Gamekeepers thumb

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The injury may also be the result of falling on an outstretched thumb or catching a ball with an outstretched thumb. The injury may be relatively mild or complicated by an avulsion fracture of the proximal phalanx at the insertion of the UCL or a Stener lesion, present when both the proper collateral ligament and the collateral ligament are ruptured. Prior to initiating any treatment protocol, a careful examination of the thumb by a trained medical specialist is necessary to determine the extent of the injury and the appropriate treatment.

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The breaking of the unlar collateral ligament first metacarpophalangeal joint is one of the most frequent injuries sustained from sporting activities, and can result in pain and instability in the thumb. This injury is caused by a force that pushes the thumb away from the fingers, developing in pain, bruising and swelling in the area, and can be caused from a single force or maybe due to repeated forces. The radial collateral ligament is found on the other side of the thumb.

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Medical dictionary. Gamekeeper's thumb — also known as skier s thumb or UCL tear is a type of injury to the ulnar collateral ligament common among gamekeepers, especially Scottish fowl hunters. SYN: pollex [TA], digitus manus primus, first finger.

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Despite its name, gamekeeper's thumb is still seen. These days, GPs do not see many gamekeepers complaining of sore thumbs as a result of killing pheasants with their bare hands, so the name 'gamekeeper's thumb' has become outdated. The injury has not disappeared though - it simply has a slightly different cause, and has been renamed by some as skier's thumb. The injury is an instability of the first metacarpophalangeal joint caused by damage to the ulnar collateral ligament.

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With compassion and expert care, our physicians and staff are dedicated to helping our patients return to an active, healthy lifestyle Know More. Beginning August 22nd our clinic opens on Saturday mornings during football season at am.

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Ligaments are strong, flexible, fibrous connective tissues that connect bone to bone. The UCL is the main ligament, located on the inner aspect at the base of the thumb, which stabilizes the metacarpophalangeal MCP joint. The UCL may be strained or torn partially or completely producing a weakened grasping or pinching ability of the thumb.

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Gamekeeper's thumb also known as skier's thumb or UCL tear is a type of injury to the ulnar collateral ligament UCL of the thumb. It also occurs among people who sustain a fall onto an outstretched hand, frequently skiers. Symptoms of gamekeeper's thumb are instability of the MCP joint of the thumb, accompanied by pain and weakness of the pinch grasp. The severity of the symptoms are related to the extent of the initial tear of the UCL in the case of Skier's thumbor how long the injury has been allowed to progress in the case of gamekeeper's thumb.

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This is an injury to the ulnar collateral ligament of the metacarpo-phalangeal joint. This is a strong ligament that supports the thumb when pinching or gripping and if it is damaged may lead onto to a chronic instability of the thumb which causes problems with function. The injury happens when you fall onto the outstretched thumb see diagram and is more likely if the thumb is gripping something at the same time.

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It is essentially synonymous with skier's thumbalthough the latter has more of an acute injury connotation. The repetitive breaking-of-necks of small game rabbits and such resulted in chronic injury to the ulnar collateral ligament of the metacarpophalangeal joint of the thumb with weakening and eventual tear. Gamekeeping and poaching have largely fallen by the wayside as a recreational activity. In gamekeepers, perhaps an unusually thick-necked rabbit was the cause?


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