Metacarpophalangeal ulnar ligament rupture - Revision history

Elcatracho: /* Disposition */

2021-02-23T23:40:33Z

Disposition

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	==Disposition==		==Disposition==
	*Discharge		*Discharge with hand surgery follow up

	==See Also==		==See Also==

Mholtz at 05:38, 4 July 2017

2017-07-04T05:38:55Z

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	===Stener Lesion===		===Stener Lesion===
	This phenomenon occurs when there is a UCL tear that results in entrapment of the adductor pollicis aponeurosis within the UCL. Clinically characterized by extensive laxity on stress testing of the thumb MCP. Patients will require surgical repair<ref>Bowers WH, Hurst LC. Gamekeeper's thumb. Evaluation by arthrography and stress roentgenography. J Bone Joint Surg Am. 1977;59(4):519-524</ref>		*This phenomenon occurs when there is a UCL tear that results in entrapment of the adductor pollicis aponeurosis within the UCL. Clinically characterized by extensive laxity on stress testing of the thumb MCP. Patients will require surgical repair<ref>Bowers WH, Hurst LC. Gamekeeper's thumb. Evaluation by arthrography and stress roentgenography. J Bone Joint Surg Am. 1977;59(4):519-524</ref>

	==Management==		==Management==
	All patients with suspected UCL injury should be referred ~~for~~ a hand surgeon within 1 week. Reevaluation will dictate operative ~~managment~~		*All patients with suspected UCL injury should be referred to a hand surgeon within 1 week. Reevaluation will dictate operative management.
	*Partial rupture		*Partial rupture → Immobilization in [[thumb spica]] for 4 weeks with thumb in neutral position
	**Immobilization in [[thumb spica]] for 4 weeks with thumb in neutral position		*Full rupture or Stener lesion → Operative repair
	*Full rupture or Stener lesion
	**Operative repair

	==Disposition==		==Disposition==
	*~~Outpatient treatment~~		*Discharge

	==See Also==		==See Also==
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	==External Links==		==External Links==


	==Video==		==Video==

TJYE: /* Clinical Features */

2017-04-09T20:02:40Z

Clinical Features

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	==Clinical Features==		==Clinical Features==
	*Swelling and localized tenderness over ulnar border of joint		*Swelling and localized tenderness over ulnar border of the thumb MCP joint
	*Weakness of pinch		*Weakness of pinch

TJYE: /* Background */

2017-04-09T20:02:05Z

Background

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	*Ulnar collateral ligament ruptures at insertion into proximal phalanx (due to radial deviation of MCP)		*Ulnar collateral ligament ruptures at insertion into proximal phalanx (due to radial deviation of MCP)
	*If left untreated, it will causes decreased thumb adduction and inability to perform opposition.		*If left untreated, it will causes decreased thumb adduction and inability to perform opposition.
	*The mechanism of injury is usually a rapid deceleration while holding onto an ~~objection~~ (such as a ski pole)		*The mechanism of injury is usually a rapid deceleration while holding onto an object (such as a ski pole)

	==Clinical Features==		==Clinical Features==

TJYE: /* Management */

2017-04-09T20:01:06Z

Management

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	All patients with suspected UCL injury should be referred for a hand surgeon within 1 week. Reevaluation will dictate operative managment		All patients with suspected UCL injury should be referred for a hand surgeon within 1 week. Reevaluation will dictate operative managment
	*Partial rupture		*Partial rupture
	**Immobilization in [[thumb spica]] for 4 weeks		**Immobilization in [[thumb spica]] for 4 weeks with thumb in neutral position
	*Full rupture or Stener lesion		*Full rupture or Stener lesion
	**Operative repair		**Operative repair

TJYE: /* Management */

2017-04-09T20:00:04Z

Management

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	*Partial rupture		*Partial rupture
	**Immobilization in [[thumb spica]] for 4 weeks		**Immobilization in [[thumb spica]] for 4 weeks
	*Full rupture		*Full rupture or Stener lesion
	**Operative repair		**Operative repair

TJYE: /* Evaluation */

2017-04-09T19:59:25Z

Evaluation

← Revisión anterior		Revisión del 19:59 9 abr 2017
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	===Stener Lesion===		===Stener Lesion===
	This phenomenon occurs when there is a UCL tear that results in entrapment of the adductor pollicis aponeurosis within the UCL. Patients will require surgical repair<ref>Bowers WH, Hurst LC. Gamekeeper's thumb. Evaluation by arthrography and stress roentgenography. J Bone Joint Surg Am. 1977;59(4):519-524</ref>		This phenomenon occurs when there is a UCL tear that results in entrapment of the adductor pollicis aponeurosis within the UCL. Clinically characterized by extensive laxity on stress testing of the thumb MCP. Patients will require surgical repair<ref>Bowers WH, Hurst LC. Gamekeeper's thumb. Evaluation by arthrography and stress roentgenography. J Bone Joint Surg Am. 1977;59(4):519-524</ref>

	==Management==		==Management==

TJYE: /* Background */

2017-04-09T19:57:59Z

Background

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	==Background==		==Background==
	*Also known as "Gamekeeper's thumb" or "Skier's thumb"		*Also known as "Gamekeeper's thumb" or "Skier's thumb"
	*Ulnar ligament ruptures at insertion into proximal phalanx (due to radial deviation of MCP)		*Ulnar collateral ligament ruptures at insertion into proximal phalanx (due to radial deviation of MCP)
	*If left untreated, it will causes decreased thumb adduction and inability to perform opposition.		*If left untreated, it will causes decreased thumb adduction and inability to perform opposition.
	*The mechanism of injury is usually a rapid deceleration while holding onto an objection (such as a ski pole)		*The mechanism of injury is usually a rapid deceleration while holding onto an objection (such as a ski pole)

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T10:20:19Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

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	{{Hand and finger injury DDX}}		{{Hand and finger injury DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*X-ray (perform before joint stressing)		*X-ray (perform before joint stressing)
	**There is a high association with avulsion fractures from insertion of UCL into proximal phalanx		**There is a high association with avulsion fractures from insertion of UCL into proximal phalanx

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:47:00Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

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	<references/>		<references/>

	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]