Common causes include a fall onto an outstretched hand, gripping the steering wheel during a car accident, and falling while holding a ski pole. Symptoms Symptoms typically include pain, swelling, and tenderness on the ulnar side of the thumb MCP joint. Pinching and gripping with the thumb may be difficult, and range of motion may be limited.
Reproduced with permission from Dr Stuart Myers at www. General: This is a common injury among skiers and footballers but can affect anyone. It involves an injury to the Ulnar collateral ligament of the thumb.
A gamekeeper's thumb, also called a skier's thumb, is an injury to one of the important ligaments at the base of the thumb joint. The injury involves the ulnar collateral ligament UCLa band of tough, fibrous tissue that connects the bones at the base of the thumb. This ligament prevents the thumb from pointing too far away from the hand.
Gamekeeper's thumb also known as skier's thumb or UCL tear is a type of injury to the ulnar collateral ligament UCL of the thumb. It also occurs among people who sustain a fall onto an outstretched hand, frequently skiers. Symptoms of gamekeeper's thumb are instability of the MCP joint of the thumb, accompanied by pain and weakness of the pinch grasp. The severity of the symptoms are related to the extent of the initial tear of the UCL in the case of Skier's thumbor how long the injury has been allowed to progress in the case of gamekeeper's thumb.
A sprain is an injury to a ligament, which is a soft tissue that connects bones to each other at joints. The most common ligament to be injured in the thumb is the ulnar collateral ligament. This helps connect the thumb to the hand on the side near the index finger.
If the thumb is forced backwards or to the side, a ligament sprain or tear can occur. A sprain is an injury to a ligament — a soft tissue structure that connects two bones to one another around a joint. Sprains can vary in severity from partial tears of the ligament to complete tears.
Ulnar collateral ligament injury of the thumb originally derived its name as gamekeepers' thumb from those gamekeepers who would develop the injury as a result of repetitively twisting and breaking of the neck of small game such as birds and rabbits. Any injury causing extreme thumb abduction can result in ulnar collateral ligament injury. In skiers, when the thumb strikes a fixed ski pole there is forced abduction along with hyperextension of the first metacarpophalangeal joint.
This is an injury to the ulnar collateral ligament of the metacarpo-phalangeal joint. This is a strong ligament that supports the thumb when pinching or gripping and if it is damaged may lead onto to a chronic instability of the thumb which causes problems with function. The injury happens when you fall onto the outstretched thumb see diagram and is more likely if the thumb is gripping something at the same time.
Interviewer: You come back from the slopes, and your thumb is hurting really, really badly. Is it something you should worry about or not? We'll find out next on The Scope.