Bilateral simultaneous bony skier’s thumb. A case report.
Abstract
Injuries of the thumb during winter sport activities usually occur amongst skiers, followed by snowboarders. Rupture of the ulnar collateral ligament (UCL) is most common injury, as a result of fall or an entrapment of the hand in a ski pole. We present a simultaneous bilateral bony rupture of the thumb UCL in a female recreational snowboarder, sustained after a simple fall during a snow ride. Surgical intervention with open reduction and stabilization with 1 mm Kirschner wires was performed at one time on both hands by the same orthopedic surgeon. A thumb plaster cast was applied for protection on either thumb. K-wires and the thumb cast were retained for a period of 4 weeks. The patient regained full function of her thumbs at 6 months postoperatively.
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References
Watson-Jones H. Fractures and Joint Injuries. 3th ed. Edinburgh: F. & S. Livingstone; 1943:587.
Gerber C, Senn E, Matter P. Skier’s thumb. Surgical treatment of recent injuries to the ulnar collateral ligament of the thumb’s metacarpophalangeal joint. Am J Sport Med. 1981;9(3):171-177.
Baskies MA, Lee SK. Evaluation and treatment of the ulnar collateral ligament of the thumb metacarpophalangeal joint. Bull NYU Hosp Jt Dis. 2009;67:68–74.
Heyman P, Gelberman RH, Duncan K, et al. Injuries of the ulnar collateral ligament of the thumb metacarpophalangeal joint: biomechanical and prospective clinical studies on the usefulness of valgus stress testing. Clin Orthop Rel Res. 1993;(292):165-171.
Plancher KD, Ho CP, Cofield SS, Viola R, Hawkins RJ. Role of MR imaging in the management of “skier’s thumb” injuries. Magn Reson Imaging Clin N Am. 1999; 7(1):73–84.
Palmer A, Lewis D. Gamekeeper’s thumb. When is surgery necessary? Orthop Trans. 1977;1:14-15
Hintermann B, Holzach PJ, Schütz M, Matter P. Skier’s thumb: the significance of bony injuries. Am J Sports Med. 1993 Nov-Dec;21(6):800-804.
Sorene ED, Goodwin DR . Non-operative treatment of displaced avulsion fractures of the ulnar base of the proximal phalanx of the thumb. Scand J Plast Reconstr Surg Hand Surg. 2003;37:225–227
Husband JB, McPherson SA. Bony skier’s thumb injuries. Clin Orthop. 1996;327:79-84
