Ulnar Collateral Ligament Injury Specialists Ville Platte LA

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Steven S Nason
(337) 506-3550
4940 Vidrine Rd
Ville Platte, LA
Specialty
Orthopedic Surgery

Data Provided By:
Elemer Raffai, MD
281 Moosa Blvd
Eunice, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ De Montreal, Fac De Med, Montreal, Que, Canada
Graduation Year: 1993

Data Provided By:
Thomas Reed Butaud, MD
(337) 942-6503
4015 I 49 S Service Rd
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In Shreveport, Shreveport La 71130
Graduation Year: 1977

Data Provided By:
R Luke Bordelon, MD
(337) 942-5545
1212 E Prudhomme St
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Vikram Singh Parmar, MD
(650) 280-3415
703 E Prudhomme St
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1995

Data Provided By:
Stephen Sanborn Nason, MD
P O Drawer 960
Ville Platte, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1967

Data Provided By:
Joseph Frazer Gaar, MD
(337) 942-6503
4015 I 49 S Service Rd
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1966

Data Provided By:
Malcolm J Stubbs
(337) 942-6503
4015 Hwy I-49 South Service Rd
Opelousas, LA
Specialty
Orthopedic Surgery

Data Provided By:
Gary Lee Porubsky, MD
(337) 942-6503
4015 I 49 S Service Rd
Opelousas, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1978

Data Provided By:
Gary L Porubsky
(337) 942-6503
4015 Hwy I-49 South Service Rd
Opelousas, LA
Specialty
Orthopedic 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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