Skier's thumb: Difference between revisions

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Injury to the ulnar collateral ligament (UCL) at the metacarpophalangeal joint (MCPJ) of the thumb, also known as "skier's thumb," can involve other structures such as the adductor aponeurosis, the accessory collateral ligament, bony structures, tendons, and neurological tissues.<ref name="Anderson D">Anderson D. Skier's thumb. Aust Fam Physician. 2010;39(8):575-577.</ref>  
Injury to the ulnar collateral ligament (UCL) at the metacarpophalangeal joint (MCPJ) of the thumb, also known as "skier's thumb," can involve other structures such as the adductor aponeurosis, the accessory collateral ligament, bony structures, tendons, and neurological tissues.<ref name="Anderson D">Anderson D. Skier's thumb. Aust Fam Physician. 2010;39(8):575-577.</ref>  


There are two main supporting ligaments traversing the MCPJ of the thumb: the UCL and the radial collateral ligament (RCL). In general, UCL injuries account for 60-90% of ligamentous collateral injuries.<ref name="Patel et al">Patel S, Potty A, Taylor EJ, Screne ED. Collateral ligament injuries of the metacarpophalangeal joint of the thumb: a treatment algorithm. Strat Trauma Limb Recon. 2010;5:1-10.</ref> The UCL and RCL arise from the medial and lateral tubercles of the metacarpal condyles, respectfully, and insert into the base of the proximal phalanx on their respective sides (Figure 1).<ref name="Patel et al" /><ref name="Thumb sprains">Thumb sprains. American Society for Surgery of the Hand Web site. Available at: http://www.assh.org/Public/HandConditions/Pages/ThumbSprains.aspx. Accessed March 18, 2011.</ref>  
There are two main supporting ligaments traversing the MCPJ of the thumb: the UCL and the radial collateral ligament (RCL). In general, UCL injuries account for 60-90% of ligamentous collateral injuries.<ref name="Patel et al">Patel S, Potty A, Taylor EJ, Screne ED. Collateral ligament injuries of the metacarpophalangeal joint of the thumb: a treatment algorithm. Strat Trauma Limb Recon. 2010;5:1-10.</ref> The UCL and RCL arise from the medial and lateral tubercles of the metacarpal condyles, respectfully, and insert into the base of the proximal phalanx on their respective sides (Figure 1).<ref name="Patel et al" /><ref name="Thumb sprains">Thumb sprains. American Society for Surgery of the Hand Web site. Available at: http://www.assh.org/Public/HandConditions/Pages/ThumbSprains.aspx. Accessed March 18, 2011.</ref>


== Epidemiology /Etiology  ==
== Epidemiology /Etiology  ==

Revision as of 18:05, 19 March 2011

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Injury to the ulnar collateral ligament (UCL) at the metacarpophalangeal joint (MCPJ) of the thumb, also known as "skier's thumb," can involve other structures such as the adductor aponeurosis, the accessory collateral ligament, bony structures, tendons, and neurological tissues.[1]

There are two main supporting ligaments traversing the MCPJ of the thumb: the UCL and the radial collateral ligament (RCL). In general, UCL injuries account for 60-90% of ligamentous collateral injuries.[2] The UCL and RCL arise from the medial and lateral tubercles of the metacarpal condyles, respectfully, and insert into the base of the proximal phalanx on their respective sides (Figure 1).[2][3]

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  1. Anderson D. Skier's thumb. Aust Fam Physician. 2010;39(8):575-577.
  2. 2.0 2.1 Patel S, Potty A, Taylor EJ, Screne ED. Collateral ligament injuries of the metacarpophalangeal joint of the thumb: a treatment algorithm. Strat Trauma Limb Recon. 2010;5:1-10.
  3. Thumb sprains. American Society for Surgery of the Hand Web site. Available at: http://www.assh.org/Public/HandConditions/Pages/ThumbSprains.aspx. Accessed March 18, 2011.