Ulnar Collateral Ligament Injury Specialists Rogersville TN

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Joe Lynn Henley, DDS
(423) 639-3196
151 Mason St
Greeneville, TN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Richard W Pectol Jr, MD
223 N Main St
Greeneville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: E Tn State Univ J H Quillen Coll Of Med, Johnson City Tn 37614
Graduation Year: 1994

Data Provided By:
Walter Clay Chapman, MD
(423) 639-2103
223 N Main St
Greeneville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1965

Data Provided By:
Thomas M Webster
(423) 639-3157
401 Takoma Ave
Greeneville, TN
Specialty
Orthopedic Surgery

Data Provided By:
D Marshall Jemison, MD
(423) 756-7134
979 E 3rd St
Chattanooga, TN
Business
The Plastic Surgery Group PC
Specialties
Orthopedics

Data Provided By:
Jeanne Rose Pamilla, MD
(423) 638-6713
1420 Tusculum Blvd
Greeneville, TN
Specialties
Orthopedics
Gender
Female
Education
Medical School: Med Coll Of Pa, Philadelphia Pa 19129
Graduation Year: 1968

Data Provided By:
Michael Joseph Menz, MD
(423) 639-2103
1406 Tusculum Blvd
Greeneville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1989

Data Provided By:
Thomas Moore Webster, MD
1241 Tanglewood Dr
Greeneville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1964

Data Provided By:
James D Mc Kinney, MD
(931) 526-9518
438 Vann Road East South
Greeneville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1981

Data Provided By:
Dr.Jeffry Watson
(615) 322-3000
1211 22nd Avenue South
Nashville, TN
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 1, reviews.

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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