Ulnar Collateral Ligament Injury Specialists Red Lion PA

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Jeremy Mathis, DO
Dallastown, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ohio Univ, Coll Of Osteo Med, Athens Oh 45701
Graduation Year: 1999

Data Provided By:
Suzette J Song
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Brian Loren Bixler, MD
(717) 848-4800
2339 S George St
York, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Pa State Univ Coll Of Med, Hershey Pa 17033
Graduation Year: 1993

Data Provided By:
Kirk Nicholas Pandelidis
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialty
Orthopedic Surgery

Data Provided By:
Michael F Mitrick, DO
(717) 848-2297
1750 5th Ave
York, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Chicago Coll Of Osteo Med, Midwestern Univ, Chicago Il 60615
Graduation Year: 1975

Data Provided By:
Bernard H Lauer, DMD
(717) 755-1233
2206 E Market St
York, PA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jeffrey Charles Ragland, DDS
(717) 755-0422
800 Edgewood Rd Ste 1
York, PA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Louis Cohen, MD
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1972
Hospital
Hospital: Memorial Hospital, York, Pa; York Hospital, York, Pa; Healthsouth Rehabilitation Hos, York, Pa
Group Practice: Orthopaedic & Spine Specialists Pc

Data Provided By:
Steven J Triantafyllou
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialty
Orthopedic Surgery

Data Provided By:
Douglas Joseph Hofmann, MD
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1982
Hospital
Hospital: York Hospital, York, Pa
Group Practice: Orthopaedic & Spine Specialists Pc

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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