Ulnar Collateral Ligament Injury Specialists Goose Creek SC

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Lee E Hershon, DDS
(843) 723-7242
267 LAKE PARK DR
Charleston, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Harrison Jaskwhich, MD
(205) 888-1343
2880 Tricom St
North Charleston, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1996

Data Provided By:
Dr.Joseph D Thompson Jr.
2891 Tricom Street
Charleston, SC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: St.Francis
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 1, reviews.

Data Provided By:
George Farris Warren
(843) 797-5050
2880 Tricom St
North Charleston, SC
Specialty
Orthopedic Surgery

Data Provided By:
David Harrison Jaskwhich
(843) 797-5050
2880 Tricom St
North Charleston, SC
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Dr.Matthew Kneidel
9100 Medcom Street
Charleston, SC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.5, out of 5 based on 1, reviews.

Data Provided By:
Don Owen Stovall
(843) 266-4873
2880 Tricom St
North Charleston, SC
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Angus M Mc Bryde Jr, MD
(205) 460-7050
5290 Rivers Ave Ste 101
N Charleston, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1963
Hospital
Hospital: Palmetto Richland Memorial Hos, Columbia, Sc; Providence Hospital, Columbia, Sc
Group Practice: University Medical Associates At Medical University Of Sc; University Medical Assocs At Medical University Of Sc; University Specialty Clinics Ort

Data Provided By:
Eric Steven Stem, MD
(843) 572-2663
9100 Medcom St
North Charleston, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1993
Hospital
Hospital: Trident Med Ctr, Charleston, Sc
Group Practice: South Carolina Sports Medicine

Data Provided By:
James Joseph McCoy
(843) 797-5050
2880 Tricom St
North Charleston, SC
Specialty
Orthopedic Surgery

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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