Ulnar Collateral Ligament Injury Specialists Juneau AK

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Ted L Schwarting
(907) 586-4415
3220 Hospital Drive
Juneau, AK
Specialty
Orthopedic Surgery

Data Provided By:
Alan S Gross
(907) 364-2663
3220 Hospital Dr
Juneau, AK
Specialty
Orthopedic Surgery

Data Provided By:
Daniel Raymond Harrah, MD
(907) 523-9080
3225 Hospital Dr Ste 101-A
Juneau, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1993

Data Provided By:
Gordon R Bozarth
(907) 364-2663
3220 Hospital Dr
Juneau, AK
Specialty
Orthopedic Surgery

Data Provided By:
Ted Lewis Schwarting, MD
(907) 586-4415
3220 Hospital Dr Ste 201
Juneau, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1998

Data Provided By:
Dr.Gordon Bozarth
(907) 364-2663
3220 Hospital Drive #101
Juneau, AK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Bartlett Regional
Accepting New Patients: Yes
RateMD Rating
2.9, out of 5 based on 12, reviews.

Data Provided By:
Alan Stuart Gross, MD
(907) 523-9080
PO Box 210867
Auke Bay, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1989

Data Provided By:
Daniel R Harrah
(907) 364-2663
3220 Hospital Dr
Juneau, AK
Specialty
Orthopedic Surgery

Data Provided By:
James Gregory Gollogly, MD
(907) 452-8181
3260 Hospital Dr
Juneau, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Dublin, Trinity Coll, Sch Of Physic, Dublin, Ireland
Graduation Year: 1972

Data Provided By:
Jon Albert Reiswig, MD
(907) 586-1211
3231 Glacier Hwy
Juneau, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1965
Hospital
Hospital: Bartlett Reg Hosp, Juneau, Ak
Group Practice: Alaska Osteoporosis Imaging

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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