Ulnar Collateral Ligament Injury Specialists Pocatello ID

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Richard Allen Wathne, MD
(208) 233-2100
333 N 18th Ave 18th Ave Medical Plaza Ste D1
Pocatello, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1989
Hospital
Hospital: Bannock Reg Med Ctr, Pocatello, Id; Pocatello Reg Med Ctr, Pocatello, Id
Group Practice: Pocatello Orthopaedic & Sports

Data Provided By:
Dr.Aaron Altenburg
298/234-1960
560 Memorial Drive
Pocatello, ID
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Prmc
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
John Robert Davis, DMD
(208) 233-5500
115 S 15th Ave Ste D
Pocatello, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Vermon S Esplin
(208) 234-1960
560 Memorial Dr
Pocatello, ID
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Eric Newhouse, MD
(208) 234-1960
560 Memorial Dr
Pocatello, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1987

Data Provided By:
Robert Glenn Mc Minn, DDS
(208) 232-0464
1133 Call Creek Dr
Pocatello, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Steven Lloyd Coker, MD
(208) 234-1960
560 Memorial Dr
Pocatello, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1991

Data Provided By:
Rufus O Van Dyke, DDS
(208) 237-3330
1501 Bench Rd
Pocatello, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Benjamin Blair
(208) 233-2100
333 N 18th Ave
Pocatello, ID
Specialty
Orthopedic Surgery

Data Provided By:
Steve L Coker
(208) 234-1960
560 Memorial Dr
Pocatello, ID
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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