SKI-POLE (GAMEKEEPER'S) THUMB Flashcards
1
Q
Mechanism
A
Fall with forced abduction of the thumb
-> Ulnar collateral lig injury 1st MCP
2
Q
Physical Exam
A
Gross instability with valgus stressing of 1st MCP
Assess for 2nd vs. 3rd degree tear with local anesthetic
3
Q
X-RAY
A
2V Thumb
r/o avulsion fracture
4
Q
Management: Grade 1-2
A
Thumb spica splint
4-6 weeks
Follow up with hand in 1-2 weeks
5
Q
Management: Grade 3
A
Operative within 1 week of the injury