#UCL THUMB #SkiersThumb #GamekeepersThumb #LigamentThumb
UCL injury of the thumb is the most common ligament injury of the thumb. In Indian scenario it is commonly seen in Cricket players specifically in catching position. Acute UCL injury is called skiers Thumb. Chronic UCL injury is called Gamekeepers Thumb.
There are several grades of injury. Complete tear of UCL leads to steners lession in which the proximal fragment comes over the adductor pollicis aponeurosis and will not heal.
The features of this injury is pain swelling and ecchymosis on base of thumb. Pinch is weak. There are 2 parts of the ligament.
pUCL proper UCL : tight in flexion
a UCL accessory UCL and volar plate , tight in extension .
The treatment consist of ligament repair with mini suture anchor. it is a successful surgery with around 90 percent execllent results and satisfaction rate.
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