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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.
Symptoms are pain and tenderness at the radial side of the wrist, fullness or thickening over the thumb side of the wrist, painful radial abduction of the thumb, and difficulty gripping with the affected side of the hand. [2] Pain is made worse by movement of the thumb and wrist, and may radiate to the thumb or the forearm. [2]
The pain frequently occurs at night and can even radiate to the shoulder. Even though the diagnosis is straightforward, the treatment is surgical decompression of the median nerve after deroofing of the carpal tunnel. [3] Dupuytren's contracture is another disorder of the fingers that is due to thickening of the underlying skin tissues of the ...
The cast restricts wrist movement while allowing elbow mobility, providing a balance between immobilization and functionality. In some cases, a thumb spica variant is added to include the thumb in immobilization, such as for scaphoid fractures or severe thumb sprains. Proper fit and careful alignment are critical to ensure effective healing and ...
Symptoms of Bennett fracture are instability of the CMC joint of the thumb, accompanied by pain and weakness of the pinch grasp. Characteristic signs include pain, swelling, and ecchymosis around the base of the thumb and thenar eminence, and especially over the CMC joint of the thumb. Physical examination demonstrates instability of the CMC ...
A broken finger or finger fracture is a common type of bone fracture, affecting a finger. [1] Symptoms may include pain, swelling, tenderness, bruising, deformity and reduced ability to move the finger. [2] Although most finger fractures are easy to treat, failing to deal with a fracture appropriately may result in long-term pain and disability ...
If patients do have median nerve palsy, occupational therapy or wearing a splint can help reduce the pain and further damage. Wearing a dynamic splint, which pulls the thumb into opposition, will help prevent an excess in deformity. This splint can also assist in function and help the fingers flex towards the thumb.