Diagosing thumb injuries

Stress views with local anesthetic may help define the degree of instability Fig. Dey R, Green AD. Injuries to the ulnar collateral ligament of the thumb metacarpophalangeal joint. Before testing for stability, it is important to obtain radiographs to exclude fractures of either the metacarpal or the proximal phalanx. Diagosing thumb injuries both the proper and accessory ligaments are torn, they must both be repaired to ensure a good result.

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Injury to the Ulnar Collateral Ligament of the Thumb

Infrequently, the ligament is torn in its midsubstance Fig. The same test is performed in extension, and when positive, it means the accessory ulnar collateral ligament is also torn [ 4293538 ] Fig. J Bone Joint Surg Br. Campbell described laxity diagosing thumb injuries the base of the thumb in Scottish gamekeepers diagosing thumb injuries a result of chronic repetitive valgus strain [ 2 ]. We present a review of literature and our preferred way of management.

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Injuries to the thumb UCL also occur in rugby and other collision sports that involve twisting injuries to the thumb [ 34 ]. Clin Orthop Relat Res. Stener first diagosing thumb injuries the interposition of the adductor aponeurosis and proximal retraction of the ruptured ulnar collateral ligament [ 35 ]. Complete rupture of the ligament can coexist with an undisplaced fracture massive shropshire tits 1015diagosing thumb injuries ]. There is also a rare variation of this injury where the ulnar collateral ligament remains intact, and there is an avulsion fracture involving the volar plate [ 2529 ].

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