Ulnar Collateral Ligament Injury Specialists Orem UT

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Richard Taylor Jackson, MD
(801) 374-2362
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1974
Hospital
Hospital: Mountain View Hospital, Payson, Ut
Group Practice: Central Ut Osteoporosis Ctr

Data Provided By:
Brian G Graf, DMD
(801) 375-9105
419 N Orem Blvd
Orem, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael Christopher Gardner, DDS
(801) 226-6611
1692 N State St
Orem, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kirt Michael Kimball, MD
(801) 489-3291
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1974

Data Provided By:
Scott Taylor Jackson, MD
(801) 489-3291
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1982
Hospital
Hospital: Utah Valley Reg Med Ctr, Provo, Ut
Group Practice: Central Utah Med Clinic; Rockwood Clinic Ps

Data Provided By:
Jon B Bishop
(801) 802-0120
700 W 800 N
Orem, UT
Specialty
Hand Surgery

Data Provided By:
Devon Ammon Nelson, MD
(801) 224-5373
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1973

Data Provided By:
Robert Taylor Jackson, MD
(801) 224-5373
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1974
Hospital
Hospital: Mountain View Hospital, Payson, Ut
Group Practice: Central Utah Multi-Specialty

Data Provided By:
Joseph Lewis Richey, MD
(801) 224-5373
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1985

Data Provided By:
Norman Green Jorgensen, DDS
(801) 225-7002
560 S State St Ste M1
Orem, UT
Specialties
Orthodontics/Dentofacial Orthopedics

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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