Gamekeepers Thumb Flashcards
1
Q
What is it man?
A
Sprain of UCL of MCP
2
Q
Aka
A
Skier’s thumb,
Seen in bball/football
3
Q
What causes me man?
A
Forceful hyperextension/abduction of thumb
4
Q
What are some signs that i have this man?
A
Abduction stress testing
P/weakness in extension and with thumb pinch
Be sure to test at 0’ and 30’ flexion
5
Q
What are some things i’m going to complain about when i have gamekeepers thumb, man?
A
Local pain with pain referral
Moderate-severe interference with ADL
6
Q
Grading!
A
1 - P, no instability with ulnar stress
2 -
7
Q
Referral
A
Stener lesion = torn UCL and volar plate causing instability
Palpate nodule over UCL with instability
THIS WARRANTS AN X-RAY
8
Q
Early tx
A
POLICE
SPLINT/CAST
9
Q
LATE TX
A
AVOID ADJUSTING! band/putty/ball exercises Prophylactic taping Special gloves Short thermoplastic splint Protect/activity mod Myofascial work
