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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 ...
The ulnar collateral ligament of the thumb runs along the ulnar side of the metacarpo-phalangeal joint of the thumb. The ulnar collateral ligament is an important stabilizer of the thumb. It is on the radial side of the wrist, but on the ulnar side of the thumb. It should not be confused with the ulnar collateral ligament of wrist joint.
Gamekeeper's thumb, also known as skier's thumb, is characterised by a diminished ability to grasp or pinch with the thumb due to damage to the ulnar collateral ligament (UCL). [4] Gamekeeper's thumb can be caused by acute injury or chronic overuse, often arousing from a fall where the hand is extended that leads to forceful separation of the ...
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.
Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
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]
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Fingers and wrists - Wrist sprains commonly occur, especially during a fall on an outstretched hand. Gamekeeper's thumb (Skier's thumb) - forceful grabbing that leads to an injury to the ulnar collateral ligament (UCL) at the metacarpophalangeal (MCP) joint of the thumb, historically found in Scottish gamekeepers [20] Spine
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