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Hand & Upper Limb
intermediate
X-Type

Gamekeeper's Thumb Management

Ligament Injuries

A 28-year-old skier presents after falling with his thumb caught in a ski pole strap. He has pain and swelling over the ulnar aspect of his thumb MCP joint. Examination reveals significant valgus laxity at the thumb MCP joint compared to the contralateral side, with no firm endpoint. He is unable to pinch effectively between his thumb and index finger. Regarding ulnar collateral ligament (UCL) injuries of the thumb:

Mark each as TRUE or FALSE

A

UCL injury of the thumb MCP joint is commonly called "gamekeeper's thumb" (chronic attenuation from ...

B

The Stener lesion occurs when the torn UCL displaces proximally and superficial to the adductor poll...

C

The radial collateral ligament is most commonly injured; the Stener lesion heals well without surger...

D

Imaging includes radiographs (stress views, avulsion fractures), ultrasound (can identify Stener les...

E

Treatment of partial tears or complete tears without Stener lesion is thumb spica immobilization for...

Answer the questions to see explanations

Click T (True) or F (False) for each option