Ulnar Collateral Ligament Injury of the Thumb

“Skier’s Thumb/Gamekeeper’s Thumb”

• Officially termed in 1955 this injury was originally named after Scottish game keepers who would often use their hands to sacrifice game by twisting their necks. In common day America it is now known as “Skier’s Thumb” often caused by a skier landing on the ground with his/her hand braced on the ski pole.
•  Ulnar collateral ligament injury is caused by outward force to the end of the thumb which is already abducted or away from the hand/index finger.
• A simple fall on an outstretched hand usually does not create the same force to cause injury to the ulnar collateral ligament.
• Symptoms include:
  • Pain at the base of the thumb between the thumb and index finger; including pain with thumb movement
  • Swelling
  • Inability to grasp with thumb or a weakness to grasp
  • Tenderness along the inside of the thumb
• Stener Lesion- Often caused by a complete tear of the ulnar collateral ligament. Is often an indication for surgery
• Non-surgical treatment for “partial tears” often noted as grade 1 and II tears. Noted instability however not a full rupture.

WHAT TO EXPECT

• An individual diagnosed with an ulnar collateral ligament tear or sprain can expect to be immobilized in a thumb spica cast/splint for a period of time. Followed by a referral to hand therapy to assist with regaining range of motion and strength back to the thumb, hand and wrist.
• People with skier’s thumb may be able to return to work and even skiing in a short period with proper rehabilitation.
• ALL care for an ulnar collateral ligament injury is dependent on physician preference and whether or not you are a candidate for surgery.

PRORehab has 19 Certified Hand Therapists on staff at 17 locations.  Please call for an appointment.