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With gamekeeper's thumb, where the ulnar collateral ligament (UCL) is damaged, thumb functional abilities may be diminished. [4] For fingertip deformities, such as in mallet finger, pain and fingernail disruption may also be observed. [13] Rheumatoid arthritis of the hands may cause hand deformities.
Gamekeeper's thumb and skier's thumb are two similar conditions, both of which involve insufficiency of the ulnar collateral ligament (UCL) of the thumb. The chief difference between these two conditions is that skier's thumb is generally considered to be an acute condition acquired after a fall or similar abduction injury to the metacarpophalangeal (MCP) joint of the thumb, whereas gamekeeper ...
Most gamekeeper's thumb injuries are treated by simply immobilizing the joint in a thumb spica splint or a modified wrist splint and allowing the ligament to heal. However, near total or total tears of the UCL may require surgery to achieve a satisfactory repair, especially if accompanied by a Stener lesion.
A spica splint is a type of orthopedic splint used to immobilize the thumb and/or wrist while allowing the other digits freedom to move. It is used to provide support for thumb injuries (ligament instability, sprain or muscle strain), gamekeeper's thumb, osteoarthritis, de Quervain's syndrome or fractures of the scaphoid, lunate, or first metacarpal. [1]
Trapeziometacarpal osteoarthritis (TMC OA) is, also known as osteoarthritis at the base of the thumb, thumb carpometacarpal osteoarthritis, basilar (or basal) joint arthritis, or as rhizarthrosis. [ 3 ] [ 1 ] [ 2 ] This joint is formed by the trapezium bone of the wrist and the metacarpal bone of the thumb.
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Pain and tenderness on the thumb side of the wrist [3] Usual onset: Gradual [4] Risk factors: Repetitive movements, trauma: Diagnostic method: Based on symptoms and examination [3] Differential diagnosis: Base of thumb Osteoarthritis [4] Treatment: Pain medications, splinting the wrist and thumb [4]
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