Ulnar Collateral Ligament Injury Specialists North Platte NE

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Mark Kimball Mc Kenzie, MD
(308) 534-6655
3000 W Leota St
North Platte, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1986

Data Provided By:
Peter B Brassard, MD
(308) 534-6655
611 W Francis St Ste 290
North Platte, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1971

Data Provided By:
John W Haugen, DDS
(308) 534-1783
611 W Francis St # 230
North Platte, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dennis P McGowan, MD
(308) 237-0889
1215 First Ave
Kearney, NE
Business
Dennis P McGowan MD
Specialties
Orthopedics

Data Provided By:
Timothy Charles Fitzgibbons, MD
(402) 399-8550
7710 Mercy Rd Ste 224
Omaha, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1973
Hospital
Hospital: Bergan Mercy Med Ctr, Omaha, Ne; Creighton Univ Med Ctr, Omaha, Ne
Group Practice: Gross Iwersen Kratochvil Klein

Data Provided By:
John David Hannah, MD
(308) 534-6655
611 W Francis St Ste 290
North Platte, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1993

Data Provided By:
Benjamin Bissell, MD
North Platte, NE
Specialty
Orthopaedic Sugeon

Data Provided By:
Benjamin Bissell, MD
(308) 534-6655
215 McNeel Lane
North Platte, NE
Specialty
Orthopedic Surgeon, Sports Medicine

Daniel Scott Mulconrey, MD
(402) 559-2258
981080 Nebraska Med Ctr-Ortho,
Omaha, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 2001

Data Provided By:
Carl Scott Humphrey, MD
(415) 392-3225
981080 Nebraska Medical Ctr
Omaha, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 2000

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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