61 results match your criteria Skier's Thumb


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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http://dx.doi.org/10.1016/j.hansur.2018.04.003DOI Listing
May 2018
4 Reads

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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http://dx.doi.org/10.1002/jum.14575DOI Listing
September 2018
7 Reads

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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http://journals.sagepub.com/doi/10.1177/1558944717725380
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http://dx.doi.org/10.1177/1558944717725380DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109898PMC
September 2018
27 Reads

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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http://dx.doi.org/10.13107/jocr.2250-0685.736DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553830PMC
August 2017
14 Reads

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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http://journals.sagepub.com/doi/10.1177/1558944716681974
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http://dx.doi.org/10.1177/1558944716681974DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684936PMC
September 2017
15 Reads

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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http://dx.doi.org/10.1016/j.otsr.2017.05.007DOI Listing
October 2017
27 Reads

[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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http://dx.doi.org/10.1556/650.2017.30707DOI Listing
April 2017
7 Reads

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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http://dx.doi.org/10.1177/1558944716628482DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5030867PMC
September 2016
9 Reads

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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http://dx.doi.org/10.1016/j.ejrad.2016.07.007DOI Listing
October 2016
12 Reads

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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http://dx.doi.org/10.1148/radiol.2016150995DOI Listing
June 2016
17 Reads

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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August 2015
4 Reads

[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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http://dx.doi.org/10.1007/s00113-015-0018-7DOI Listing
June 2015
5 Reads

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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http://dx.doi.org/10.1016/j.csm.2014.09.004DOI Listing
January 2015
34 Reads

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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http://dx.doi.org/10.1111/os.12084DOI Listing
February 2014
42 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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https://linkinghub.elsevier.com/retrieve/pii/S03635023130160
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http://dx.doi.org/10.1016/j.jhsa.2013.11.044DOI Listing
March 2014
12 Reads

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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http://link.springer.com/content/pdf/10.1007/s11552-013-9500
Web Search
http://han.sagepub.com/lookup/doi/10.1007/s11552-013-9500-2
Publisher Site
http://dx.doi.org/10.1007/s11552-013-9500-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3652996PMC
June 2013
4 Reads

[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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August 2014
8 Reads

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
6 Reads

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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http://link.springer.com/content/pdf/10.1186%2F1865-1380-6-3
Web Search
http://intjem.springeropen.com/articles/10.1186/1865-1380-6-
Publisher Site
http://dx.doi.org/10.1186/1865-1380-6-31DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3765347PMC
August 2013
5 Reads

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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http://dx.doi.org/10.1016/j.hcl.2012.05.024DOI Listing
August 2012
6 Reads

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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http://dx.doi.org/10.1002/ca.22005DOI Listing
September 2012
10 Reads

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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August 2010
6 Reads

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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http://dx.doi.org/10.1097/JSM.0b013e3181d23710DOI Listing
March 2010
8 Reads

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
8 Reads

[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
5 Reads

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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March 2002
2 Reads

Upper limb in injuries in dry ski slope skiing--a continuing problem.

Eur J Emerg Med 2000 Mar;7(1):31-4

Bury General Hospital, UK.

The aim of this study was to assess how common injuries to the upper limbs are from dry ski slope skiing, to document the pattern of injury to the upper limbs from dry ski slope skiing and to discuss preventative measures. Skier's experience was also determined. The study was carried out on 174 patients attending the accident and emergency department over a period of 3 years who had sustained injuries from dry ski slope skiing. Read More

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March 2000
4 Reads

The skier's thumb.

Authors:
D Heim

Acta Orthop Belg 1999 Dec;65(4):440-6

Department of Surgery, District Hospital, Frutigen, Switzerland.

The incidence of skier's thumb (rupture of the ulnar collateral ligament of the first metacarpophalangeal joint) is increasing. To determine whether conservative or surgical treatment is indicated, ultrasound (US) and magnetic resonance imaging (MRI) have been advocated in the last few years. Surgery should be performed in the case of an unstable joint with a ligamentous tear or in the presence of a displaced bony fragment. Read More

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December 1999
7 Reads

Injury risk factors among telemark skiers.

Authors:
M L Tuggy R Ong

Am J Sports Med 2000 Jan-Feb;28(1):83-9

Swedish Family Medicine, Seattle, Washington 98104, USA.

We performed a population survey of telemark skiers over two ski seasons to determine specific risk factors for injury. The survey inquired about the skier's sex, experience, equipment used, injuries, and number of days skied in each season. The respondents completed the surveys whether or not they were injured while skiing. Read More

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http://dx.doi.org/10.1177/03635465000280012601DOI Listing
February 2000
3 Reads

Cervical fracture in a nordic skier.

Authors:
T Floyd

Phys Sportsmed 1999 Dec;27(13):47-50

Sawtooth Orthopaedic Clinic, Sun Valley, ID, 83353, USA.

Cervical injuries with subtle physical and radiographic signs can occur in any sport, even those that do not usually produce significant musculoskeletal trauma. In this case, a cross-country skier's symptoms-shoulder pain and thumb numbness-were initially thought to represent a shoulder injury. Reflex testing raised the possibility of a cervical spine injury. Read More

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http://dx.doi.org/10.3810/psm.1999.12.1141DOI Listing
December 1999
3 Reads

Acute skier's thumb repaired with a proximal phalanx suture anchor.

Authors:
J McCall

Am J Sports Med 1999 May-Jun;27(3):390-1

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July 1999
3 Reads

[Post-traumatic palmar instability of the thumb metacarpophalangeal joint. The "other skier's thumb"].

Authors:
S Pechlaner

Handchir Mikrochir Plast Chir 1999 Jan;31(1):3-9

Universitäts-Klinik für Unfallchirurgie Innsbruck.

"Passive" and "active" stabilizers give the thumb metacarpophalangeal (MP) joint the necessary palmar stability. It is possible to temporarily stabilize the joint by means of the flexor muscles in cases where there is an injury to the palmar ligaments due to hyperextension trauma. However, sudden severe or prolonged strain may lead to palmar instability and/or stress-related pain. Read More

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http://dx.doi.org/10.1055/s-1999-13898DOI Listing
January 1999
3 Reads

Role of MR imaging in the management of "skier's thumb" injuries.

Magn Reson Imaging Clin N Am 1999 Feb;7(1):73-84, viii

Albert Einstein College of Medicine, New York, USA.

"Skier's thumb" is an acute rupture of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MCP) joint of the thumb. As the method of choice in evaluating soft tissue injuries, MR imaging is useful in evaluating UCL injuries. This article reviews current concepts regarding the rupture of the UCL, including a study of 34 UCL injuries in which MR imaging was used as the main diagnostic tool. Read More

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February 1999
3 Reads

Acute skier's thumb repaired with a proximal phalanx suture anchor.

Am J Sports Med 1998 Sep-Oct;26(5):644-50

Orthopaedic Associates of Aspen, Colorado, USA.

The purpose of this study was to determine the functional outcome of a surgical technique for the repair of injuries of the ulnar collateral ligament of the thumb. A 14-point questionnaire was developed to determine functional outcome after surgical repair of acute ulnar collateral ligament rupture. Early ulnar collateral ligament repair was performed on 58 patients with grade III sprains (complete rupture) of the ligament using a new technique that employs a suture anchor for fixation. Read More

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http://dx.doi.org/10.1177/03635465980260050801DOI Listing
December 1998
7 Reads

Serious, often subtle, finger injuries: avoiding diagnosis and treatment pitfalls.

Phys Sportsmed 1998 Jun;26(6):57-69

Department of Surgery, University of Wisconsin Hospital, Madison, WI, 53792, USA.

Three common finger injuries-proximal interphalangeal (PIP) injuries, mallet finger, and skier's thumb-present unique diagnostic and treatment challenges. Careful history-taking and physical examination are, of course, essential for diagnosing these injuries, but appropriate x-rays are often pivotal. For PIP joint dislocations and fracture-dislocations, extension block splinting is often appropriate, but surgery may be required for an unstable injury. Read More

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http://dx.doi.org/10.3810/psm.1998.06.1038DOI Listing
June 1998
4 Reads

Pitfalls in sonography of the Gamekeeper's thumb.

Eur Radiol 1997 ;7(1):65-9

Zentrales Institut für Radiologie, LKH Feldkirch, Carinagasse 47, A-6800 Feldkirch, Austria.

The gamekeeper's or skier's thumb is a very common injury. Nondisplaced tears of the ulnar collateral ligament of the thumb (UCL) may be treated conservatively. For that reason an accurate diagnosis is mandatory for choosing the correct therapy. Read More

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http://dx.doi.org/10.1007/s003300050111DOI Listing
March 1997
3 Reads

Bony skier's thumb injuries.

Clin Orthop Relat Res 1996 Jun(327):79-84

Park Nicollet Hand Center, St. Louis Park, MN, USA.

Avulsion fractures of the ulnar collateral ligament of the thumb metacarpophalangeal joint (bony skier's thumb) may result in chronic instability with pain and weakness of pinch if improperly treated. Management requires an understanding of the relevant anatomy and careful clinical examination including stress testing. Undisplaced, or minimally displaced and stable fractures are treated conservatively, whereas displaced, rotated and unstable fractures require surgical treatment. Read More

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June 1996
4 Reads

Skier's thumb: a literature review.

Authors:
P Harding L McKeag

Aust J Physiother 1995 ;41(1):29-33

Skier's thumb is defined as an acute injury to the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. This review details the history, aetiology, epidemiology, anatomy, diagnosis, surgical and conservative treatment regimes, rehabilitation and current advances in the prevention of skier's thumb. It emphasises the importance of accurate diagnosis of skier's thumb, and appropriate referral of grade three ruptures for surgery. Read More

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http://dx.doi.org/10.1016/S0004-9514(14)60420-7DOI Listing
July 2014
4 Reads

Skier's thumb. Treatment, prevention and recommendations.

Sports Med 1995 Jan;19(1):73-9

Department of Surgery, University of Basel, Switzerland.

Skier's thumb is an injury to the ulnar collateral ligament (UCL) of the thumb metacarpophalangeal joint (MCPJ) which has a serious risk of disabling chronic instability if not treated adequately. The lesion most often occurs in skiers when the ski pole forces the thumb to deviate radially. Strapless poles do not decrease the incidence of skier's thumb, but if skiers are trained to discard the pole during a fall the risk might be reduced. Read More

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http://dx.doi.org/10.2165/00007256-199519010-00006DOI Listing
January 1995
3 Reads

Skier's thumb: a review.

R I Med 1994 Nov;77(11):385-6

Brown University School of Medicine.

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November 1994
4 Reads

Skier's thumb--the significance of bony injuries.

Authors:
H M Hoogewoud

Am J Sports Med 1994 May-Jun;22(3):433

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http://dx.doi.org/10.1177/036354659402200322DOI Listing
August 1994
5 Reads

[Skier's thumb. Sonographic clarification of retracted ruptures].

Rofo 1994 Apr;160(4):340-3

Abteilung für Radiologie II, Krankenhaus der Barmherzigen Schwestern vom hl. Kreuz, Wels.

Rupture of the ulnar collateral ligament (LCU) is the result of traumatic abduction of the metacarpophalangeal joint of the thumb ("skier's thumb"). If the ligament becomes retracted superficially to the adductor aponeurosis, surgical treatment is advocated, non-displaced tears can be treated by immobilization. Differentiation between displaced and non-displaced tears by radiography is not possible. Read More

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http://dx.doi.org/10.1055/s-2008-1032434DOI Listing
April 1994
3 Reads

[Skier's thumb injury in the child].

Helv Chir Acta 1994 Apr;60(4):615-21

Chirurgische Abteilung, Spital Davos.

Acute rupture of the ulnar collateral ligament (UCL) of the metacarpophalangeal joint of the thumb (skier's thumb) is a common skiing injury in adults. Do we find this injury in children? Of the 302 skier's thumbs during the last 4 years we found 24 (8%) injuries in children (mean age 13.4 years) with open growth plates. Read More

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April 1994
5 Reads

Skier's thumb--the significance of bony injuries.

Am J Sports Med 1993 Nov-Dec;21(6):800-4

Surgical Department, Hospital of Davos, Switzerland.

In a retrospective study to determine the anatomic nature of injuries in thumbs that were treated surgically for either fracture or instability, we reviewed 63 consecutive patients with acute skier's thumb injury. Of the 63 thumbs, 25 (40%) had a fracture. Surgical exploration showed 2 fracture types: a fragment that was attached to the ulnar collateral ligament, and a fragment that was not attached to the ulnar collateral ligament. Read More

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http://dx.doi.org/10.1177/036354659302100607DOI Listing
February 1994
3 Reads

[Surgical technique in ski thumb injury].

Helv Chir Acta 1993 Sep;60(1-2):267-70

The skier's-thumb, an instability of the ulnar collateral ligament (UCL) of the first metacarpo-phalangeal joint is one of the most common hand injuries in alpine skiing. In over 60% of our cases the ligament is ruptured, mostly near or at its distal insertion at the base of the first metaphalanx. Also a bony avulsion of the UCL at its distal insertion is not uncommon. Read More

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September 1993
5 Reads

[Skier's thumb--osseous injury and rupture of the ulnar collateral ligament].

Authors:
B Hintermann

Z Unfallchir Versicherungsmed 1993 ;Suppl 1:232-41

Kantonsspital Basel.

Injuries to the ulnar collateral ligament of the thumb are common in down hill-skiing, and are thus called "skier's thumb". In complete disruption of the ligament, surgical treatment is mandatory to restore stability. The management gets more difficult if a bony lesion is present: does a non-displaced fragment represent a non-displaced bony avulsion of the ulnar collateral ligament, thus allowing conservative treatment? We reviewed sixty-three consecutive patients with an acute skier's thumb injury in order to determine the anatomical nature of injuries in thumbs that were treated surgically either for fracture or for instability. Read More

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April 1994
8 Reads

[Skier's thumb injury in the child].

Z Unfallchir Versicherungsmed 1993 ;Suppl 1:222-31

Spital Davos.

Acute rupture of the ulnar collateral ligament (UCL) of the metacarpophalangeal joint of the thumb (skier's thumb) is a common skiing injury in adults. Do we find this injury in children? Of the 302 skier's thumbs during the last 4 years we found 24 (8%) injuries in children (mean age 13.4 years) with open growth plates: 5 partial ruptures of the UCL, 3 Salter I and 6 Salter II fractures with a radial fragment of the proximal phalanx I; all these had conservative treatment. Read More

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April 1994
4 Reads

Mogul skier's palm: traumatic hypothenar ecchymosis.

Authors:
J M Swinehart

Cutis 1992 Aug;50(2):117-8

University of Colorado Health Sciences Center, Denver.

A unique purpuric--golden lesion on the hypothenar eminence of each palm is described in a mogul skier. These painful lesions, resulting from vigorous repetitive pole planting in the "bumps" at a ski area, are postulated to represent a form of localized soft tissue injury. Read More

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August 1992
4 Reads

How to Manage Skier's Thumb.

Phys Sportsmed 1992 Mar;20(3):68-78

In brief Injury to the ulnar collateral ligament of the thumb is relatively common among skiers. Because the injury has a propensity for causing long-term complications, patients require meticulous follow-up and-if the ligament is unstable, or if the stability of the injured ligament is unknown-early referral. X-rays are imperative for ruling out fractures, and they sometimes show the extent of injury. Read More

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http://dx.doi.org/10.1080/00913847.1992.11710248DOI Listing
March 1992
3 Reads

Gamekeeper's thumb.

Authors:
C C Newland

Orthop Clin North Am 1992 Jan;23(1):41-8

Department of Orthopaedics, University of California, Davis, Sacramento.

The term gamekeeper's thumb is widely used interchangeably with skier's thumb in reference to acute or chronic tears of the ulnar collateral ligament of the thumb MCP joint. The frequency of thumb injury in alpine skiing has not changed with recent changes in pole design. Release of the pole from the hand prior to impact with the ground will minimize injury. Read More

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January 1992
4 Reads