Ulnar Collateral Ligament Injury Specialists Dodge City KS

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Alexander Baxter Neel, MD
(620) 225-7744
2300 N 14th Ave Ste 104
Dodge City, KS
Orthopedics, General Surgery
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1982
Hospital: Pratt Reg Med Ctr, Pratt, Ks; Western Plains Reg Hosp, Dodge City, Ks
Group Practice: Orthopedics & Sports Medicine

Data Provided By:
Alok Shah
(620) 227-1371
2020 Central Ave
Dodge City, KS
Orthopedic Surgery

Data Provided By:
John Nicholas Vani, MD
(913) 788-7111
8919 Parallel Pkwy Ste 270
Kansas City, KS
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1993
Hospital: Baptist St Anthonys Health Sys, Amarillo, Tx; Northwest Texas Hospital, Amarillo, Tx

Data Provided By:
Steven D Malmstrom, DDS
(785) 232-2821
1520 SW Topeka Blvd
Topeka, KS
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gerald R McNamara
(913) 381-5225
10701 Nall Ave
Overland Park, KS
Orthopedic Surgery

Data Provided By:
Richard J Ackerman, DDS
(620) 227-2234
705 1st Ave Ste B
Dodge City, KS
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kenneth Jansson
(316) 631-1600
2778 N Webb Rd
Wichita, KS
Advanced Orthopaedics Associates
Orthopedics, Sports Medicine, Arthroscopic Surgery
Insurance Plans Accepted: Almost all insurance plans accepted.
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes

Doctor Information
Primary Hospital: Kansas Surgery and Recovery Center; Surgicare of Wichita
Residency Training: Wilford Hall USAF Medical Center, Lackland AFB, TX
Medical School: Darthmouth, 1982
Additional Information
Member Organizations: American College of Sports Medicine American Medical Association American Medical Society for Sports Medicine American Orthopaedic Society for Sports Medicine Arthroscopy Association of North America Fellow American Academy of Orthopaedic Surgeo

Data Provided By:
George Lamoyne Lucas, MD
(316) 689-9111
1010 N Kansas St
Wichita, KS
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1961
Hospital: Wesley Med Ctr, Wichita, Ks; Via Christi Reg Med Ctr -St F, Wichita, Ks
Group Practice: Wichita Clinic

Data Provided By:
Jean-Louis Gabriel
(316) 613-4640
1947 Founders St
Wichita, KS
Hand Surgery

Data Provided By:
McPherson Scott Beall
(913) 642-0200
10777 Nall Ave
Overland Park, KS
Orthopedic Surgery

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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

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