Gamekeeper's/Skier's Thumb and Ulnar Collateral Ligament Examination

Description

In this informative video, the presenter discusses Gamekeeper's thumb, also known as skier's thumb—an injury that affects the ulnar collateral ligament of the thumb. The video begins with an explanation of this common injury, detailing how it occurs, often through sports like skiing, where hyper-abduction or a combination of extension and abduction puts strain on the ligament, leading to its rupture.



The anatomical details of the thumb are explored, highlighting three key structures responsible for thumb stability: the proper ulnar collateral ligament, accessory collateral ligament, and the volar plate. A diagrammatic representation of these ligaments is provided along with a comparison of normal and injured thumbs.



The presenter showcases how to assess the injured thumb through various tests, demonstrating how to evaluate instability by performing valgus stress tests in both extended and flexed positions. Signs of injury such as swelling and abnormal movement are noted and contrasted with a healthy thumb.



The video explains non-surgical treatment options, including the use of a spica splint for about four weeks, and discusses the conditions under which surgical intervention may be required, such as the presence of a stena lesion. Tips for thorough examination, emphasizing the importance of comparing with the unaffected side, are also included.



Concluding, the presenter encourages viewers to subscribe and share the video, hoping it serves as a valuable resource for understanding and assessing Gamekeeper's thumb.

Specialties