Ulnar Collateral Ligament Injury Specialists Madisonville KY

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Clarence A Temple
(270) 825-7470
200 Clinic Dr
Madisonville, KY
Specialty
Orthopedic Surgery

Data Provided By:
Joseph E Mesa
(270) 825-7200
200 Clinic Dr
Madisonville, KY
Specialty
Orthopedic Surgery

Data Provided By:
Dr.James Donley
(270) 824-6655
44 Mccoy Ave # 442
Madisonville, KY
Gender
M
Education
Medical School: St Louis Univ Sch Of Med
Year of Graduation: 1969
Speciality
Orthopedic Surgeon
General Information
Hospital: Regional Medical Center
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 2, reviews.

Data Provided By:
Joseph Eugene Mesa, MD
200 Clinic Dr Fl 2
Madisonville, KY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1975

Data Provided By:
James A Wells, DMD
(270) 821-0123
1410 Pride Ave
Madisonville, KY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Carpenter Dodds, MD
(270) 824-6617
Multicare Associates Bldg 444 S Main St
Madisonville, KY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1998

Data Provided By:
James M Donley
(270) 824-6655
44 Mccoy Avenue
Madisonville, KY
Specialty
Orthopedic Surgery

Data Provided By:
Carol A Mccraw, DMD
(270) 825-0300
95 YMCA Dr
Madisonville, KY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Michael Donley, MD
(270) 824-6655
5002 Lago Dr
Madisonville, KY
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1969

Data Provided By:
Jon Raymond Love, MD
(270) 825-7401
Trover Clnc 200 Clinic Dr
Madisonville, KY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1956

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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