Ulnar Collateral Ligament Injury Specialists Jacksonville AR

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Charles Conrad Schock, MD
(501) 985-9035
813 Marshall Rd
Jacksonville, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1962

Data Provided By:
Martin Lee Siems, MD
(501) 955-5519
4104 Richards Rd
North Little Rock, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1994

Data Provided By:
Reed Wiseman Kilgore, MD
(501) 955-5519
4104 Richards Rd
North Little Rock, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1980

Data Provided By:
Martin L Siems
(501) 604-6900
4104 Richards Rd
North Little Rock, AR
Specialty
Orthopedic Surgery

Data Provided By:
Alexander Stephen Kita, DDS
(501) 758-9697
Ste 126 2504 Mccain Blvd
N Little Rock, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Thomas Patrick Rooney, MD
(501) 945-4221
4509 E McCain Blvd Ste A
North Little Rock, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1961

Data Provided By:
Thomas Patrick Rooney
(501) 945-4221
4509 E Mccain Blvd
North Little Rock, AR
Specialty
Orthopedic Surgery

Data Provided By:
Joe Walter Crow
(501) 771-1600
4020 Richards Rd
North Little Rock, AR
Specialty
Orthopedic Surgery

Data Provided By:
Joe Walter Crow, MD
(501) 771-1600
3401 Springhill Dr Ste 240
North Little Rock, AR
Specialties
Orthopedics
Gender
Male
Languages
Russian
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1966
Hospital
Hospital: Baptist Mem Med Ctr, N Little Rock, Ar
Group Practice: American Orthopedic Clinic

Data Provided By:
Charles A Redmond, DDS
(501) 753-5594
4137 John F Kennedy Blvd
N Little Rock, AR
Specialties
Orthodontics/Dentofacial Orthopedics

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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