Ulnar Collateral Ligament Injury Specialists Valley AL

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Patrick Lee Martin, MD
(334) 756-2207
11 Medical Park
Valley, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1994

Data Provided By:
Frazier Kavanuagh Jones
(334) 749-8303
121 N 20th St
Opelika, AL
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Todd Michael Sheils, MD
(205) 934-4668
121 N 20th St Ste 18
Opelika, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1998

Data Provided By:
David William Scott, MD
(334) 749-8303
PO Box 2125
Opelika, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1977

Data Provided By:
James Rodman Whatley, MD
(334) 749-8303
PO Box 2125
Opelika, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1974

Data Provided By:
Benj Franklin Thomas III, MD
(334) 749-8303
PO Box 2125
Opelika, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Emory Univ Sch Of Med, Atlanta Ga 30322
Graduation Year: 1973

Data Provided By:
Dr.Frazier Jones
(334) 749-8303
121 N 20th St # 18
Opelika, AL
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 2, reviews.

Data Provided By:
P Keith Woodall, DDS
(334) 749-1268
121 N 20th St Ste 20
Opelika, AL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Rodman Whatley
(334) 749-8303
121 North 20th Street # 18
Opelika, AL
Specialty
Orthopedic Surgery

Data Provided By:
Todd Michael Sheils
(334) 749-8303
121 N 20th St
Opelika, AL
Specialty
Adult Reconstructive Orthopaedic Surgery

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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