- See:
Traumatic Gamekeeper's Thumb:
- Discussion:
- characterized by
abduction deformity of MCP joint;
- results from attenuation of ulnar collateral ligament;
- there is also an adduction contracture of the metacarpal;
- Exam:
- stability of the MCP joint should be tested by applying an ulnarly
directed force to joint, both w/ joint extended and flexed;
- joint should be tighter in flexion than extension;
- compare injured joint to the contralateral normal joint;
- Treatment:
- requires ulnar collateral ligament repair;
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Gamekeeper's thumb. Evaluation by arthrography and stress roentgenography.
Instability of the metacarpophalangeal joint of the thumb. Reconstruction of the
collateral ligaments using the extensor pollicis brevis tendon.
Stener B: Displacement of the ruptured ulnar collateral ligament of the
metacarpophalangeal joint of the thumb:
A clinical and anatomical
study.
J Bone Joint Surg 1962;44B:869-879.
Carr D, Johnson RJ, Pope MH: Upper extremity injuries in skiing.
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Mogan JV, Davis PH: Upper extremity injuries in skiing.
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