Ulnar Collateral Ligament Injury Specialists Meriden CT

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Joseph C Wu, MD
(203) 752-3100
60 Temple St
New Haven, CT
Business
Center for Orthopaedics PC
Specialties
Orthopedics

Data Provided By:
Dr.Paul H Zimmering
(203) 235-3347
455 Lewis Ave # 101
Meriden, CT
Gender
M
Education
Medical School: Brown Univ Program In Med
Year of Graduation: 1979
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Ira Lawrence Spar, MD
(860) 628-8789
36 Chamberlain Hwy
Berlin, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1968

Data Provided By:
Leonard Allen Kolstad, MD
(203) 265-3280
85 Barnes Rd Ste 303
Wallingford, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1976

Data Provided By:
Alfredo Luis Axtmayer
(203) 265-9122
8 Research Pkwy
Wallingford, CT
Specialty
Orthopedic Surgery

Data Provided By:
Jon Christopher Driscoll, MD
(203) 265-3280
455 Lewis Ave
Meriden, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1995

Data Provided By:
Robert Paul Dudek, MD
(203) 265-3280
85 Barnes Rd
Wallingford, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1982

Data Provided By:
C Robert Biondino, MD
(203) 265-3280
85 Barnes Rd Ste 303
Wallingford, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1969

Data Provided By:
Russell A Chiappetta, MD
(860) 628-4719
360 N Main St Ste 12
Southington, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1977
Hospital
Hospital: New Britain Gen Hosp, New Britain, Ct; Bradley Mem Hosp And Health Ct, Southington, Ct

Data Provided By:
Dr.Ronald Paret
(203) 272-8535
85 Barnes Rd # 303
Wallingford, CT
Gender
M
Education
Medical School: Hahnemann Univ Sch Of Med
Year of Graduation: 1981
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 3, reviews.

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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