Ulnar Collateral Ligament Injury Specialists Bethany OK

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Harvey C Jenkins Jr., MD
(405) 686-1700
8603 S Western Ave
Oklahoma City, OK
Business
Aria Orthopedics
Specialties
Orthopedics

Data Provided By:
Jerald Milton Gilbert, MD
7530 NW 23rd St
Bethany, OK
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1975

Data Provided By:
Kenneth William Jackson, MD
(703) 383-5400
7301 N Comanche Ave
Warr Acres, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1979

Data Provided By:
Jason C Emerson, DO
Oklahoma City, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ok State Univ, Coll Of Osteo Med, Tulsa, Ok 74107
Graduation Year: 2001

Data Provided By:
Stephen Roy Davenport, MD
(888) 947-0911
3301 NW 50th St
Oklahoma City, OK
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1980

Data Provided By:
Christopher Lee Peters, MD
(405) 440-9689
2916 N McMillan Ave
Bethany, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1988

Data Provided By:
Jack William Balenseifen, DDS
(405) 789-6772
7505 Nw 23Rd St
Bethany, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Amy Lynn Counts, DDS
(405) 271-6087
1001 Stanton L Young Bl # 494
Oklahoma City, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jason C Emerson, DO
(405) 209-8932
3404 NW 20th St
Oklahoma City, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ok State Univ, Coll Of Osteo Med, Tulsa, Ok 74107
Graduation Year: 2001

Data Provided By:
David A Flesher, MD
(405) 947-0911
3301 NW 50th St
Oklahoma City, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1962
Hospital
Hospital: Integris Baptist Med Ctr, Oklahoma City, Ok
Group Practice: Orthopedic Associates

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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