Ulnar Collateral Ligament Injury Specialists Boise ID

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Michael J Coughlin
(208) 377-1000
901 N Curtis Rd
Boise, ID
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Michael John Coughlin, MD
(208) 377-1000
901 N Curtis Rd Ste 503
Boise, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1974
Hospital
Hospital: St Alphonsus Reg Med Ctr, Boise, Id; Treasure Valley Hospital, Boise, Id

Data Provided By:
Michael James Gustavel, MD
(208) 336-8250
1188 University Dr
Boise, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1996

Data Provided By:
Dr.Dominic Gross
(208) 846-8616
311 West Idaho Street
Boise, ID
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 1, reviews.

Data Provided By:
Kirk John Lewis, MD
(208) 336-8250
1188 University Dr
Boise, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1979

Data Provided By:
Charles Timothy Floyd, MD
(208) 323-2600
1075 N Curtis Rd Ste 300
Boise, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1982

Data Provided By:
Mark Condon Meier, MD
(208) 378-2868
901 N Curtis Rd Ste 501
Boise, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1981

Data Provided By:
Louis Edward Murdock, MD
600 Robbins Rd Ste 100
Boise, ID
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1988

Data Provided By:
Darby Webb, MD
(208) 323-2600
1075 N Curtis Rd
Boise, ID
Specialties
Orthopedics
Gender
Female
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1997

Data Provided By:
Dennis Raibourn Mc Gee, MD
(208) 383-0201
600 Robbins Rd Ste 401
Boise, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1982
Hospital
Hospital: St Lukes Reg Medctr, Boise, Id
Group Practice: Intermountain Orthopaedics

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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