Ulnar Collateral Ligament Injury Specialists Bristol CT

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Chang Song Choi
(860) 589-6919
46 Goodwin Street
Bristol, CT
Specialty
Orthopedic Surgery

Data Provided By:
Chang Song Choi, MD
(860) 589-6919
PO Box 1239
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Seoul Natl Univ, Coll Of Med, Chongno-Ku, Seoul, So Korea
Graduation Year: 1958

Data Provided By:
Timothy P Mc Laughlin, MD
(860) 589-3766
25 Newell Rd Ste C14
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1980

Data Provided By:
Scott William Organ, MD
(860) 582-6603
641 Clark Ave
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1989

Data Provided By:
Michael Thomas Legeyt
(860) 583-6500
255 N Main St
Bristol, CT
Specialty
Hand Surgery

Data Provided By:
Carl David Bomar, MD
(860) 584-1113
232 Maxine Rd
Bristol, CT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1974

Data Provided By:
Armann O Ciccarelli
(860) 583-1845
291 Queen St
Bristol, CT
Specialty
General Surgery, Hand Surgery

Data Provided By:
Vipul Dua, MD
(860) 583-1107
25 Newell Rd Ste E31
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Maulana Azad Med Coll, Univ Of Delhi, New Delhi, Delhi, India
Graduation Year: 1984

Data Provided By:
Michael Edward Cucka, MD
(860) 582-6603
641 Clark Ave
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Rush Med Coll Of Rush Univ, Chicago Il 60612
Graduation Year: 1988

Data Provided By:
Michael Thomas Legeyt, MD
(860) 583-6500
255 N Main St
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ct Sch Of Med, Farmington Ct 06032
Graduation Year: 1992

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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