Ulnar Collateral Ligament Injury Specialists North Augusta SC

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Mercer T Bridges, MD FACS
618 Bramble Rd
North Augusta, SC
Gender
Male
Education
Medical School: Georgia
Graduation Year: 1963

Data Provided By:
LeRoy Fullerton, Jr, MD
Augusta, GA
Specialty
Orthopaedic Sugeon

Data Provided By:
Samuel Ray Schroerlucke
(706) 721-1801
1120 15th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Brad Freidinger, MD
(706) 721-2846
1120 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Thomas Edward Bailey Jr, MD
(706) 722-3401
811 13th St Ste 20
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1972

Data Provided By:
Paul James Herzwurm, MD
(706) 722-3401
811 13th St Bldg 3 Ste 20
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1986

Data Provided By:
Leroy Robert Fullerton
(706) 722-3401
811 13th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Joseph Paul Rectenwald
(706) 722-3401
811 13th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Kevin Joseph Oshea, MD
(706) 722-3401
811 13th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1992

Data Provided By:
Douglas Brian Kasow, DO
(706) 721-2849
1120 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Sch Of Osteo Med, Lewisburg Wv 24901
Graduation Year: 2001

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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