Ulnar Collateral Ligament Injury Specialists Waupaca WI

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David Michael Henneghan, MD
(715) 342-7950
190 Grand Seasons Dr
Waupaca, WI
Medical School: Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Graduation Year: 1984
Hospital: St Michaels Hospital, Stevens Point, Wi
Group Practice: Ministry Health Care At Rice Medical Center; Rice Medical Center Ministry Health Care

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James Henry De Weerd, MD
(715) 345-5100
190 Grand Seasons Dr
Waupaca, WI
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1972

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Sean P Keane MD
(414) 277-1155
2015 E Newport Ave
Milwaukee, WI

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Thomas Sunil Thomas
(715) 858-0320
3213 Stein Blvd
Eau Claire, WI
Orthopedic Surgery, Orthopaedic Surgery of the Spine

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Richard L Illgen
(608) 263-7540
600 Highland Ave
Madison, WI
Orthopedic Surgery

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Kim Harold Lulloff, MD
Waupaca, WI
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1960

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Dr. Rodney Lefler
Neuroscience Group of NE Wisconsin
920-725-9373 or toll free 800-201-1194
1305 W. American Drive
Neenah, WI
Cervical spine disorders,Degenerative disc disease,Degenerative spinal conditions,Herniated disc / bulging disc,Lumbar spine disorders,Muscle pain / muscle strain,Neck pain,Sciatica / radiculopathy,Scoliosis and deformity,Spinal stenosis,Spondylolisthesis,Sports injuries,Thoracic spine disorders,Whiplash
Exercise,McKenzie Method,Musculoskeletal manipulation,Physical therapy,Rehabilitation,Sports medicine,Strength and Conditioning
Proffesional Affiliation
Wisconsin Chiropractic Association,National Strength and Conditioning Association

Edward Y Lin, DDS
(920) 336-2299
111 Broadview Dr
Green Bay, WI
Orthodontics/Dentofacial Orthopedics

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Roy Eugene Buck, MD
(920) 223-2600
2700 W 9th Ave
Oshkosh, WI
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1964

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Pamela E Glennon
(715) 847-0402
425 Pine Ridge Blvd
Wausau, WI
Hand Surgery

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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

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