Ulnar Collateral Ligament Injury Specialists Mound MN

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Dean Curtis Taylor, MD
(952) 831-8742
Victoria, MN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1985

Data Provided By:
Mark Todd Wheaton, MD
(952) 593-0500
21920 Minnetonka Blvd
Excelsior, MN
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1987

Data Provided By:
Michael W Gleysteen, DDS
(952) 473-7037
250 Central Ave N Ste 113
Wayzata, MN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Mark Ellis Friedland
(952) 442-2163
501 S Maple St
Waconia, MN
Specialty
Orthopedic Surgery

Data Provided By:
Robert E Heeter
(952) 442-6525
490 S Maple St
Waconia, MN
Specialty
Orthopedic Surgery

Data Provided By:
James Eugene Johanson, MD
(612) 868-1918
20040 Minnetonka Blvd
Excelsior, MN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1963

Data Provided By:
Lumir C Proshek, MD
(952) 474-5844
3613 Red Cedar Point Rd
Excelsior, MN
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
David Franklin Labadie, MD
(952) 442-6525
490 S Maple St Ste 203
Waconia, MN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1995

Data Provided By:
David Daniel Rotenberg
(952) 442-6525
490 S Maple St
Waconia, MN
Specialty
Orthopedic Surgery

Data Provided By:
Mark Ellis Friedland, MD
(952) 442-2163
501 S Maple St
Waconia, MN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1980

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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