Ulnar Collateral Ligament Injury Specialists Godfrey IL

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John Edmond Stirnaman, MD
(618) 462-1201
PO Box 1091
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1975
Hospital
Hospital: Alton Mem Hosp, Alton, Il
Group Practice: Alton Orthopedic Clinic

Data Provided By:
Randall John Rogalsky, MD
(618) 463-8555
1 Professional Dr Ste 120
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Manitoba, Fac Of Med, Winnipeg, Man, Canada
Graduation Year: 1980

Data Provided By:
Randall J Rogalsky
(618) 463-8555
1 Professional Dr
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
Bruce T Vest
(618) 474-8052
4411 Alby St
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
James Edward Segrist, MD
(618) 462-1722
533 E 3rd St
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1977

Data Provided By:
Kimberly D Haug, DDS
(618) 463-7002
2411 Morning Star Dr
Alton, IL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
William C Heintz, DDS
(618) 465-7423
2716 Corner Ct
Alton, IL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Bruce Thomas Vest, MD
(618) 474-8052
4411 Alby St
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1985

Data Provided By:
James E Segrist
(618) 462-1722
533 E 3rd St
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
Michael Murray Taylor, MD
(618) 462-1201
PO Box 1091
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1973
Hospital
Hospital: Alton Mem Hosp, Alton, Il
Group Practice: Alton Orthopedic Clinic

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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