Ulnar Collateral Ligament Injury Specialists Las Vegas NV

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G. Michael Elkanich, M.D.
(702) 474-7200
2020 Palomino Lane
Las Vegas, NV
Business
Bone & Joint Specialists
Specialties
Orthopedics, Degenerative Spinal Conditions
Cervical, Thoracic, and Lumbar Fusion
Cervical, Thoracic, and Lumbar Diskectomy
Cervical, Thoracic, and Lumbar Decompression
Total Disk Replacement - Cervical & Lumbar
Endoscopic Spinal Fusion
M
Insurance
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes
Emergency Care: Yes

Doctor Information
Primary Hospital: Valley Medical Center
Residency Training: Stanford University Hosptial & Clinics
Medical School: University Of Arizona College of Medicine, 1997
Additional Information
Member Organizations: North American Spine Society
American Academy of Orthopaedic Surgeons
American Medical Association
State Medical Society
State Orthopaedic Society

Awards: American Board of Orthopaedic Surgeons - Board Certified
Languages Spoken: English,Spanish,Chinese

Data Provided By:
Himansu R Shah
(702) 671-5110
1707 W Charleston Blvd
Las Vegas, NV
Specialty
Hand Surgery

Data Provided By:
Chester W Eskey, MD
(702) 731-1616
1650 Waldman Ave
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Ascar Egtedar, MD
(702) 878-9444
2601 W Charleston Blvd Ste A
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Michael Young Han, MD
2450 W Charleston Blvd
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Stanford Univ Sch Of Med, Stanford Ca 94305
Graduation Year: 1999

Data Provided By:
Archie C Perry, MD
(701) 731-1616
2800 E Desert Inn Rd
Las Vegas, NV
Business
Desert Orthopaedic Center
Specialties
Orthopedics

Data Provided By:
Chester W Eskey, MD FACS
(702) 387-7807
1650 Waldman Ave
Las Vegas, NV
Gender
Male
Education
Medical School: Jefferson
Graduation Year: 1949

Data Provided By:
Gerald Mark Sylvain, MD
(702) 388-1008
3100 W Charleston Blvd
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1991

Data Provided By:
Mark Jesse Saylor, DDS
(702) 870-1350
1350 S Decatur Blvd
Las Vegas, NV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ascar Eghtedar, MD
(702) 878-9444
2601 W Charleston Blvd
Las Vegas, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Teheran Univ, Fac Of Med, Teheran, Iran
Graduation Year: 1959

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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