Ulnar Collateral Ligament Injury Specialists Great Falls MT

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Aimee V Hachigian Gould, MD
(406) 771-7051
1220 Central Ave Ste 2E
Great Falls, MT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1979
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt

Data Provided By:
Michael Arthur Dube, MD
(406) 771-3155
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1990

Data Provided By:
Gregg Daniel Pike, MD
(406) 771-3167
1400 29th St S
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1999

Data Provided By:
W L Gorsuch, MD
(406) 761-1410
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1980

Data Provided By:
Gregory Scot Tierney, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1988
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt
Group Practice: Great Falls Orthopedic Associates

Data Provided By:
David R Neil, DDS
(406) 761-0314
2525 6Th Ave S
Great Falls, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert C West, DDS
(406) 761-8550
1301 12th Ave S Ste 100
Great Falls, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Howard Avery, MD
(406) 761-2399
401 15th Ave S Ste 110
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1968

Data Provided By:
Alexander Nicholas Chung, MD
(406) 455-3650
500 15th Ave S
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1994

Data Provided By:
Dr.Nicholas Bonfilio
(406) 454-2171
3000 15th Ave S
Great Falls, MT
Gender
M
Education
Medical School: St Louis Univ Sch Of Med
Year of Graduation: 1979
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, 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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