Ulnar Collateral Ligament Injury Specialists Fairbanks AK

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Bradford M Matthews
(907) 353-5418
1060 Gaffney Rd # 7440
Ft Wainwright, AK
Specialty
Orthopedic Surgery

Data Provided By:
Robert Denison Dingeman
(907) 452-2663
751 Old Richardson Hwy
Fairbanks, AK
Specialty
Orthopedic Surgery

Data Provided By:
George Richard Vrablik, MD
(907) 452-5771
1919 Lathrop St Ste 108
Fairbanks, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1974
Hospital
Hospital: Fairbanks Mem Hosp/Denali Ctr, Fairbanks, Ak

Data Provided By:
Robert Denison Dingeman, MD
(907) 452-2663
751 Old Richardson Hwy Ste 101
Fairbanks, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1972
Hospital
Hospital: Fairbanks Mem Hosp/Denali Ctr, Fairbanks, Ak

Data Provided By:
Ross Nathan Brudenell
(907) 451-6561
751 Old Richardson Hwy
Fairbanks, AK
Specialty
Orthopedic Surgery

Data Provided By:
David Meyer
(907) 353-5418
1060 Gaffney Rd, #7440
Ft. Wainwright, AK
Specialty
Orthopedic Surgery

Data Provided By:
Walter J Babula, DDS
(907) 452-2939
1919 Lathrop St Ste 102
Fairbanks, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Richard Henry Cobden, MD
(907) 374-6602
506 Gaffney Rd Ste 200
Fairbanks, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1967
Hospital
Hospital: Fairbanks Mem Hosp/Denali Ctr, Fairbanks, Ak
Group Practice: Tanana Valley Clinic

Data Provided By:
Robert David Beck
(907) 458-5525
1650 Cowles St
Fairbanks, AK
Specialty
Orthopedic Surgery

Data Provided By:
David Matthew Witham, MD
(907) 459-3573
1001 Noble St
Fairbanks, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1982

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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