65 results match your criteria Skier's Thumb


[A female patient with a weak, painful thumb].

Authors:
E L de Vrij E Bosma

Ned Tijdschr Geneeskd 2020 04 8;164. Epub 2020 Apr 8.

Martini Ziekenhuis, afd. Chirurgie, Groningen.

Here we present the case of a 64-year-old female patient with a painful thumb. This case demonstrates how, with proper physical examination, a correct diagnosis of 'skier's thumb' with concomitant Stener lesion can be made. This condition is a tear of the ulnar collateral ligament (UCL) of the metacarpophalangeal joint with an interposition of the UCL and the aponeurosis adductor pollicis muscle. 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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Stener Lesion: An Uncommon Variant of Skier's Thumb.

Am J Phys Med Rehabil 2020 03;99(3):e42-e43

From the Department of Diagnostic Imaging, National University Health System, Singapore.

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Continuing to work with a sterile thumb splint: A case report.

Hand Surg Rehabil 2018 May 17. Epub 2018 May 17.

Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zurich, Switzerland. Electronic address:

Nonoperative treatment of an injured ulnar collateral ligament of the thumb metacarpophalangeal (MCP) joint (skier's thumb without a Stener lesion) is managed by immobilization. A splint is applied on the radial side with the thumb in slight flexion to immobilize the MCP joint and allow motion in the interphalangeal joint. Thermoplastic splints are mainly used for daily activities with the advantage of custom fabrication for optimal comfort. 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

Case Report: Oblique Fracture of the Ulnar Sesamoid Bone of the Metacarpophalangeal Joint, a Rare Pathology.

J Orthop Case Rep 2017 Mar-Apr;7(2):29-32

Department of Medicine, Catholic University of Leuven, KU Leuven, Belgium.

Introduction: Fractures of the sesamoid bones of the metacarpophalangeal joint (MCPJ) are a rare pathology in hand trauma. Only a few case reports and case series were found in literature. The diagnosis of an ulnar sesamoid bone fracture of the MCPJ is difficult and can pose a differential diagnostic problem with Stener lesions or ulnar collateral ligament (UCL) instability. Read More

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Variation in the Rate of Surgery for Ulnar Collateral Ligament Injury of the Metacarpophalangeal Joint of the Thumb.

Hand (N Y) 2017 09 1;12(5):512-517. Epub 2016 Dec 1.

1 Harvard Medical School, Boston, MA, USA.

Background: The indications for repair of rupture of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MP) joint of the thumb are debated. We studied factors predictive of operative treatment.

Methods: In this retrospective study, we queried the research database from 3 affiliated urban hospitals in a single city in the United States and identified 383 patients with a thumb MP UCL injury. Read More

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September 2017

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

[Epidemiological data of Hungarian skiers' and snowboarders' medical problems].

Orv Hetil 2017 Apr;158(16):618-624

SOS Hungary Orvosi Szolgálat Budapest.

Introduction And Aim: There are no high mountains or any advantageous circumstances for winter sports in Hungary, yet within the 10 million population there are about half a million people (the exact number is 550,000) who tend to go for skiing or snowboarding abroad. Authors compared the injury statistical data with results described in the international literature in order to develop conclusions about the differences in the injury patterns and frequency between the Hungarian ones' and those found in countries with plenty of winter sport possibilities.

Method: Authors analysed the winter sport injury cases of an insurance company. Read More

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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

Clinical evaluation vs magnetic resonance imaging of the skier's thumb: A prospective cohort of 30 patients.

Eur J Radiol 2016 Oct 21;85(10):1750-1756. Epub 2016 Jul 21.

Medical Center Haaglanden, Department of Surgery, Lijnbaan 32, 2512 VA The Hague, The Netherlands. Electronic address:

Introduction: A skiers thumb, or a partial or complete rupture of the ulnar collateral ligament (UCL) is a clinical diagnosis. Swelling, pain, natural left-right difference and inexperience of a young physician can cause difficulty to correctly diagnose this injury. However, our theory is that any physician, given the correct instructions, should be able to diagnose this injury solely on clinical findings, without the necessity of additional imaging. Read More

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October 2016

Imaging of Sports-related Hand and Wrist Injuries: Sports Imaging Series.

Radiology 2016 Jun;279(3):674-92

From the Department of Radiology and Musculoskeletal Imaging, CHRU Lille Centre de Consultations et d'Imagerie de l'Appareil Locomoteur, Rue du Professeur Emile Laine, 59037 Lille, France.

Hand and wrist injuries are common occurrences in amateur and professional sports and many of them are sport-specific. These can be divided into two categories: traumatic injuries and overuse injuries. The aim of this article is to review the most common hand and wrist sports-related lesions. 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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[Hand injuries in mountain sports].

Unfallchirurg 2015 Jun;118(6):515-9

Klinik für Handchirurgie, Rhön-Klinikum, Salzburger Leite 1, 97615, Bad Neustadt, Deutschland,

Background: Apart from clean cut finger amputations, every kind of hand injury can be seen in mountain and winter sports but only skier's thumb and injuries of the pulley system in sport climbers are seen in a greater number of cases. Nevertheless, these two common injuries as well as the rare frostbite of the fingers are often underdiagnosed or overdiagnosed as well as undertreated or overtreated.

Purpose: This paper describes the diagnostics and treatment of skier's thumb, injuries of the pulley system in sport climbers and frostbite of the fingers. 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

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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[Skier's thumb].

Ned Tijdschr Geneeskd 2013 ;157(49):A6398

Medisch Centrum Haaglanden, locatie Westeinde, afd. Chirurgie, Den Haag.

Skier's thumb is a partial or complete rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. It is an injury that rather frequently occurs in certain sports. When diagnosed incorrectly, delay in treatment can ultimately lead to chronic instability and pain. Read More

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A modified spica-splint in postoperative early-motion management of skier's thumb lesion: a randomized clinical trial.

Eur J Phys Rehabil Med 2014 Feb 4;50(1):49-57. Epub 2013 Nov 4.

Orthopedics and Hand Surgery The Catholic University School of Medicine, Rome, Italy -

Background: Rupture of ulnar collateral ligament of the thumb (UCL) represents a frequent injury of the hand. Surgical repair is considered the gold standard but postoperative immobilization causes partial stiffness in a percentage of cases.

Aim: The aim of this paper was to assess the effectiveness of a postoperative functional hand-based splint for the thumb which allows immediate postoperative motion. Read More

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February 2014

Rupture of the ulnar collateral ligament of the thumb - a review.

Int J Emerg Med 2013 Aug 12;6(1):31. Epub 2013 Aug 12.

Department of Surgury, Medisch Centrum Haaglanden, The Hague, The Netherlands.

Skier's thumb is a partial or complete rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. It is an often-encountered injury and can lead to chronic pain and instability when diagnosed incorrectly. Knowledge of the anatomy and accurate physical examination are essential in the evaluation of a patient with skier's thumb. Read More

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Thumb metacarpophalangeal joint collateral ligament injury management.

Hand Clin 2012 Aug;28(3):361-70, ix-x

Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

The thumb collateral ligaments at the metacarpophalangeal joint are important to the elite athlete for precision grip and pinch. Injuries to these ligaments can result in pain and instability and are seen at a higher frequency at the elite level. Whereas the collateral ligament tears used to be associated primarily with recreational skier's injury, these injuries have been reported with increasing frequency in major professional sports. Read More

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Can clinical examination cause a Stener lesion in patients with skier's thumb?: a cadaveric study.

Clin Anat 2012 Sep 22;25(6):762-6. Epub 2011 Nov 22.

Hand Surgery Unit, Department of Orthopaedic Surgery and Traumatology, Kantonsspital Bruderholz, Bruderholz, Switzerland.

Approximately one-third of all injuries of the upper limb and 7% of all injuries in skiing affect the ulnar collateral ligaments of the thumb metacarpophalangeal joint (skier's thumb). In some patients the collateral ligaments are displaced proximally over the adductor aponeurosis, resulting in a so-called Stener lesion. In these cases surgical treatment is indicated. Read More

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September 2012

Skier's thumb.

Authors:
Daniel Anderson

Aust Fam Physician 2010 Aug;39(8):575-7

Department of General Surgery, Princess Alexandra Hospital, Brisbane, Queensland.

Background: Injury to the ulnar collateral ligament (UCL) of the first metacarpophalangeal joint (MCPJ) is a common injury, especially in skiers. It is often misdiagnosed, which can lead to chronic instability.

Objective: This article reviews the current literature on UCL injury of the thumb and describes the clinical assessment and management. Read More

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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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Surgical treatment of skier's thumb injuries: case report and review of the literature.

Mt Sinai J Med 2006 Sep;73(5):818-21

Orthopaedics and Traumatology Department, Ankara Bayindir Hospital, Ankara,Turkey.

Inappropriate treatment of skier's thumb injuries has been reported to result in chronic painful instability, weakness of pinch, and arthritis. Therefore, surgical treatment is recommended for those fractures with 2 mm or more of displacement, or significant articular involvement with incongruency or rotation. The goal of surgery is restoration of anatomy with stable fixation. Read More

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September 2006

[The skier's thumb].

Authors:
J Havulinna

Duodecim 2001 ;117(5):520-2

TAYS Teiskontie 35 PL 2000, 33521 Tampere.

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September 2002

True skier's thumb in childhood.

Injury 2002 Mar;33(2):186-7

Department of Trauma and Orthopaedic Surgery, The Royal Hospital, Calow, Chesterfield S44 5BL, UK.

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