Thumb Ligament Injuries & Evaluation

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Thumb Ligament Injuries & Evaluation
0:39 - Ligaments in the IP (Interphalangeal) and PIP (Proximal Interphalangeal) joints
Exploring the similarities between collateral ligaments in the thumb and fingers. These ligaments are robust and play a crucial role in providing stability during various movements.

1:15 - Stress on the MP (Metacarpophalangeal) joint
Highlighting the importance of the MP joint in gripping activities. The discussion emphasizes how the owner side (inside thumb) often experiences more stress, leading to potential collateral ligament injuries.

2:06 - Identifying collateral ligament issues
Understanding the signs of collateral ligament injuries, including pain during pinch and grip activities. Specific details on where the pain is located and the instability experienced by individuals with ligament problems.

2:22 - Palpation and testing for collateral ligament injuries
Practical tips on palpating and testing collateral ligaments, especially on the radial and ulnar sides. Exploring methods to identify potential ruptures or partial ruptures.

3:01 - Immobilization and potential surgery
Discussing the treatment approach for collateral ligament injuries, involving immobilization for about six weeks. Insights into the post-splint phase and indications for surgery if pain persists.

4:00 - Monitoring progress post-surgery
Guidance on gradually reintroducing motion post-surgery, with emphasis on monitoring pinch and grip strength. Recognizing signs that may indicate the need for further evaluation or adjustments in the treatment plan.

5:01 - Assessing setbacks in recovery
Exploring scenarios where progress stalls or pain returns after initially positive outcomes. Encouraging a closer examination of recent activities and tasks that might have contributed to setbacks.

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I am here because had a nasty slippery fall at work...Informative video

janjanssen
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It didn't hurt much at all except well. It did hurt during the incident. Then it was swollen and not hurting. I thought it was going to resolve on its own but it just lost function and the swelling didn't disapate so I went to the hand specialist. Now its fine. The long term loss of mobility is almost nothing.

Tifhggj
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I tore my ligament in my thumb pip. I wore a splint for over 100 days. My thumb was swollen and i couldn't straighten it. It was stuck in a bend.

Tifhggj
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Hi if you see this and can just give me some ballpark advice I would be so grateful 😭. I crashed on my bike… went to urgent care not broken, the pain isn’t too bad however there is like a pop or a laxity at the base of my thumb on the side/top of my hand. It has been a week… Trying to see and orthopedic dr, but so far it has been a shit show trying to just find one I can afford or get through to a real human over the phone. I’m trying to keep it as still as possible, but some movement is inevitable. I have compression etc. but sometimes it still pops. My main question is: (and I know you can’t just doll out med advice affirmatively) if I’m experiencing this popping and weak grip atm, do you think it’s likely I will need surgery? I’m scared I’ll let it go too long without treatment. I’m a professional guitar player so I’m freaked out. Thank you so much🙏

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