Ulnar Collateral Ligament Injury Specialists Oskaloosa IA

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Sreedhar Somisetty, MD
410 N 12th St
Oskaloosa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Osmania Med Coll, Univ Hlth Sci, Vijayawada, Hyderabad, Ap, India
Graduation Year: 1990

Data Provided By:
Michael Jos Parks, MD
(517) 437-5399
610 N 12th St Ste B
Oskaloosa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1976

Data Provided By:
Dr. Kenneth Van Wyk
Van Wyk Chiropractic Center
(641) 628-3511
911 Washington St
Pella, IA
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Geriatric care,Leg pain,Lower back pain,Migraine headaches,Neck pain,Neuropathy conditions,Sports injuries,Upper back pain,Whiplash
Treatments
Acupuncture,Chiropractic adjustment,Chiropractic care,DiathermyMyofascialDecompression,Natural healing,Spinal manipulation,Ultrasound
Proffesional Affiliation
Iowa Chiropractic Society (ICS),American Chiropractic Association (ACA)

John Leo Mergen, DDS
(515) 573-8351
902 2nd Ave N
Fort Dodge, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ronald H Hanneman, DDS
(319) 283-4981
216 E Charles St
Coralville, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Sreedhar Somisetty
(641) 672-3360
410 N 12th St
Oskaloosa, IA
Specialty
Orthopedic Surgery

Data Provided By:
Daniel Wayne Vande Lune, MD
(641) 621-1390
404 Jefferson St Ste L122B
Pella, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1991
Hospital
Hospital: Mahaska County Hosp, Oskaloosa, Ia
Group Practice: Iowa Orthopedics Ctr

Data Provided By:
Dr. Russell VanHemert
Van Hemert Health Partners P.C.
(641) 628-2099
1310 Washington Street
Pella, IA
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Leg pain,Lower back pain,Neck pain,Upper back pain
Treatments
Chiropractic adjustment,Chiropractic care,Spinal manipulation

Robert Graham Gitchell, MD
(515) 239-4475
PO Box 3014
Ames, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1967

Data Provided By:
Jon Craig Gehrke
(515) 224-1414
6001 Westown Parkway
West Des Moines, IA
Specialty
Orthopedic Surgery

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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