71 results match your criteria: "Gamekeeper's Thumb"
Thumb Metacarpophalangeal Joint Kinematics and Elongation of the Ulnar Collateral Ligament.
J Hand Surg Am
January 2024
Orthopädische Chirurgie München, München, Germany.
Purpose: The purpose of the study was to determine if the sphericity of the thumb metacarpophalangeal (MCP) joint influences the joint's rotational axis (RA) and elongation patterns of the ulnar collateral ligament (UCL).
Methods: Ulnar collateral ligament origins and attachments of 28 fresh-frozen cadaveric thumbs were marked with a radiopaque marker. Lateral radiographs were obtained in neutral and 20°, 40°, and 60° of flexion.
Pseudo-Stener lesion due to proximal ulnar collateral ligament rupture: A case report.
Int J Surg Case Rep
May 2023
Valley Consortium for Medical Education, Modesto, CA, USA.
Article Synopsis
- Ulnar collateral ligament (UCL) ruptures, common in the thumb, often occur at the distal insertion; partial tears can be managed non-operatively, but complete ruptures typically require surgery due to the risk of a Stener lesion, where the ligament is trapped and can't heal properly.
- A case study highlights a 63-year-old woman with thumb instability and pain, initially misdiagnosed with a Stener lesion, but later found to have granulation tissue instead.
- The patient underwent successful UCL repair and regained full daily activity after six weeks, illustrating the importance of addressing ligament injuries to maintain joint stability and prevent future complications like decreased grip strength or osteoarthritis.
Thumb metacarpophalangeal joint morphology and reconstruction of the ruptured ulnar collateral ligament.
J Hand Surg Eur Vol
September 2023
Department of Orthopedic and Trauma Surgery, University Hospital of Cologne, Cologne, Germany.
Article Synopsis
- * Twenty-four fresh-frozen thumbs were tested to evaluate flexion, extension, and valgus stability before and after four different reconstruction methods were applied.
- * Findings revealed that in flat joints, only the Glickel and modified Fairhurst methods preserved normal stability, whereas in round joints, only the Glickel method was effective.
Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injuries: Management and Biomechanical Evaluation.
J Am Acad Orthop Surg
January 2023
From the Georgia Hand, Shoulder & Elbow, Atlanta, GA (Chang), the Department of Orthopedic Surgery, NYU Langone Health, New York, NY (Merkow and Glickel), and the Department of Orthopedic Surgery, NYU Long Island School of Medicine, Mineola, NY (Bookman).
Article Synopsis
- * Diagnosis typically relies on physical examinations, but can also include imaging techniques like stress radiographs or MRIs to identify the severity of the injury, including potential "Stener lesions" from complete ruptures.
- * Surgical treatments, including new methods like suture tape augmentation, provide good results with minimal complications, although there's limited research on long-term success compared to traditional methods.
A Comparison of Acute Versus Chronic Thumb Ulnar Collateral Ligament Surgery Using Primary Suture Anchor Repair and Local Soft Tissue Advancement.
J Hand Surg Glob Online
May 2022
Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger Musculoskeletal Institute, Danville, PA.
Article Synopsis
- The study aimed to evaluate patient satisfaction and functional outcomes of a specific surgical repair technique (suture anchor repair with local soft tissue advancement) for thumb ulnar collateral ligament (UCL) injuries, both acute and chronic.
- A retrospective review was conducted on 36 patients who underwent surgery between 2006 and 2013, documenting their demographics, pain scores, functional assessments, and return to activities post-surgery.
- Results indicated that both acute and chronic injury groups experienced comparable levels of pain, function, and satisfaction post-operation, suggesting that the repair technique is a safe and effective treatment for thumb UCL injuries, including those that are chronic.
Evaluation and Management of Hand, Wrist and Elbow Injuries in Ice Hockey.
Open Access J Sports Med
April 2020
Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, New York, NY, USA.
Article Synopsis
- - Ice hockey is a globally popular and intense contact sport, but its physical nature increases the risk of injuries among players.
- - During the 2010 Winter Olympics, men's ice hockey reported the highest injury rates of all sports.
- - The review discusses strategies for evaluating and managing common hand, wrist, and elbow injuries in ice hockey players, while calling for further research on the frequency and outcomes of these injuries.
Thumb Metacarpophalangeal Ulnar and Radial Collateral Ligament Injuries.
Clin Sports Med
April 2020
Atrium Musculoskeletal Institute, OrthoCarolina, 1915 Randolph RD, Charlotte, NC 28207, USA. Electronic address:
Article Synopsis
- - **Thumb collateral ligament injuries are frequent in athletes and typically happen due to forced bending or overstretching of the thumb.**
- - **Treatment depends on the severity of the injury and whether there are related issues like a Stener lesion or significant bone fracture.**
- - **Surgery timing is crucial and should involve discussion between surgeons and athletes, with recovery plans tailored to the individual injury and sport.**
Thumb Ulnar Collateral Ligament Repair with Suture Tape Augmentation.
J Hand Surg Asian Pac Vol
March 2020
Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA.
Article Synopsis
- This study focuses on a technique for repairing the thumb's ulnar collateral ligament (UCL) using suture tape augmentation, aiming to evaluate its short-term outcomes.
- Out of 15 patients treated, 87% participated in follow-ups, showing that both acute and chronic tear patients had good range of motion and grip strength in their thumbs post-surgery.
- Overall, the results suggest that this repair method yields comparable outcomes to other techniques, potentially leading to quicker recovery times without major complications.
Injuries to the Collateral Ligaments of the Metacarpophalangeal and Interphalangeal Joints: Sonographic Appearance.
J Ultrasound Med
September 2018
Cabinet Imagerie Médicale, Geneva, Switzerland.
Article Synopsis
- * The article provides guidelines for doctors on using ultrasound to examine these ligament injuries, detailing different types of ligament tears.
- * It highlights specific injuries like gamekeeper's thumb and skier's thumb, emphasizing that ultrasound is a useful method for diagnosis and understanding the severity of these injuries.
Article Synopsis
- A study was conducted to analyze the biomechanical strength of a thumb ulnar collateral ligament (UCL) repair using a 2-anchor technique compared to an intact UCL.
- Nine paired hands were tested, with one thumb in each pair serving as a control (untouched UCL) and the other undergoing the 2-anchor repair, which was then tested to failure.
- Results showed that the repaired UCL was significantly weaker than the intact UCL, indicating that the 2-anchor repair did not successfully restore the original strength of the ligament.
Chronic instability of the thumb metacarpo-phalangeal joint: Seven-year outcomes of three surgical techniques.
Orthop Traumatol Surg Res
October 2017
Unité de chirurgie de la main et du membre supérieur, services de chirurgie orthopédique 1 et 2, hôpital Trousseau, CHRU de Tours, avenue de la République, 37170 Chambray-lès-Tours, France.
Article Synopsis
- Severe thumb metacarpo-phalangeal joint (TMCPJ) injuries are commonly overlooked but have better outcomes if treated early; chronic instability can result from missed diagnoses.
- A study comparing three surgical methods (primary repair, ligament reconstruction, and arthrodesis) on patients with chronic TMCPJ instability found that arthrodesis yielded better pain relief and strength results.
- Primary repair should be the first choice when feasible, as it leads to higher overall satisfaction compared to ligament reconstruction, which had a notable failure rate.
Long-Term Outcomes of Primary Repair of Chronic Thumb Ulnar Collateral Ligament Injuries.
Hand (N Y)
September 2016
Mayo Clinic, Rochester, MN, USA.
Article Synopsis
- The study investigates the long-term effectiveness of repairing the ulnar collateral ligament (UCL) in the thumb compared to full reconstruction for injuries that have persisted for over six weeks.
- A follow-up was conducted with 12 out of 21 patients who had the repair over 15 years ago, with an average follow-up of 24.5 years; 88% showed signs of osteoarthritis.
- Results indicated that older patients and those with higher disability scores (DASH) had more severe osteoarthritis, while the timing of treatment didn’t affect the radiographic results.
Current status of ultrasonography of the finger.
Ultrasonography
April 2016
Department of Radiology, Incheon Baek Hospital, Incheon, Korea.
Article Synopsis
- Recent advancements in high-resolution transducers have improved the ultrasonographic evaluation of small structures, like fingers, making the process quicker and easier.
- Understanding the normal anatomy and common pathologies of the finger is crucial for effectively utilizing these ultrasonography advancements.
- The review highlights various finger conditions such as sagittal band injuries, mallet finger, and flexor tendon tears, providing essential knowledge for radiologists.
Simultaneous Bilateral Functional Radiography in Ulnar Collateral Ligament Lesion of the Thumb: An Original Technique.
Am J Orthop (Belle Mead NJ)
August 2015
Department of Orthopaedic Surgery, University General Hospital of Ciudad Real, Ciudad Real, Spain.
In any thumb injury, particularly one caused by hyperabduction, an ulnar collateral ligament lesion (gamekeeper's or skier's thumb) must be considered. If the diagnosis is suspected, and radiographs show no fracture, comparative radiographs should be obtained in forced valgus. This examination, which uses a stress test to cause joint tilt, is crucial in making an accurate diagnosis and deciding on the most appropriate therapeutic approach.
View Article and Find Full Text PDFThumb ulnar collateral and radial collateral ligament injuries.
Clin Sports Med
January 2015
Hand Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8233, St Louis, MO 63110, USA. Electronic address:
Article Synopsis
- Thumb ligament injuries, especially in athletes, often involve the ulnar and radial collateral ligaments, which are crucial for thumb stability and motion.
- Acute tears, like skier's thumb, happen from sudden forces on the thumb, with ulnar tears from radial forces and vice versa.
- Clinical assessment of joint instability helps categorize these injuries and influences treatment, with surgical repairs leading to positive recovery outcomes for athletes.
Gamekeeper's thumb--a treatment-oriented magnetic resonance imaging classification.
J Hand Surg Am
January 2015
Christine M. Kleinert Institute, Louisville, KY. Electronic address:
Article Synopsis
- A study used MRI to assess ulnar collateral ligament (UCL) injuries in order to classify them and identify which cases need surgery.
- Researchers analyzed 43 cases and created a 4-type classification based on the degree of ligament displacement, linking it to clinical outcomes.
- Results showed that UCL tears with minimal to moderate displacement could heal with immobilization, while significant displacement (over 3 mm) and Stener lesions almost always required surgical intervention.
Return to football and long-term clinical outcomes after thumb ulnar collateral ligament suture anchor repair in collegiate athletes.
J Hand Surg Am
October 2014
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA. Electronic address:
Article Synopsis
- The study aimed to assess how collegiate football athletes recover and return to play after suffering a complete injury to the thumb ulnar collateral ligament (UCL) that was treated with a suture anchor repair over a minimum of two years follow-up.
- Researchers reviewed data from 18 athletes, including both skill and non-skill position players, to track their recovery, return to play time, and their Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores, which assess functional ability.
- Findings revealed that all players returned to their previous level of competition, with skill position players experiencing quicker surgeries but returning to play later than non-skill players, while both groups showed excellent long-term clinical outcomes regardless of the
Injury to ulnar collateral ligament of thumb.
Orthop Surg
February 2014
Department of Orthopaedics, Jalan Batu Hampar, Bukit Baru, Malaysia.
Article Synopsis
- - The ulnar collateral ligament (UCL) injury of the thumb can lead to severe complications if not treated correctly, and is often overlooked by healthcare professionals, especially in emergency settings.
- - Though commonly associated with skiing, UCL injuries can occur in various sports, as well as in everyday activities like handshakes, resulting from excessive stress on the thumb joint.
- - Diagnosis typically relies on clinical evaluation, with MRI being the preferred imaging method, and treatment options vary based on injury specifics, including severity, location, and patient factors, which are crucial for optimal recovery.
The influence of thumb metacarpophalangeal joint rotation on the evaluation of ulnar collateral ligament injuries: a biomechanical study in a cadaver model.
J Hand Surg Am
March 2014
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina. Electronic address:
Article Synopsis
- The study aimed to understand how the positioning of the thumb MCP joint (either pronated or supinated) affects the perceived stability of the ulnar collateral ligament (UCL) during stress testing.
- Testing involved 12 specimens under various conditions, with results showing that different thumb positions significantly altered the stability readings, possibly leading to misdiagnoses of UCL injuries.
- The conclusion highlighted the importance of accurate evaluations, recommending that clinicians standardize testing conditions by keeping the thumb MCP joint in a neutral position to avoid misinterpretation of ligament stability.
Fluoroscopy-assisted stress testing of the thumb metacarpophalangeal joint to assess the ulnar collateral ligament.
Hand (N Y)
June 2013
Department of Orthopaedic Surgery, Maimonides Medical Center, 927 49th St., Brooklyn, NY 11219 USA.
Background: Diagnostic stress testing of ulnar collateral ligament (UCL) injuries of the thumb metacarpophalangeal (MCP) joint is pivotal to determining treatment. Comparison to the uninjured extremity and fluoroscopy-assisted examination are readily available modalities in the assessment of these patients, with 5-10° differences impacting treatment. Comparative examination, however, assumes that both extremities are normally equal, which has never been verified experimentally.
View Article and Find Full Text PDFThe athlete's hand: ligament and tendon injury.
Semin Musculoskelet Radiol
September 2012
Department of Medical Imaging, University of Arizona Medical Center, Tucson, Arizona 85724-5067, USA.
Article Synopsis
- - Hand injuries make up about 20% of emergency visits, highlighting their prevalence and the need for careful evaluation.
- - Understanding hand anatomy is crucial for diagnosing common sports injuries like ligament tears and tendon issues.
- - The review covers various injuries, their causes, symptoms, treatments, relevant anatomy, and imaging techniques.
Ulnar collateral ligament injury of the thumb metacarpophalangeal joint.
Clin J Sport Med
March 2010
From the Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut 06030, USA.
Article Synopsis
- * A clinical exam using valgus stress testing can help determine the extent of the injury: complete UCL rupture shows no endpoint, while a firm endpoint suggests a partial tear.
- * Complete UCL tears often require surgery for best outcomes, while partial tears usually respond well to nonoperative treatment.