Ulnar Collateral Ligament Injury Specialists Byhalia MS

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Ivan Bryant Hirsberg, DDS
(662) 895-4070
8925 Goodman Rd
Olive Branch, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Tommy N Whited, DDS
(901) 367-2316
6747 E Shelby Dr
Memphis, TN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Patrick M Curlee
(901) 730-0681
1500 W Poplar Ave
Collierville, TN
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Ana Katrina Palmieri
(901) 850-1150
1458 W Poplar Ave
Collierville, TN
Specialty
Orthopedic Surgery

Data Provided By:
Susan M Austin
(901) 850-9543
1500 W Poplar Ave
Collierville, TN
Specialty
Orthopedic Surgery

Data Provided By:
William Harold Knight, MD
(901) 725-5136
4816 Riverdale Rd
Memphis, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1978
Hospital
Hospital: Methodist Univ Hosp, Memphis, Tn
Group Practice: Memphis Orthopaedic Group

Data Provided By:
Ana K Palmieri Sevier, MD
(901) 396-0103
1500 W Poplar Ave Ste 201
Collierville, TN
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1994

Data Provided By:
Gregory H Bouldien, DDS
(901) 854-0222
793 W Poplar Ave
Collierville, TN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Douglas A Linville III, MD
(901) 767-9500
1500 W Poplar Ave
Collierville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1991

Data Provided By:
John R Crockarell Jr, MD
(901) 861-2645
2645 Halle Pkwy
Collierville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1991

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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