Ulnar Collateral Ligament Injury Specialists Mitchell SD

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Robert Ernest Mc Whirter, MD
(605) 996-7077
1222 E 7th Ave
Mitchell, SD
Specialties
Orthopedics, Emergency Medicine
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1972
Hospital
Hospital: Platte Comm Memorial Hospital, Platte, Sd; Queen Of Peace Hospital, Mitchell, Sd
Group Practice: Mitchell Orthopaedic Ctr

Data Provided By:
Marcia Nelsen, MD
(605) 996-5903
2200 N Kimball St Ste 1050
Mitchell, SD
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1982
Hospital
Hospital: Sacred Heart Health Services, Yankton, Sd; Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Praireland Orthopaedics

Data Provided By:
Daniel C Johnson
(605) 668-8780
1000 W 4th St
Yankton, SD
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Robert Suga
(605) 331-5890
810 E 23rd St # 5000
Sioux Falls, SD
Gender
M
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd
Year of Graduation: 1981
Speciality
Orthopedic Surgeon
General Information
Hospital: Mc Kennan Hospital, Sioux Falls, Sd
Accepting New Patients: Yes
RateMD Rating
3.1, out of 5 based on 8, reviews.

Data Provided By:
Dr.Mark L. Harlow
(605) 341-1414
7220 S Hwy 16
Rapid City, SD
Gender
M
Education
Medical School: Med Coll Of Wi
Year of Graduation: 1986
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Felix Flores Ungacta, MD
625 N Foster St
Mitchell, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1994
Hospital
Hospital: Sioux Valley Hospital, Sioux Falls, Sd

Data Provided By:
Dale R Anderson
(605) 341-1122
101 E Minnesota St
Rapid City, SD
Specialty
Orthopedic Surgery

Data Provided By:
Franklin G Alvine
(605) 336-2638
2908 E 26th St
Sioux Falls, SD
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Dr.Timothy M Zoellner
(605) 331-5890
810 E 23rd St # 5000
Sioux Falls, SD
Gender
M
Education
Medical School: Med Coll Of Wi
Year of Graduation: 1982
Speciality
Orthopedic Surgeon
General Information
Hospital: Mc Kennan Hospital, Sioux Falls, Sd
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 4, reviews.

Data Provided By:
Bradley Ray Plaga, MD
(605) 331-5890
810 E 23rd St
Sioux Falls, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1984

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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