capehart Rd 55 MDOS/SGOSO
Offutt A F B, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1995

Data Provided By:
Dr.Brian Conroy
(402) 827-9400
1413 S Washington St # 200
Papillion, NE
Gender
M
Education
Medical School: Univ Of Ne Coll Of Med
Year of Graduation: 1995
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Joseph J Hurd, DDS
(402) 339-0506
8900 S 84th St
Papillion, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Alfred Thomas Longo, DDS
(402) 496-9733
1826 N 144th St
Omaha, NE
Specialties
Orthodontics/Dentofacial Orthopedics

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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