Gate Keepers Thumb
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What is skiersgamekeepers thumb.
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Gamekeepers thumb is avulsion or rupture of the ulnar collateral ligament ucl of the thumb.
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Gate keepers thumb. Epidemiology repetitive injury of the u. A chronic injury to the ligament that joins the thumb to the other hand bones and stops it from pulling too far away from the hand. In approximately 90 of cases part of the bone is actually avulsed from sheared away from the joint. Gamekeepers thumb is an insufficiency of the ulnar collateral ligament ucl of the metacarpophalangeal mcp joint of the thumb.
This injury is also known as skiers thumb1 or gamekeepers thumb2 names relating to the common injury mechanisms. Injury to the ulnar collateral ligament ucl at the metacarpophalangeal joint mcpj of the thumb figure 1 is a common injury especially in skiers. Gamekeepers thumb also known as skiers thumb or ucl tear is a type of injury to the ulnar collateral ligament ucl of the thumbthe ucl may be merely stretched or it may be torn from its insertion site into the proximal phalanx of the thumb. A gamekeepers thumb also called a skiers thumb is an injury to one of the important ligaments at the base of the thumb joint.
It is essentially synonymous with skiers thumb although the latter has more of an acute injury connotation. The purpose of the ucl is to keep the thumb stable in order to pinch objects. It can lead to chronic instability if not treated appropriately. The injury involves the ulnar collateral ligament ucl a band of tough fibrous tissue that connects the bones at the base of the thumbthis ligament prevents the thumb from pointing too far away from the hand.
Gamekeepers thumb is also known as skiers thumb which is probably a better term for it nowadays as there are very few gamekeepers around anymore. Unfortunately it is commonly misdiagnosed. The injury occurred as the gamekeepers sacrificed game such as rabbits by breaking the. An injury to the ucl can be painful and result in a loss of function and pinch strength.
Campbell originally coined the term in 1955 because the condition was most commonly associated with scottish gamekeepers especially rabbit keepers as a work related injury. The term gamekeepers thumb is used when referring to an ulnar collateral injury caused by repetitive stress on the thumb during such activities as using a wrench twisting electrical cords or wringing out heavy cloths. Soccer players and skiers are most likely to develop this the type of injury. Gamekeepers thumb was originally described by campbell in 1955 when he reported chronic laxity of the ulnar collateral ligament ucl of the thumb in 24 scottish gamekeepers.
More detailed information about the symptoms causes and treatments of gamekeepers thumb is available below.
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