Ulnar Collateral Ligament Injury Specialists Somerville MA

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Brian J Awbrey MD
(617) 726-3808
151 Merrimac St
Boston, MA
Specialties
Orthopedics

Data Provided By:
James Francis Connor Jr, MD
(617) 864-1924
300 Mount Auburn St Ste 510
Cambridge, MA
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1987

Data Provided By:
Elliott L Thrasher, MD
(617) 491-6766
300 Mount Auburn St Ste 505
Cambridge, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1966

Data Provided By:
Mercedes D Von Deck
(617) 665-1566
1493 Cambridge St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
Jane Catherine Lewis, MD
(617) 497-2070
61 Mooney St
Cambridge, MA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1989

Data Provided By:
Lawrence Ira Karlin, MD
(617) 355-6021
300 Longwood Ave
Boston, MA
Business
Children's Hospital Boston Orthopaedic Surger
Specialties
Orthopedics

Data Provided By:
James G Manson, MD
(617) 491-4122
Cambridge, MA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
William Lipman
(617) 591-4600
1493 Cambridge St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
Joseph E Noonan Jr, MD
(425) 883-5151
1493 Cambridge St
Cambridge, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1984

Data Provided By:
Mercedes D Von Deck, MD
(617) 665-1566
1493 Cambridge St
Cambridge, MA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1992

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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