SKI-POLE (GAMEKEEPER'S) THUMB Flashcards

1
Q

Mechanism

A

Fall with forced abduction of the thumb
-> Ulnar collateral lig injury 1st MCP

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2
Q

Physical Exam

A

Gross instability with valgus stressing of 1st MCP
Assess for 2nd vs. 3rd degree tear with local anesthetic

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3
Q

X-RAY

A

2V Thumb
r/o avulsion fracture

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4
Q

Management: Grade 1-2

A

Thumb spica splint
4-6 weeks
Follow up with hand in 1-2 weeks

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5
Q

Management: Grade 3

A

Operative within 1 week of the injury

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