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Pain at the base of the thumb is the most obvious and common symptom, acocmpaneid by swelling and weakness, and loss of the ability to pinch the thumb and forefinger together. What are some symptoms of gamekeeper's thumb? That is to say, it is VERY common and any hand specialist will see hundreds of cases a year. It can also occur in sports involving bats, or in a fall from a bicycle or motorcycle. Gamekeeper's thumb accounts for close to 85% of all treated injuries to the base of the thumb, and it is the second most common injury reported as a result of skiing. An X-ray may be utilized to make sure there is no bone involvement or fracture, and MRI can give a better view of the soft tissue, but usually the physical examination will indicate the extent of the damage and the probably course of action. There are no laboratory tests that aid in the detection of gamekeeper's thumb, but physical examination will allow the doctor to determine the precise nature of the injury, and if the ligament has been partially or fully severed. How will the doctor test for gamekeeper's thumb? Originally, the name was given because many gamekeepers came down with the condition due to the way in which they used their thumb and forefinger to snap the necks of rabbits and pest animals during the execution of their duties. Gamekeeper's thumb is also known as Skier's thumb, which is probably a better term for it nowadays, as there are very few gamekeepers around anymore. Gamekeeper’s Thumb Fact Sheet Why does gamekeeper's thumb have that name? John Knight at our Southlake hand and wrist center or Dallas office location. Knight is one of the top hand doctors in Dallas. We looking forward to helping you live a more pain free life.

Upon ascertaining the severity of your case, he will proceed in the manner most appropriate to bring your hand back to full use. Knight is very familiar with this type of injury and is well versed in its treatment. Eventually hand therapy is used to restore function and range of motion to the thumb. The thumb is then placed in a cast or splint to protect the repair. The ligament is anchored back to the bone using pins or sutures.

Surgical repair of the UCL can be performed on an outpatient basis using a minimally invasive approach. Delay in obtaining surgical intervention can increase complications and reduce the likelihood of full return of function. Major injury to the UCL will require surgical fixation as soon as possible. Total time in thumb splint is usually about 4 – 6 weeks. After that time the splint may be removed to perform hand therapy and strength exercises only. The doctor will likely immobilize the thumb in a cast or splint which is worn continuously form the first 3 weeks or so. Ice packs may be used during the first few days after injury to soothe pain and reduce swelling.

If damage to the UCL is minor non-surgical treatment may be indicated. How is GameKeeper’s Thumb treated? Non-surgical MRI (magnetic resonance imaging) and ultrasound may be ordered to observe the severity of soft tissue damage. X-rays are used to visualize the bones and rule-out possible fractures. This may be done under local anesthetic since it can be very painful. The doctor may manipulate the thumb (valgus stress test) in comparison to the opposite thumb to determine if there is any laxity. In addition to a comprehensive history and review of symptoms, the physician will perform a physical examination of both hands and may order imaging test to confirm diagnosis. If the ligament is completely torn there may be a bump on the palmar aspect at the base of the thumb and the thumb may hang at an awkward angle.Įarly diagnosis is important in any hand injury to prevent possible long-term effects. Weakened grip or reduced thumb range of motion may occur. Various levels of pain, bruising, or edema may present at the site of damage. Symptoms are dependent on the cause and severity of injury to the UCL. What are the symptoms of GameKeeper’s Thumb? Rheumatoid arthritis and nicotine use can also weaken the ligaments making them more prone to injury. Gamekeeper’s Thumb generally refers to this chronic type of injury. Repetitive use injuries happen from the gradual wearing away of the UCL over time. This is common during skiing accidents when the skier falls without releasing the ski pole. This frequently results from a fall on an outstretched hand that violently pulls the thumb away from the index finger and can stretch or tear the UCL. Gamekeeper’s Thumb can be caused by acute injury or chronic overuse.