Ulnar Collateral Ligament Injury Specialists Wasilla AK

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Charles Jeffrey Kase, MD
(907) 376-3255
950 Bogard Rd Ste 209
Wasilla, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1983

Data Provided By:
Mark Eliot Clyde, MD
(907) 373-6991
561 S Denali St Ste E
Palmer, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1989

Data Provided By:
Richard R Strohmeyer, MD
(907) 745-2663
561 S Denali St Ste E
Palmer, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1975

Data Provided By:
Dr.Gary Benedetti
(907) 745-2663
2490 S Woodworth Loop # 350
Palmer, AK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 6, reviews.

Data Provided By:
Gary Eugene Benedetti
(907) 745-2663
2490 Woodworth Loop
Palmer, AK
Specialty
Orthopedic Surgery

Data Provided By:
Dr.CHARLES KASE
(907) 376-3255
Ste 209, 950 East Bogard Road
Wasilla, AK
Gender
M
Education
Medical School: Uniformed Services Univ Of The Hlth Sci
Year of Graduation: 1983
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
William Todd Pace, MD
(907) 745-2663
561 S Denali St Ste E
Palmer, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1990
Hospital
Hospital: Valley Hosp, Palmer, Ak
Group Practice: Denali Orthopedic Surgery

Data Provided By:
William Todd Pace
(907) 745-2663
2490 S. Woodworth Loop
Palmer, AK
Specialty
Orthopedic Surgery

Data Provided By:
Dr.William Pace
(907) 745-2663
2490 S Woodworth Loop # 350
Palmer, AK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 3, reviews.

Data Provided By:
William Vaughn Gardner, MD
(907) 745-2663
561 S Denali St Ste E
Palmer, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1983
Hospital
Hospital: Valley Hosp, Palmer, Ak
Group Practice: Denali 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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