63 results match your criteria Gamekeeper's Thumb


Evaluation and Management of Hand, Wrist and Elbow Injuries in Ice Hockey.

Open Access J Sports Med 2020 28;11:93-103. Epub 2020 Apr 28.

Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, New York, NY, USA.

Ice hockey continues to be a popular, fast-paced, contact sport enjoyed internationally. Due to the physicality of the game, players are at a higher risk of injury. In the 2010 Winter Olympics, men's ice hockey had the highest injury rate compared to any other sport. Read More

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Thumb Metacarpophalangeal Ulnar and Radial Collateral Ligament Injuries.

Clin Sports Med 2020 Apr;39(2):443-455

Atrium Musculoskeletal Institute, OrthoCarolina, 1915 Randolph RD, Charlotte, NC 28207, USA. Electronic address:

Thumb metacarpophalangeal collateral ligament injuries are common in athletes and occur via forced abduction or hyperextension. Management primarily depends on the grade of ligamentous injury and the presence of a Stener lesion or large avulsion fracture. Surgeons should consider the athlete's position, hand dominance, duration of season remaining, and goals. Read More

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Thumb Ulnar Collateral Ligament Repair with Suture Tape Augmentation.

J Hand Surg Asian Pac Vol 2020 Mar;25(1):32-38

Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA.

The purpose of this study is to describe our technique of thumb ulnar collateral ligament (UCL) repair with suture tape augmentation and to evaluate the short-term outcomes in our initial series of patients treated with this method of repair. Patients with minimum one-year follow up after isolated UCL repair with suture tape augmentation were contacted for clinical evaluation, radiographs, and postoperative outcome questionnaires, including the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire and study-specific questions. Thirteen of 15 (87%) consecutive patients who were treated using this method of repair were available for follow-up, 9 with acute tears and 4 with chronic tears. Read More

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Injuries to the Collateral Ligaments of the Metacarpophalangeal and Interphalangeal Joints: Sonographic Appearance.

J Ultrasound Med 2018 Sep 26;37(9):2117-2133. Epub 2018 Feb 26.

Cabinet Imagerie Médicale, Geneva, Switzerland.

Injuries to the collateral ligaments of the metacarpophalangeal (MCP) and interphalangeal (IP) joints are commonly encountered in both athletes and nonathletes. They require prompt evaluation to ensure proper management and prevent loss of joint motion and permanent disability. Imaging is often required to confirm the diagnosis and assess injury severity. Read More

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September 2018

A Biomechanical Evaluation of a 2-Suture Anchor Repair Technique for Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injuries.

Hand (N Y) 2018 09 24;13(5):581-585. Epub 2017 Aug 24.

1 Brown University, Providence, RI, USA.

Background: A complete thumb ulnar collateral ligament (UCL) repaired with 1-suture anchor has been demonstrated to be significantly weaker compared with the intact UCL. The objective of this study is to test the biomechanical strength of a 2-anchor thumb UCL repair.

Methods: Nine paired fresh-frozen hands were used for this biomechanical analysis. Read More

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September 2018

Chronic instability of the thumb metacarpo-phalangeal joint: Seven-year outcomes of three surgical techniques.

Orthop Traumatol Surg Res 2017 10 30;103(6):923-926. Epub 2017 May 30.

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.

Background: Severe sprain of the thumb metacarpo-phalangeal joint (TMCPJ) is a common injury whose functional outcome is good when repair is performed at the acute stage. The diagnosis is often missed, however, leading to chronic instability. The optimal treatment of chronic TMCPJ instability is controversial. Read More

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October 2017

Long-Term Outcomes of Primary Repair of Chronic Thumb Ulnar Collateral Ligament Injuries.

Hand (N Y) 2016 09 14;11(3):303-309. Epub 2016 Mar 14.

Mayo Clinic, Rochester, MN, USA.

The purpose of this study is to evaluate long-term outcomes of ligamentous repair rather than reconstruction for chronic thumb ulnar collateral ligament (UCL) injuries. Patients at least 15-years status-post repair of a chronic (greater than 6 weeks) UCL tear were contacted for clinical evaluation, radiographs, and postoperative outcome questionnaires, including the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, visual analog scale (VAS) pain scale, and study-specific questions. Twelve of 21 (57%) living patients were available for long-term, greater than 15-year follow-up (average 24. Read More

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September 2016

Current status of ultrasonography of the finger.

Ultrasonography 2016 Apr 24;35(2):110-23. Epub 2015 Nov 24.

Department of Radiology, Incheon Baek Hospital, Incheon, Korea.

The recent development of advanced high-resolution transducers has enabled the fast, easy, and dynamic ultrasonographic evaluation of small, superficial structures such as the finger. In order to best exploit these advances, it is important to understand the normal anatomy and the basic pathologies of the finger, as exemplified by the following conditions involving the dorsal, volar, and lateral sections of the finger: sagittal band injuries, mallet finger, and Boutonnière deformity (dorsal aspect); flexor tendon tears, trigger finger, and volar plate injuries (volar aspect); gamekeeper's thumb (Stener lesions) and other collateral ligament tears (lateral aspect); and other lesions. This review provides a basis for understanding the ultrasonography of the finger and will therefore be useful for radiologists. Read More

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Simultaneous Bilateral Functional Radiography in Ulnar Collateral Ligament Lesion of the Thumb: An Original Technique.

Am J Orthop (Belle Mead NJ) 2015 Aug;44(8):359-62

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. Read More

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Thumb ulnar collateral and radial collateral ligament injuries.

Clin Sports Med 2015 Jan 11;34(1):117-26. Epub 2014 Oct 11.

Hand Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8233, St Louis, MO 63110, USA. Electronic address:

Thumb metacarpophalangeal ulnar and radial collateral ligament injuries occur frequently in the competitive athlete. Collateral ligament integrity is essential to joint stability, pinch strength, and pain-free motion. Acute rupture of the ulnar collateral ligament is due to a sudden radial deviation force on the abducted thumb and is referred to as skier's thumb. Read More

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January 2015

Gamekeeper's thumb--a treatment-oriented magnetic resonance imaging classification.

J Hand Surg Am 2015 Jan 7;40(1):90-5. Epub 2014 Oct 7.

Christine M. Kleinert Institute, Louisville, KY. Electronic address:

Purpose: To investigate by magnetic resonance imaging the degree of ulnar collateral ligament (UCL) displacement in order to create a simple classification to aid in determining which UCL injuries require surgery.

Methods: We evaluated 43 cases of UCL injury with a dedicated extremity magnetic resonance imaging and measured the degree of ligament displacement. This was correlated to clinical outcome with planned surgical intervention reserved for patients with a Stener lesion. Read More

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January 2015

Return to football and long-term clinical outcomes after thumb ulnar collateral ligament suture anchor repair in collegiate athletes.

J Hand Surg Am 2014 Oct 16;39(10):1992-8. Epub 2014 Aug 16.

Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA. Electronic address:

Purpose: To evaluate return to play after complete thumb ulnar collateral ligament (UCL) injury treated with suture anchor repair for both skill position and non-skill position collegiate football athletes and report minimum 2-year clinical outcomes in this population.

Methods: For this retrospective study, inclusion criteria were complete rupture of the thumb UCL and suture anchor repair in a collegiate football athlete performed by a single surgeon who used an identical technique for all patients. Data collection included chart review, determination of return to play, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) outcomes. Read More

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October 2014

Injury to ulnar collateral ligament of thumb.

Orthop Surg 2014 Feb;6(1):1-7

Department of Orthopaedics, Jalan Batu Hampar, Bukit Baru, Malaysia.

Injury of the ulnar collateral ligament (UCL) of thumb can be incapacitating if untreated or not treated properly. This injury is notorious for frequently being missed by inexperienced health care personnel in emergency departments. It has frequently been described in skiers, but also occurs in other sports such as rugby, soccer, handball, basketball, volleyball and even after a handshake. Read More

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February 2014

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 2014 Mar 1;39(3):474-9. Epub 2014 Feb 1.

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina. Electronic address:

Purpose: To determine whether variation in thumb metacarpophalangeal (MCP) joint pronosupination influences perceived ulnar collateral ligament (UCL) stability during clinical stress testing.

Methods: Twelve fresh-frozen specimens underwent sequential evaluation for the following conditions: ligament intact (LI), proper UCL deficient (-pUCL), and proper and accessory UCL deficient (UCL). Valgus stress testing was completed in both 0° and 30° MCP joint flexion for thumb pronation, neutral, and supination. Read More

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Fluoroscopy-assisted stress testing of the thumb metacarpophalangeal joint to assess the ulnar collateral ligament.

Hand (N Y) 2013 Jun;8(2):205-9

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. Read More

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The athlete's hand: ligament and tendon injury.

Semin Musculoskelet Radiol 2012 Sep 9;16(4):338-49. Epub 2012 Oct 9.

Department of Medical Imaging, University of Arizona Medical Center, Tucson, Arizona 85724-5067, USA.

Hand injuries are common, accounting for up to 20% of emergency department visits nationwide. An understanding of the complex and detailed anatomical relationships of small joints facilitates the accurate diagnosis of many common sports-related injuries of the hand. We review the common ligamentous and tendinous injuries of the hand including collateral ligament injuries, gamekeeper's thumb, extensor mechanism injuries, pulley injuries, boutonniere deformities, and mallet and jersey lesions. Read More

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September 2012

Ulnar collateral ligament injury of the thumb metacarpophalangeal joint.

Clin J Sport Med 2010 Mar;20(2):106-12

From the Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut 06030, USA.

Injury to the ulnar collateral ligament (UCL) of the thumb metacarpophalangeal (MCP) joint is a common entity encountered by the sports physician and orthopedic surgeon. The term "gamekeeper's thumb," which is sometimes used incorrectly to mean any injury to this ligament, refers to a chronic injury to the UCL in which it becomes attenuated through repetitive stress. In contrast, the term "skier's thumb" refers to an acute ligament injury as seen in skiers who fall on an abducted thumb or athletes who sustain a valgus force on an abducted thumb. Read More

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[Is the diagnosis of Stener's lesion echograph-dependent? A series of 25 gamekeeper's thumb].

Chir Main 2008 Oct 29;27(5):216-21. Epub 2008 Sep 29.

Unité SOS main, centre de chirurgie orthopédique et de la main, hôpitaux universitaires de Strasbourg, 10, avenue Achille-Baumann, 67403 Illkirch cedex, France.

Acute injury to the ulnar collateral ligament of the metacarpophalangeal joint of the thumb is a condition frequently seen by hand surgeons. Most can be treated conservatively except in the presence of a Stener lesion, when surgical treatment is necessary. What is difficult is to obtain the diagnosis of the Stener lesion. Read More

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October 2008

[Arm injuries due to sport climbing].

Ned Tijdschr Geneeskd 2008 Aug;152(33):1813-9

Erasmus MC-Centrum, afd. Huisartsgeneeskunde, kamer FF 304, Postbus 2040, 3000 CA Rotterdam.

There are 26 large climbing centres and 44 smaller indoor or outdoor climbing walls in The Netherlands at this time. Hand and finger injuries are the most common types of sport climbing injuries. Most injuries are caused by overstraining. Read More

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Avulsion fractures from the base of phalanges of the fingers.

Tech Hand Up Extrem Surg 2006 Sep;10(3):157-61

Department of Orthopaedics and Traumatology School of Medicine, Yeditepe University Istanbul, Turkey.

Avulsion fractures of the phalanges are among challenging problems encountered in the hand surgery. These fractures are characterized by existence of small bone fragments usually attached to a collateral ligament. They mostly occur in metacarpophalangeal and proximal interphalangeal joints. Read More

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September 2006

Arthroscopic reduction and internal fixation of bony gamekeeper's thumb.

Authors:
Alejandro Badia

Orthopedics 2006 08;29(8):675-8

Miami Hand Center, Miami, FL 33176, USA.

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Injuries of the fingers and thumb in the athlete.

Clin Sports Med 2006 Jul;25(3):527-42, vii-viii

Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.

Injuries of the fingers and thumb in the athlete are common. Mallet finger, jersey finger, boutonniere deformity, Bennett and Rolando fractures, and gamekeeper's thumb are just a few of the injuries that can occur in athletes. A thorough understanding of the mechanism of injury, osseous and soft tissue abnormalities, imaging features, and treatment is important in the care of athletes. Read More

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Treatment of "Gamekeeper's Thumb" by reconstruction of the ulnar collateral ligament.

J Hand Surg Br 2002 Dec;27(6):542-5

8 Beale Street, Hamilton, New Zealand.

This study examines the treatment of 22 thumbs with symptomatic laxity of the ulnar collateral ligament of the metacarpophalangeal joint by ligament reconstruction 1 week to 10 years after injury. The existing ligament remnants were repaired in 13 thumbs and were re-attached to bone, using a bone anchor, in seven cases. Two ligaments were reconstructed using the extensor pollicis brevis tendon. Read More

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December 2002

Gamekeeper's thumb.

Authors:
T S Mann

Orthopedics 1999 May;22(5):476

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Metacarpophalangeal arthroscopy.

Authors:
L M Rozmaryn N Wei

Arthroscopy 1999 Apr;15(3):333-7

The Orthopaedic Center, Rockville, Maryland 20850, USA.

Although small joint arthroscopy has become commonplace over the past decade, relatively little attention has been paid to the investigation and clinical utility of metacarpophalangeal (MP) joint arthroscopy. The literature is scant in this area and consists of only a handful of case reports. In addition, the arthroscopic anatomy of the MP joint has not as yet been reported. Read More

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Rupture of the ulnar collateral ligament of the first metacarpophalangeal joint ("gamekeeper's thumb")

Orthopedics 1998 Dec;21(12):1312, 1308-10

Department of Radiology, Loyola University Medical Center, Maywood, Ill 60153, USA.

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December 1998

A new personal technique of tendon graft reconstruction for gamekeeper's thumb using interference screw.

Authors:
J Tanaka

Handchir Mikrochir Plast Chir 1998 Mar;30(2):125-8

Department of Orthopaedic Surgery, Hyogo College of Medicine, Japan.

A new method for the reconstruction of chronic ulnar collateral ligament instability of the metacarpophalangeal joint is described. Reconstruction with our method using interference screw, adequately maintains both anatomical fiber direction and physiological tension in the grafted ligaments of adequate strength to reduce the immobilization period. Read More

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