22 results match your criteria Gamekeeper Thumb

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Harvey Marcovitch: Editor, poacher, gamekeeper.


BMJ 2017 07 11;358:j3206. Epub 2017 Jul 11.

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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
17 Reads

High-Resolution MR Imaging and US Anatomy of the Thumb.

Radiographics 2016 Oct;36(6):1701-1716

From the Department of Radiology and Medical Imaging, Division of Musculoskeletal Imaging (U.R., J.L.P., N.C.N.), and Department of Orthopedic Surgery (S.E., A.B.C.), University of Virginia Health System, 1215 Lee St, Charlottesville, VA 22908.

Despite having many unique anatomic features relative to the other digits, the thumb has received little attention in the radiology literature. The thumb, with its opposable and prehensile abilities, enables fine manual dexterity. However, most radiologists have little familiarity with the structures that allow these dynamic movements, other than their recognition of the role of the ulnar collateral ligament in the setting of gamekeeper injury. Read More

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October 2016
22 Reads

Health Education England, Local Education and Training Boards (LETBs) and reform of healthcare education: implications for surgical training.

BMC Surg 2015 Jan 15;15. Epub 2015 Jan 15.

Association of Surgeons in Training, 35 - 43 Lincoln's Inn Fields, London WC2A 3PE, United Kingdom.

Background: National Health Service (NHS) reforms have changed the structure of postgraduate healthcare education and training. With a Government mandate that promotes multi-professional education and training aligned with policy driven initiatives, this article highlights concerns over the impact that these changes may have on surgical training.

Discussion: The creation of Health Education England (HEE) and its local education and training boards (LETBs), which are dominated by NHS healthcare providers, should result in greater accountability of employers in workforce planning, enhanced local responsibility and increased transparency of funding allocation. Read More

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January 2015

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
28 Reads

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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March 2014
7 Reads

The story of a poacher-turned-gamekeeper: a twist in animal evolution.


Indian J Physiol Pharmacol 2011 Apr-Jun;55(2):99-100

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New frontiers in hand arthroscopy.

Hand Clin 2011 Aug;27(3):383-94

Orthopaedic Specialists, Davenport, IA, USA.

This article covers new and emerging techniques in small joint arthroscopy in the hand. Recent improvement in the quality of small joint scopes and advancement in techniques have allowed for many new small joint arthroscopic procedures in the hand. The arthroscopic classification for thumb carpometacarpal (CMC) arthritis as well as treatment of each stage are described. Read More

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August 2011
5 Reads

Evaluation of collateral ligament injuries of the metacarpophalangeal joints with magnetic resonance imaging and magnetic resonance arthrography.

Curr Probl Diagn Radiol 2007 Jan-Feb;36(1):11-20

Department of Radiology, Mayo Clinic, Jacksonville, FL 32224, USA.

Injuries of the collateral ligaments of the metacarpophalangeal (MCP) joints of the hand require accurate diagnosis and prompt treatment to prevent loss of function. The most common and well-known collateral ligament injury is injury to the ulnar collateral ligament of the first MCP joint of the hand, often referred to as a gamekeeper injury. Although less common, injuries involving the collateral ligaments of the second through fifth digits and the radial collateral ligament of the first digit also occur. Read More

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March 2007
1 Read

A modified thumb spica splint for thumb injuries in the ED.

Am J Emerg Med 2005 Oct;23(6):777-81

Department of Emergency Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA.

There are a significant number of hand and upper extremity injuries treated in US emergency departments (EDs) each year. Many of these involve the thumb and wrist. These injuries encompass the range from fractures, strains, and sprains to more specific injuries such as gamekeeper thumb and de Quervain tenosynovitis. Read More

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October 2005
50 Reads

Pheasant rearer's lung.

Occup Med (Lond) 2004 Oct 22;54(7):500-3. Epub 2004 Sep 22.

Department of Medicine, Taunton and Somerset NHS Trust, Musgrove Park Hospital, Taunton, Somerset, UK.

A 47-year-old gamekeeper presented with an 8 month history of variable breathlessness, cough and clinical features of severe interstitial lung disease. Open lung biopsy showed an extrinsic allergic alveolitis, which we believe related to his work rearing pheasants. Initially he was resistant, despite advice, to changing his occupation but subsequently, although ceasing exposure to pheasants and beginning treatment with corticosteroids, his disease progressed to the point where he developed respiratory failure and was referred for lung transplantation. Read More

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October 2004

Absent virtues: the poacher becomes gamekeeper.

T Koch

J Med Ethics 2003 Dec;29(6):337-42

University of British Columbia, 1984 West Mall, Vancouver V6T 1Z2, Canada.

Since its inception, bioethics' principled stance has been to argue against paternalism and elitism, and for an inclusive ethical perspective. But at least in North America, the growth of bioethics as a special area of applied ethics has created conflicts within the field itself. Those who, a generation earlier, argued against paternalism and for both professional and public accountability in medical decision making are now part of the decision making process. Read More

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December 2003

Mobile DNAs: the poacher turned gamekeeper.

Curr Biol 2003 Oct;13(21):R846-7

Institute of Genetics, University of Nottingham, Queens Medical Centre, UK.

The selfish DNA hypothesis imagines the genome as an ecological community, a collection of interacting DNA sequences with differing evolutionary origins and potentially different interests. We are now finding out more about the ways in which host sequences can enlist the help of formerly parasitic DNAs. Read More

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October 2003

Changing clinicians' laboratory test requesting behaviour: can the poacher turn gamekeeper?

Clin Lab 2001 ;47(1-2):57-66

Department of Clinical Chemistry, New Cross Hospital, Wolverhampton, UK.

A major reason for the dramatic increase in laboratory costs is the increased number of laboratory investigations, many of which are perceived to be a waste of time and money. In consequence, several strategies, reviewed below, for curtailing clinicians' laboratory usage have been proposed but none has been universally successful. It is clear, however, that a combination of several strategies is likely to be more successful than any single approach. Read More

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Gamekeeper thumb: comparison of MR arthrography with conventional arthrography and MR imaging in cadavers.

Radiology 1998 Mar;206(3):737-44

Department of Radiology, Veterans Affairs Medical Center, San Diego, CA 92161, USA.

Purpose: To compare magnetic resonance (MR) arthrography with conventional arthrography and standard MR imaging in the evaluation of gamekeeper thumb.

Materials And Methods: Eighteen cadaveric thumbs with (n = 12) or without (n = 6) experimental abduction stress were examined with conventional arthrography, standard MR imaging, and MR arthrography. Standard MR imaging and MR arthrography were performed with 0. Read More

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March 1998
1 Read

Gamekeeper thumb: diagnosis of ulnar collateral ligament injury using magnetic resonance imaging, magnetic resonance arthrography and stress radiography.

J Magn Reson Imaging 1996 Mar-Apr;6(2):322-8

Department of Radiology and Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, HI, USA.

Ulnar collateral ligament (UCL) tears may be nondisplaced or displaced relative to the adductor pollicis aponeurosis. Nondisplaced tears typically heal with immobilization whereas displaced tears require surgery. Nineteen patients with UCL injuries were evaluated using MR Imaging (MRI), MR arthrography, and stress radiography (SR) to determine the efficacy of these techniques in differentiating nondisplaced from displaced UCL tears. Read More

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April 1997
2 Reads

Gamekeeper thumb: identification of the Stener lesion with US.

Radiology 1994 Aug;192(2):477-80

Department of Radiology, Cantonal Hospital, Fribourg, Switzerland.

Purpose: To determine the value of ultrasound (US) in recognizing the ligamentary dislocation occasionally associated with gamekeeper thumb (Stener lesion). Detecting such dislocations is important because they require surgical repair, whereas nondisplaced ruptured ligaments respond to conservative treatment. This dislocation cannot be reliably diagnosed with standard methods, leading to unnecessary surgical procedures. Read More

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August 1994
4 Reads

Gamekeeper thumb: differentiation of nondisplaced and displaced tears of the ulnar collateral ligament with MR imaging. Work in progress.

Radiology 1993 Aug;188(2):553-6

Department of Radiology, University of New Mexico School of Medicine, Albuquerque 87131-5336.

Ulnar collateral ligament (UCL) injury of the first metacarpophalangeal joint (gamekeeper thumb) is common. If the UCL becomes displaced superficially to the adductor pollicis aponeurosis, surgical treatment has been advocated. Radiography cannot help differentiate between displaced and nondisplaced tears. Read More

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August 1993
2 Reads

Evaluation of the size of stray dog population and of related problems in Emilia-Romagna.

Ann Ist Super Sanita 1992 ;28(4):485-91

Istituto di Malattie Infettive, Università degli Studi, Bologna, Italy.

An investigation was carried out on the diffusion of stray dog populations in Emilia-Romagna by submitting a questionnaire/interview. 30 gamekeeper officers and 21 public veterinarians of Bologna and Forlì provinces were interviewed. The data collected were compared with the official data of the Health Council of the Emilia-Romagna Region. Read More

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RCN congress. 'Poacher turned gamekeeper'.

A Cole

Nurs Times 1990 Mar 21-27;86(12):19

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Tension wire fixation of avulsion fractures in the hand.

Clin Orthop Relat Res 1987 Jan(214):113-20

Tension band wiring is a simple, predictable method of internal fixation for avulsion fracture in the hand. These fractures include the bony gamekeeper, bony mallet, and fractures associated with proximal interphalangeal joint trauma. By the placement of a small gauge wire through the insertion of the ligament or tendon onto the fracture fragment, the tension wire technique avoids many of the pitfalls of internal fixation and also takes advantage of its physiologic and biomechanical position. Read More

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January 1987
1 Read

The poacher turns gamekeeper. Interview by Pauline Chudley.

R Rowden

Nurs Times 1986 Jun 25-Jul 1;82(26):19-20

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September 1986
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