Ulnar Collateral Ligament Injury Specialists South Portland ME

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Douglas Williams Brown, MD
(207) 828-2111
33 Sewall St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1972
Hospital
Hospital: Mercy Hospital, Portland, Me
Group Practice: Orthopedic Associates

Data Provided By:
Eric D Hoffman
(207) 828-2100
33 Sewall St
Portland, ME
Specialty
Orthopedic Surgery

Data Provided By:
Gregory Clarence Pomeroy, MD
(207) 774-3338
254 Western Ave
South Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Royal Coll Of Surgeons In Ireland, Med Sch, Dublin, Ireland
Graduation Year: 1989

Data Provided By:
Raymond R White, MD
(207) 828-2100
33 Sewall St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1977
Hospital
Hospital: Mercy Hospital, Portland, Me; Maine Med Ctr, Portland, Me
Group Practice: Orthopedic Associates

Data Provided By:
John Tighe Chance, MD
(207) 828-2100
33 Sewall St
Portland, ME
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1985
Hospital
Hospital: Maine Med Ctr, Portland, Me
Group Practice: Hand Center

Data Provided By:
Sacha D Matthews
(207) 828-2100
33 Sewall St
Portland, ME
Specialty
Hand Surgery

Data Provided By:
John Jos Padavano, DO
(207) 797-6315
55 Baxter Blvd
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of New England, Coll Of Osteo Med, Biddeford Me 04005
Graduation Year: 1982

Data Provided By:
Vincent N Oliviero, MD
(207) 774-2195
1601 Congress St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1967

Data Provided By:
Richard Reed Gramse, MD
(207) 774-0342
1601 Congress St
Portland, ME
Specialties
Orthopedics, Physical Medicine And Rehabilitation
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1975

Data Provided By:
Stephen J Barr
(207) 774-5113
1601 Congress St
Portland, ME
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic 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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