Ulnar Collateral Ligament Injury Specialists San Marcos TX

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James Keith Baker
(512) 353-8658
1305 Wonder World Drive
San Marcos, TX
Specialty
Orthopedic Surgery

Data Provided By:
William Chas Nemeth, MD
1305 Wonder World Dr Ste 100
San Marcos, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1973

Data Provided By:
Stephen Mark Norwood, MD
(512) 353-8661
1305 Wonder World Dr Ste 100
San Marcos, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1982

Data Provided By:
Craig Thomas Hatton, MD
(512) 301-5350
1305 Wonder World Dr Ste 100
San Marcos, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1982

Data Provided By:
Martin W Stratemann, DDS
(830) 625-4617
550 Comal Ave
New Braunfels, TX
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Stanley Arch Ault, DDS
(512) 396-5151
217-C M Allen Pkwy
San Marcos, TX
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gerard M Pennington, MD
(512) 353-8661
1305 Wonder World Dr Ste 100
San Marcos, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1983

Data Provided By:
Kermit Nevaro Welch, DDS
(512) 396-8000
321 S L B J Dr
San Marcos, TX
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David W Starch
(830) 625-3481
705 Landa
New Braunfels, TX
Specialty
Orthopedic Surgery

Data Provided By:
David W Starch, MD
705 Landa St Ste C
New Braunfels, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduation Year: 1995

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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