Ulnar Collateral Ligament Injury Specialists Clarksville TN

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David Ross Hardin, MD
(423) 542-2117
3422 Old Timber Rd
Clarksville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1986

Data Provided By:
Steve Gary Salyers, MD
(931) 245-7000
PO Box 3450
Clarksville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1983

Data Provided By:
William F Beauchamp
(931) 552-4340
141 Hillcrest Dr
Clarksville, TN
Specialty
Orthopedic Surgery

Data Provided By:
Keith David Starkweather
(931) 905-1001
331 Landrum Pl
Clarksville, TN
Specialty
Orthopedic Surgery

Data Provided By:
Clark P Searle III, MD
(580) 458-2695
Clarksville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1993

Data Provided By:
Douglas Dwight Porter, MD
(850) 650-0751
141 Hillcrest Dr
Clarksville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1970

Data Provided By:
Keith D Starkweather, MD
(931) 905-1001
331 Landrum Pl
Clarksville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1991

Data Provided By:
Gerald R Karr, DDS
(931) 647-6370
1820 Haynes St
Clarksville, TN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Scott Gibson Blackman, DDS
(931) 647-6370
1820 Haynes St
Clarksville, TN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Joel Barry Nilsson, MD
Clarksville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1994

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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