Ulnar Collateral Ligament Injury Specialists Dover NH

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Peter A Winkler
(603) 742-9635
660 Central Ave
Dover, NH
Specialty
Hand Surgery

Data Provided By:
John David Bloom, MD
(603) 742-5312
237 Route 108 Ste 205
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1972

Data Provided By:
Dr.Ira Parsons
(603) 742-2007
237 New Hampshire 108 #101
Somersworth, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Mitchell Evan Kalter, MD
(603) 742-2007
237 Route 108
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1983
Hospital
Hospital: Wentworth-Douglass Hospital, Dover, Nh; Frisbie Mem Hosp, Rochester, Nh
Group Practice: Orthopaedic & Trauma Spec

Data Provided By:
Ira Manning Parsons, MD
(603) 397-5588
237 Route 108 Ste 205
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1996

Data Provided By:
Ingvars Janis Vittands, MD
(603) 749-5111
780 Central Ave
Dover, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1964

Data Provided By:
Gavin Robert Webb, MD
(603) 868-2031
237 Route 108
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1999

Data Provided By:
Charles M Blitzer
(603) 742-2007
237 Route 108
Somersworth, NH
Specialty
Orthopedic Surgery

Data Provided By:
Mark J Geppert
(603) 742-2007
237 Route 108
Somersworth, NH
Specialty
Foot & Ankle Surgery

Data Provided By:
Dr.Moby Parsons
237 New Hampshire 108 #205
Somersworth, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.7, out of 5 based on 7, reviews.

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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