Ulnar Collateral Ligament Injury Specialists Ottumwa IA

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Frank Butera, DO
(641) 684-2646
1005 Pennsylvania Ave Ste 212
Ottumwa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of New England, Coll Of Osteo Med, Biddeford Me 04005
Graduation Year: 1996

Data Provided By:
Eric Lance Roush, DDS
(641) 682-5439
227 W 4th St Ste 2C
Ottumwa, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jack William Brindley, MD
(641) 682-6438
1005 Pennsylvania Ave Ste 212A
Ottumwa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1967
Hospital
Hospital: Ottumwa Regional Health Center, Ottumwa, Ia
Group Practice: Ottumwa Clinic

Data Provided By:
Edward Guy Lash, MD
(319) 338-3606
2751 Northgate Dr
Iowa City, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1984

Data Provided By:
Edwin T Castaneda
(563) 584-4460
1500 Associates Dr
Dubuque, IA
Specialty
Orthopedic Surgery

Data Provided By:
Donald D Berg
(641) 682-5443
1005 Pennsylvania Ave
Ottumwa, IA
Specialty
Orthopedic Surgery

Data Provided By:
Dwayne J Patritto, DDS
(641) 682-8143
Drs Donovan Roush & Patritto 227 W 4th St
Ottumwa, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Donald Donavon Berg, MD
(641) 682-5443
1005 Pennsylvania Ave Ste 212
Ottumwa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1970
Hospital
Hospital: Ottumwa Regional Health Center, Ottumwa, Ia; Jefferson County Hosp, Fairfield, Ia
Group Practice: Ottumwa Clinic

Data Provided By:
Timothy Allen Gibbons, MD
(641) 422-6630
250 S Crescent Dr
Mason City, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1989

Data Provided By:
Christina M Ward
(319) 356-2383
200 Hawkins Dr
Iowa City, 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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