Ulnar Collateral Ligament Injury Specialists Hot Springs National Park AR

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Carmella M Knoernschild, DDS
(501) 321-0560
1702 Malvern Ave
Hot Springs, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Earl Mc Wherter, DDS
(501) 321-1239
1348 Central Ave
Hot Springs, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael Joseph Young, MD
(501) 321-2663
PO Box 22150
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1987
Hospital
Hospital: Levi Hosp, Hot Springs, Ar
Group Practice: Orthopaedic Associate-Hot Spgs

Data Provided By:
Bruce Laron Smith Jr, MD
(501) 321-1026
1 Mercy Ln Ste 404
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1974

Data Provided By:
Robert Wayne Kleinhenz, MD
(501) 622-2391
221 McAuley Ct
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1974
Hospital
Hospital: Levi Hosp, Hot Springs, Ar; St Josephs Regional Health Ctr, Hot Springs, Ar; National Park Med Ctr, Hot Springs, Ar
Group Practice: Orthopaedic Associate-Hot Spgs

Data Provided By:
Allen Dale Kincheloe
(501) 624-4411
105 Reserve St
Hot Springs, AR
Specialty
Orthopedic Surgery

Data Provided By:
Allen Dale Kincheloe, MD
(501) 321-1000
PO Box 2220
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1970

Data Provided By:
Robert J Olive, MD
(501) 321-2663
PO Box 22150
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1983

Data Provided By:
Robert James Olive
(501) 321-2663
208 Mcauley Ct
Hot Springs, AR
Specialty
Orthopedic Surgery

Data Provided By:
Michael Joseph Young
(501) 321-2663
208 Mcauley Ct
Hot Springs, AR
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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