Ulnar Collateral Ligament Of Thumb Rupture


Also known as "gamekeeper's thumb" or Skier's thumb

MECHANISM

DIAGNOSIS

TREATMENT

  Initial Treatment
Splint type & position Thumb spica splint with wrist in slight extension, thumb in slight abduction
Initial follow-up visit Within 7 to 10 days
Pt instructions Maintain active ROM at the thumb IP joint, MCP joints, and elbow
 
  Follow-up Care
Cast or Splint type & position Thumb spica splint or cast with wrist in slight extension, thumb in slight abduction
Length of immobilization 4-6 wks
Healing time 4-6 wks
Follow-up visit interval Every 2 weeks to assess joint motion and return to normal hand function
Repeat radiography interval Not usually necessary unless patient re-injures hand
Pt instruction - Maintain active ROM at the thumb IP joint, MCP joints, and elbow
- Buddy taping or splint protection during sports for 4 to 6 weeks after clinically healed
Indications for orthopedic consult Fracture displaced > 2 mm
Intraarticular fracture (>20% of articular surface)
Complete tear of ligament (> 35 degrees opening on valgus testing) Concern for Stener lesion
Symptomatic chronic injury

Return to Work or Sports