Ulnar Collateral Ligament Injury Specialists Woodbridge VA

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Edward G Alexander Jr., MD
(703) 461-7100
4801 Kenmore Ave
Alexandria, VA
Business
Northern Virginia Orthopaedic Group
Specialties
Orthopedics

Data Provided By:
Frederick Gerson Stern, DDS
(703) 494-9119
2200 Opitz Blvd Ste 370
Woodbridge, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jahan Joubin, MD
(703) 425-0225
2296 Opitz Blvd
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Shiraz Univ Of Med Sci, Shiraz, Iran
Graduation Year: 1965

Data Provided By:
Richard Lee Layfield III, MD
(952) 746-2529
2280 Opitz Blvd Ste 260
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Fl Coll Of Med, Tampa Fl 33612
Graduation Year: 1997

Data Provided By:
Patrick D Hart, DDS
(703) 491-4278
12600 Lake Ridge Dr
Woodbridge, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ghassem Abolghasem Nejad, MD
(703) 494-3180
2020B Opitz Blvd
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Teheran Univ, Fac Of Med, Teheran, Iran
Graduation Year: 1961

Data Provided By:
Ghassem A Nejad
(703) 690-2970
2020 Optiz Blvd
Woodbridge, VA
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Gerard Ward, MD
(703) 491-2262
2010 Opitz Blvd Ste C
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1973

Data Provided By:
Norman S Levy, DDS
(703) 469-6649
12662 Lake Ridge Dr Ste A
Woodbridge, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Linda T Kirilenko
(703) 576-1419
14450 Smoketown Rd
Woodbridge, VA
Specialty
Hand 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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