Ulnar Collateral Ligament Injury Specialists West Columbia SC

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Subhash Patel, MD
(803) 794-9191
110 Medical Ln E Ste 225
West Columbia, SC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Med Coll, Baroda Univ, Baroda, Gujarat, India
Graduation Year: 1970
Hospital
Hospital: Lexington Med Ctr, West Columbia, Sc; William J B Dorn V A Hospital, Columbia, Sc; Palmetto Richland Memorial Hos, Columbia, Sc; Providence Hospital, Columbia, Sc; Palmetto Baptist Med Ctr -Col, Columbia, Sc
Group Practice: Moore Orthopaedic

Data Provided By:
Wendel L Nixon, DDS
(803) 791-7818
143 Medical Cir
West Columbia, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ralph Seer Owings Jr, MD
(803) 227-8000
110 Medical Ln E
West Columbia, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1962
Hospital
Hospital: Lexington Med Ctr, West Columbia, Sc; Palmetto Richland Memorial Hos, Columbia, Sc; Providence Hospital, Columbia, Sc; Palmetto Baptist Med Ctr -Col, Columbia, Sc
Group Practice: Moore Orthopaedic Clinic

Data Provided By:
Walter P Witherspoon, DDS
(803) 796-5300
205 Medical Cir
West Columbia, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kaushal Kishore P Sinha, MD
110 Medical Ln E
West Columbia, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Patna Med Coll, Patna Univ, Bihar, India
Graduation Year: 1966
Hospital
Hospital: Lexington Med Ctr, West Columbia, Sc; Providence Hospital, Columbia, Sc
Group Practice: Sinha Orthopedics

Data Provided By:
Kaushal Kp Sinha
(803) 791-8000
110 Medical Ln E Ste 120
West Columbia, SC
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Barnaby Dedmond
(803) 434-6879
146 N Hospital Dr # 140
West Columbia, SC
Gender
M
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med
Year of Graduation: 2000
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 4, reviews.

Data Provided By:
Earl B Mc Fadden, MD
(803) 794-0014
110 Medical Ln E Ste 225
West Columbia, SC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1982

Data Provided By:
Dr.James McIntosh
(803) 936-7230
146 N Hospital Dr # 104
West Columbia, SC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
Edward Davis, DMD
(803) 534-9555
2842 Sunset Blvd
West Columbia, SC
Specialties
Orthodontics/Dentofacial Orthopedics

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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