Gamekeeper’s Thumb: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:Lucinda hampton|Lucinda hampton]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>


<br>  
== Definition/Description ==
<br>Gamekeeper's thumb, also known as  [[Skier's thumb]], is an injury that affects the [[Medial Collateral Ligament of the Elbow|Ulnar collateral ligament]] (UCL) of the thumb.<ref name=":0">Hung C-Y, Varacallo M, Chang K-V (2022) Gamekeepers Thumb - StatPearls - NCBI Bookshelf. In: [https://www.ncbi.nlm.nih.gov/books/NBK499971/#:~:text=The%20term%20%22Gamekeeper’s%20thumb%22%20was,instability%20of%20the%20MCP%20joint Gamekeepers Thumb - StatPearls - NCBI Bookshelf].</ref> The UCL is a band of tissue that connects the thumb to the hand and helps to stabilize the thumb joint.<ref>Madan SS, Pai DR, Dixit R, Soe HH. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483273/ Interventions for treating ulnar collateral ligament injuries of the thumb]. The Cochrane Database of Systematic Reviews. 2017 Jul;2017(7). </ref> The injury occurs when the thumb is bent backward or sideways, causing the UCL to stretch or tear.


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The term "gamekeeper's thumb" first originated from Scottish gamekeepers,<ref name=":0" /> who frequently experienced this injury due to their work involving repetitive use of their hands. Over time, the term became commonly used to describe injuries to the UCL of the thumb. Sometimes gamekeeper's thumb is called as [[Skier's thumb]]  because it is most commonly caused by a fall on an outstretched hand, such as when skiing or snowboarding, but there are some key differences between the both conditions. 
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== Etiology==
Original Editor - Your name will be added here if you created the original content for this page.  
Gamekeeper's thumb can be caused by various activities that involve forceful or repetitive thumb movements, such as skiing, playing sports, or using tools. The injury can also occur from a single traumatic event, such as a fall or a blow to the thumb. The severity of the injury depends on how much the UCL is damaged and whether it is partially or completely torn.


Lead Editors  &nbsp; 
Go to the above link to find a full explanation of this condition and all relevant information.
The short video below shows an overview of the condition
{{#ev:youtube|https://www.youtube.com/watch?v=sxCryiOnYH4&t=44s|width}}<ref>John Knight. Gamekeeper's Thumb - All You Need to Know https://www.youtube.com/watch?v=0ZUtTT9v3r0 (last accessed 23.05.2023)</ref>


===== '''Difference between gamekeepers thumb and  Skier's thumb''' =====
{| class="wikitable"
|+
|Feature
!'''Gamekeeper's Thumb'''
!'''Skier's thumb'''
|-
|Cause
|Chronic non-traumatic overuse injury (stress and repetitive trauma) that gradually injures the ulnar collateral ligament
|Acute injury due to trauma, from hyperabduction of the thumb as it is caught by the ski pole strap
|-
|Type of injury
|Chronic overuse injury
|Acute injury
|-
|Commonly Affected Area
|Ulnar collateral  ligament of the thumb
|Ulnar collateral  ligament of the thumb
|-
|Mechanism of injury
|Repetitive stress  or trauma to the thumb over time
|Sudden forceful  abduction of the thumb
|-
|Ligament affected
|Ulnar collateral ligament (UCL)
|Ulnar collateral ligament (UCL)
|-
|Symptoms
|Pain, swelling,  weakness, instability of the thumb, and  ifficulty gripping or pinching objects
|Pain, swelling,  weakness, instability of the thumb, and  ifficulty gripping or pinching objects
|-
|Sports associated
|Fighting, soccer, and skiing
|Skiing
|-
|Commonly  Affected Population
|Athletes who use  their hands frequently, such as gamekeepers, rock climbers, and skiers
|Skiers,  snowboarders, and other winter sports enthusiasts
|-
|Other names
|Break-dancer's thumb
|Some time it is called as Gamekeeper's Thumb
|}
|}


== Purpose<br>  ==
== References   ==
 
add the purpose of this assessment technique here<br>
 
== Technique<br>  ==
 
Describe how to carry out this assessment technique here
 
== Evidence  ==
 
Provide the evidence for this technique here
 
== Resources  ==
 
add any relevant resources here
 
== References<br>  ==


<references />
<references />
[[Category:Sports Medicine]]
[[Category:Sports Injuries]]
[[Category:Hand]]
[[Category:Conditions]]
[[Category:Hand - Conditions]]

Latest revision as of 10:28, 26 May 2023

Definition/Description[edit | edit source]


Gamekeeper's thumb, also known as Skier's thumb, is an injury that affects the Ulnar collateral ligament (UCL) of the thumb.[1] The UCL is a band of tissue that connects the thumb to the hand and helps to stabilize the thumb joint.[2] The injury occurs when the thumb is bent backward or sideways, causing the UCL to stretch or tear.

The term "gamekeeper's thumb" first originated from Scottish gamekeepers,[1] who frequently experienced this injury due to their work involving repetitive use of their hands. Over time, the term became commonly used to describe injuries to the UCL of the thumb. Sometimes gamekeeper's thumb is called as Skier's thumb because it is most commonly caused by a fall on an outstretched hand, such as when skiing or snowboarding, but there are some key differences between the both conditions.

Etiology[edit | edit source]

Gamekeeper's thumb can be caused by various activities that involve forceful or repetitive thumb movements, such as skiing, playing sports, or using tools. The injury can also occur from a single traumatic event, such as a fall or a blow to the thumb. The severity of the injury depends on how much the UCL is damaged and whether it is partially or completely torn.

Go to the above link to find a full explanation of this condition and all relevant information. The short video below shows an overview of the condition

[3]

Difference between gamekeepers thumb and Skier's thumb[edit | edit source]
Feature Gamekeeper's Thumb Skier's thumb
Cause Chronic non-traumatic overuse injury (stress and repetitive trauma) that gradually injures the ulnar collateral ligament Acute injury due to trauma, from hyperabduction of the thumb as it is caught by the ski pole strap
Type of injury Chronic overuse injury Acute injury
Commonly Affected Area Ulnar collateral ligament of the thumb Ulnar collateral ligament of the thumb
Mechanism of injury Repetitive stress or trauma to the thumb over time Sudden forceful abduction of the thumb
Ligament affected Ulnar collateral ligament (UCL) Ulnar collateral ligament (UCL)
Symptoms Pain, swelling, weakness, instability of the thumb, and ifficulty gripping or pinching objects Pain, swelling, weakness, instability of the thumb, and ifficulty gripping or pinching objects
Sports associated Fighting, soccer, and skiing Skiing
Commonly Affected Population Athletes who use their hands frequently, such as gamekeepers, rock climbers, and skiers Skiers, snowboarders, and other winter sports enthusiasts
Other names Break-dancer's thumb Some time it is called as Gamekeeper's Thumb

References[edit | edit source]

  1. 1.0 1.1 Hung C-Y, Varacallo M, Chang K-V (2022) Gamekeepers Thumb - StatPearls - NCBI Bookshelf. In: Gamekeepers Thumb - StatPearls - NCBI Bookshelf.
  2. Madan SS, Pai DR, Dixit R, Soe HH. Interventions for treating ulnar collateral ligament injuries of the thumb. The Cochrane Database of Systematic Reviews. 2017 Jul;2017(7).
  3. John Knight. Gamekeeper's Thumb - All You Need to Know https://www.youtube.com/watch?v=0ZUtTT9v3r0 (last accessed 23.05.2023)