Treatment FAQ

what treatment would a pta expect to see with a ulnar collateral ligament rupture of the thumb

by Shana Ritchie Published 2 years ago Updated 2 years ago

The doctor will also test the stability of the thumb with gentle pressure from each side, and compare this to the uninjured thumb. If there is a sprain to the UCL

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of the thumb, the physician may prescribe a custom thumb spica splint to rest the joint and ligament for a period of time.

Full Answer

How is ulnar collateral ligament injury diagnosed in gamekeeper thumb?

Harper MT, Chandnani VP, Spaeth J. et al.Gamekeeper thumb: diagnosis of ulnar collateral ligament injury using magnetic resonance imaging, magnetic resonance arthrography and stress radiography. J Magn Reson Imaging. 1996;6(2):322–328. doi: 10.1002/jmri.1880060211.

What is the treatment for radial ulnar collateral ligament injury?

Treatment involves anatomic repair or reconstruction which reliably restores the essential function of the collateral ligament. diagnosis made by history and physical exam (thumb MCP radial-ulnar stress exam) and confirmed with MRI studies.

Can a torn ulnar collateral ligament heal itself?

Getting treatment soon after an injury to the ulnar collateral ligament of the thumb may improve your ability to regain strength and range of motion. If the ligaments are completely torn, you will most likely have surgery to repair them. A torn ligament cannot fully heal itself.

How do you treat a torn ligament in the thumb?

The goal of treatment is to help the ligaments heal so that the thumb can be restored to full function. If the thumb ligaments are only partially torn, they usually heal without surgery. Your thumb will be immobilized for four to six weeks in a special cast, called a thumb spica cast.

How do you treat a torn ulnar collateral ligament thumb?

Partial tears and minimally displaced tears can be treated in a cast, which is worn for four weeks followed by a removable splint until motion and stability are returned. Complete tears that are displaced are treated surgically. This procedure requires your surgeon to surgically reattach the ligament.

How do you manage ulnar collateral ligament injury?

Nonsteroidal anti-inflammatory medications such as aspirin, ibuprofen, naproxen, etc. Applying ice to the elbow daily until the pain and swelling are gone. After inflammation has decreased, you may begin physical therapy to strengthen the muscles around the elbow to compensate for the torn ligament.

What happens when you tear your ulnar collateral ligament?

When this ligament is torn or damaged, it can lead to pain, elbow instability and loss of function. A UCL tear occurs with overuse and wear and tear on the ligaments in the elbow and is most commonly associated with baseball pitchers and other athletes who perform frequent overarm movement.

What is the preferred technique for ulnar collateral ligament reconstruction?

Initially described in 2002, the docking technique is one of the most commonly used methods of UCL reconstruction. 3 It was developed in an attempt to reduce disruption of the common flexor origin by using a muscle-splitting approach and reduce the risk of injury to the ulnar nerve by avoiding routine transposition.

How do you treat radial collateral ligament injury?

Physical therapy can help restore strength and range of motion of the elbow as well as strengthen muscles surrounding the elbow to alleviate tension on the RCL. Non-steroidal anti-inflammatory medications along with resting and icing the elbow can help manage pain and inflammation.

How is ulnar nerve entrapment treated?

Ulnar Nerve Entrapment TreatmentOccupational therapy to strengthen the ligaments and tendons in the hands and elbows.Drugs such as aspirin, ibuprofen and other nonprescription pain relievers to help reduce pain and inflammation.Splints to help immobilize the elbow.

What is a UCL tear in thumb?

A UCL injury is a tear or other damage to the soft tissue that connects the bones of the thumb and provides stability to the thumb joint. The condition is often referred to as skier's thumb because it is a common injury among skiers.

Where is ulnar collateral ligament?

The ligament on the inside of the elbow is the ulnar collateral ligament (UCL). It runs from the inner side of the humerus (upper arm bone) to the inner side of the ulna (the larger of the two bones in the forearm) at the joint. The UCL stabilizes the elbow through its various motions such as throwing.

What is the name of the surgical procedure used for UCL repairs?

What is Tommy John's Surgery? Tommy John's Surgery (also known as a UCL Repair or UCL Reconstruction) is a well known surgical procedure among athletes and was named after MLB pitcher Tommy John who was the first to undergo the procedure in 1974.

How is Tommy John surgery performed?

Tommy John surgery is performed by using a grafted tendon to replace the damaged ligament. The surgery begins with an incision on the inside of the elbow joint. Then a healthy tendon is harvested from another area of the patient's body or a donated tendon is prepared. Next, the damaged ligament is removed and replaced.

What tendon do they use for Tommy John surgery?

The graft is placed through tunnels drilled the Ulna (bottom bone) and in the Humerus (top bone) of the elbow. A graft is a tendon used to replace the torn ligament. The most common graft is the Palmaris tendon, which is obtained from the forearm through a small incision in the wrist.

What to do if you have a thumb sprain?

If there is a sprain to the UCL of the thumb, the physician may prescribe a custom thumb spica splint to rest the joint and ligament for a period of time .

What is the most common ligament injury in the thumb?

Unfortunately, our thumb's ulnar collateral ligament is also the most common ligament injury in the thumb. This injury is known as skier’s or goalkeeper’s thumb.

What does it mean when your thumb is jammed?

a fall, or jamming the thumb at a hard surface, or the thumb catching onto something that pulls the thumb in the opposite direction.

How to help hand pain?

manage and decrease hand pains. improve range of motion, strength and dexterity. increase the function of their hand following injuries or post-operations. Commonly treated hand pain injuries includes. wrist sprains and wrist fractures. thumb sprains, finger fractures and finger dislocations.

What is clinical Pilates?

Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing. It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

Can you hold a glass with your thumb?

With this injury, activities such as holding a drinking glass or writing may be difficult. Weakness may be a symptom as well, with a decreased ability to grip or pinch any object with the thumb and hand.

Does deep tissue massage help with muscle recovery?

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.

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