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Thumb Sprain


Presentation

  • The most common presentation is pain over the ulnar aspect of the MCPJ of the thumb.[physio-pedia.com]
  • We present a review of literature and our preferred way of management.[ncbi.nlm.nih.gov]
  • The Stener lesion is present in more than 80% of complete ruptures of the UCL of the thumb.[en.wikipedia.org]
  • If you do not have full range of motion or if severe bruising/swelling is present, you should probably see a doctor or your school's athletic trainer. It may be broken. Question I was playing cricket and the ball hit my thumb.[wikihow.com]
Pain
  • Don’t mistake your thumb pain for just pain, it could be a thumb sprain. Remember these causes and symptoms. Another common hand ailment is arthritis. Do you know the signs and symptoms? Learn how you can recognize when it’s arthritis.[deserthandtherapy.com]
  • It would be a good idea, especially if there is a lot of swelling and it is very painful. It is better to be certain that you're okay than to worry about it and prolong the pain.[wikihow.com]
  • Chris Taylor 's glove clipped Springer's hand, causing him to double over in pain and walk off alongside a trainer.[espn.com]
  • Sharp and throbbing pain is felt immediately after the injury and the affected area swells as time passes. Warmth, bruising, laxity, and instability are also felt.[en.calameo.com]
  • Cabrera hit both his home runs from the left side Monday, and has bunted multiple times from the right side since Saturday because "it's a lot of pain when I swing the bat."[espn.com]
Swelling
  • This recovery time depends on various factors such as grade of thumb sprain, swelling, first aid received immediately aft Less[en.calameo.com]
  • Arnica is an herb that can help to reduce bruising and swelling caused by a thumb sprain. You can take arnica supplements to combat the swelling, or you can apply it directly to the painful area.[wikihow.com]
  • Once you sprain your thumb, it’s common to see swelling and bruising around the joint. It will be painful for a while and you may lose some function. Writing, holding objects, and opening doors are all things that may become difficult.[deserthandtherapy.com]
  • The injury is followed by pain and swelling at the base of the thumb. Clinical examination may occasionally reveal a tender swelling at the ulnar side of the base of the thumb that represents the displaced ligament that is the Stener lesion.[ncbi.nlm.nih.gov]
  • Characteristic signs include pain, swelling, and ecchymosis around the thenar eminence, and especially over the MCP joint of the thumb. Physical examination demonstrates instability of the MCP joint of the thumb.[en.wikipedia.org]
Disability
  • NEW YORK -- The New York Mets have placed Asdrubal Cabrera on the 10-day disabled list with a left thumb sprain, a day after the shortstop hit two home runs in a victory over the Chicago Cubs.[espn.com]
  • The Astros placed Springer on the 10-day disabled list Monday. Outfielder Derek Fisher will replace him on the major league roster.[espn.com]
  • Conclusions A neglected, undertreated, or missed injury of the ulnar collateral ligament of the thumb may lead to significant disability and chronic pain due to instability.[ncbi.nlm.nih.gov]
  • UCL damage caused by Chronic injury may have a serious risk of disabling instability, pinch strength, and pain-free motion if not treated adequately. [1] [2] [3] [4] [5] [6] [7] In 64–87% of total UCL tears, Stener lesion can occur.[physio-pedia.com]
Falling
  • They’re very common in the sports world and even falling on your hand in a strange position can result in thumb sprain.[deserthandtherapy.com]
  • It also occurs among people who sustain a fall onto an outstretched hand, frequently skiers.[en.wikipedia.org]
  • Mechanism of injury by falling. [17] Figure 2B. Mechanism of injury by skiing. [18] Prevention.[physio-pedia.com]
  • Common mechanisms of injury include a fall while holding an object that is escaping—for example, a fall while skiing holding a ski pole, a hyperextension or abduction injury trying to catch a ball, or the thumb being caught into an artificial ski slope[ncbi.nlm.nih.gov]
Inflammation
  • They work to reduce inflammation caused by the sprain. Ibuprofen is one of the most common NSAIDs taken for a sprain. [10] The recommended dose is 200 to 400 mg taken orally every four to six hours.[wikihow.com]
  • If the injury is acute there will be bruising and inflammation (Figure 4). There may be tenderness with palpation, which localizes the injury to the ulnar aspect of the thumb where the UCL is lesioned.[physio-pedia.com]
Fracture
  • If your thumb is fractured or dislocated, do what the doctor has outlined for your treatment. If your thumb is sprained, the doctor will typically suggest purchasing a thumb brace or wrapping your sprained thumb.[wikihow.com]
  • Bennett or Rolando fracture: Is an intra-acticular fracture luxation at the base of MC I in the CMC joint. [13] Avulsion fracture: An avulsion fracture is an injury to the bone in a location where a tendon or ligament attaches to the bone.[physio-pedia.com]
  • When there is a fracture of the base of the PP, this is usually avulsed from its ulnopalmar aspect.[ncbi.nlm.nih.gov]
  • The term skier's thumb is derived from the fact that skiers often acquire this type of injury by falling against a planted ski pole, tearing the UCL by hyperabducting it. [6] See also [ edit ] Bennett's fracture Rolando fracture References [ edit ] Clifford[en.wikipedia.org]
Arthritis
  • Another common hand ailment is arthritis. Do you know the signs and symptoms? Learn how you can recognize when it’s arthritis.[deserthandtherapy.com]
  • ). [15] It is called skier’s thumb but can also occur in football, handball, basketball, rugby, soccer and even a handshake. [13] If the injury to the UCL is not treated properly this can lead to chronic laxity, joint instability, pain, weakness and arthritis[physio-pedia.com]
  • Chronic lesions are more difficult to treat, and in this section, we presume that no arthritis is present.[ncbi.nlm.nih.gov]
Flexion Contracture
  • However, if required, care should be taken not to over tighten this structure to avoid a fixed flexion contracture. The volar plate is difficult to approach form the ulnar midaxial incision.[ncbi.nlm.nih.gov]
Suggestibility
  • If your thumb is sprained, the doctor will typically suggest purchasing a thumb brace or wrapping your sprained thumb. If you need to have your thumb wrapped they will be able to do it for you. 3 Ask about painkillers.[wikihow.com]
  • Some authors suggest conservative treatment with cast or splint immobilization for complete undisplaced ruptures of the UCL as suggested by Abrahamsson regardless of the instability [ 1, 12 ].[ncbi.nlm.nih.gov]
  • UCL injuries are diagnosed by direct visualization of any focal defect or by extravasation of contrast from the joint, suggesting rents in the ligaments. [13] Another indirect finding on arthrography suggestive of UCL tear is demonstration of the heads[physio-pedia.com]
Irritability
  • Pull the bandage over the thumb using your uninjured hand. [2] You can also try adhesive sports tape, but this may irritate the skin and make it harder to remove. 2 Anchor the wrist.[wikihow.com]
Tingling
  • Your hand and/or fingers will tingle, feel cooler to the touch and start to turn blue if the wrap is too tight. 3 Wrap across the back of the hand and fingers.[wikihow.com]
Neglect
  • Conclusions A neglected, undertreated, or missed injury of the ulnar collateral ligament of the thumb may lead to significant disability and chronic pain due to instability.[ncbi.nlm.nih.gov]

Treatment

  • Part 1 Determining if you Need Medical Treatment 1 Consult a doctor. If you are at a competition or at school, there will typically be a medical professional there to help.[wikihow.com]
  • When an operation is needed, the treatment will likely be decided by the surgeon. This will also depend on some factors but most surgeons have a favourite treatment in the wide variety of operations.[physio-pedia.com]
  • Because of this, it is critical that these injuries receive appropriate attention and treatment.[en.wikipedia.org]
  • This sign was used to decide on conservative or surgical treatment—cast when the end of the ligament is not palpable, thus, nondisplaced; open repair when it is palpable and displaced.[ncbi.nlm.nih.gov]

Etiology

  • […] tubercles of the metacarpal condyles and insert into the base of the proximal phalanx on their respective sides, beneath the adductor aponeurosis (Figure 1b). [9] [11] The UCL prevents the thumb from pointing too far away from the hand. [1] Epidemyology/ Etiology[physio-pedia.com]

Prevention

  • Mechanism of injury by skiing. [18] Prevention.[physio-pedia.com]
  • Massage the gel into your skin so that it is absorbed fully. 4 Use arnica to prevent bruising. Arnica is an herb that can help to reduce bruising and swelling caused by a thumb sprain.[wikihow.com]
  • When this condition (referred to as a Stener lesion ) occurs, the adequate healing of the tear is prevented altogether. For a Stener lesion to occur, a complete tear of the ulnar collateral ligament must be present.[en.wikipedia.org]
  • It is recommended by one of the senior authors that repair of the dorsal capsule should be performed in 30 of flexion to prevent postoperative loss of flexion (Fig. 10 ). Doral branch of the radial nerve.[ncbi.nlm.nih.gov]

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