Gamekeeper's thumb (Skier's thumb)

Case contributed by Dr Hani Salam

Presentation

Trauma

Patient Data

Gender: Male
X-ray

Small ship fracture noted at the ulnar aspect of the base of first phalanx.

Case Discussion

Gamekeeper's thumb results from disruption of the ulnar collateral ligament. Often associated with a fracture of the base of the proximal phalanx. Common injury in downhill skiing (thumb gets hung up in ski pole).

Stress views have been advocated if no fracture is identified on routine plain films but is clinically suspected. These views run the risk of displacing an undisplaced tear and creating a Stener lesion

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Case information

rID: 7611
Case created: 12th Nov 2009
Last edited: 26th May 2016
Tags: thumb, crop
Inclusion in quiz mode: Included

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