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Ski pole thumb injury

E Z Browne, H K Dunn, C C Snyder

    Plastic and Reconstructive Surgery
    |July 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Skiers can injure their thumb's MP joint from falling on a ski pole, leading to instability. Prompt assessment is crucial to prevent chronic gamekeeper's thumb.

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    Area of Science:

    • Orthopedic Surgery
    • Sports Medicine
    • Traumatology

    Background:

    • The MP joint of the thumb is vulnerable to injury during skiing.
    • Falling against a planted ski pole with a ski strap is a common mechanism for upper extremity ski injuries.

    Purpose of the Study:

    • To identify the risk of thumb MP joint instability in skiers.
    • To emphasize the importance of evaluating for joint capsule and extensor-extensor hood mechanism disruption.
    • To highlight the need for immediate intervention to prevent chronic gamekeeper's thumb.

    Main Methods:

    • Clinical assessment of skiers with upper extremity injuries.
    • Evaluation of the mechanism of injury, specifically falls involving ski poles and straps.
    • Diagnostic examination for thumb MP joint instability and associated soft tissue damage.

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    Main Results:

    • The MP joint of the thumb is the most common site for upper extremity ski injuries.
    • Instability may result from disruption of the ulnar aspect of the joint capsule and the extensor-extensor hood mechanism.
    • Failure to identify and manage these injuries can lead to chronic gamekeeper's thumb.

    Conclusions:

    • Skiing carries a significant risk of disabling thumb MP joint injuries.
    • Early detection of instability and soft tissue damage is critical for skiers.
    • Prompt treatment is essential to prevent the long-term complication of gamekeeper's thumb.