Ulnar Collateral Ligament Injury Specialists Hockessin DE

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David T Sowa, MD
(302) 731-2888
4745 Ogletown Stanton Rd
Newark, DE
Business
First State Orthopaedics PA
Specialties
Orthopedics

Data Provided By:
Paul Kupcha, MD
(302) 633-3555
1941 Limestone Rd Ste 101
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1986
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De; Christiana Hosp, Newark, De
Group Practice: Delaware Orthopaedic Ctr

Data Provided By:
Peter F Townsend
(302) 633-3555
1941 Limestone Rd
Wilmington, DE
Specialty
Orthopedic Surgery

Data Provided By:
Ray Rafetto, DDS
(302) 239-4600
4901 Limestone Rd
Wilmington, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gary Robert Collins, DDS
(302) 239-3531
5500 Skyline Dr Ste 1 Pike Creek Prof Ctr
Wilmington, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Richard Smoluk, MD
PO Box 550
Hockessin, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1968

Data Provided By:
Michael A Poleck, DDS
(302) 999-0111
5501 Kirkwood Hwy
Wilmington, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Steven M Dellose
(302) 633-3555
1941 Limestone Road
Wilmington, DE
Specialty
Orthopedic Surgery

Data Provided By:
Christopher D Casscells, MD
(302) 832-6222
3505 Silverside Rd Ste 100 Plaza Center
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1981
Hospital
Hospital: St Francis Hosp, Wilmington, De; Christiana Care -Wilmington, Wilmington, De
Group Practice: Casscells & Assoc

Data Provided By:
David Axon
(302) 993-2453
4512 Kirkwood Hwy
Wilmington, DE
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic 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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