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    • John Christoforetti, MD, FAAOS
    • Gary Feldman, DPM, FACFAS
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Conditions Treated Hand & Wrist Skier’s Thumb

Skier’s Thumb

Skier's thumb, also known as gamekeeper's thumb or ulnar collateral ligament (UCL) injury of the thumb, is a common skiing-related injury. It occurs when the thumb is forcefully bent away from the hand, damaging the UCL. Symptoms include pain, swelling, and instability at the base of the thumb, limiting grip strength and thumb motion. Treatment ranges from conservative measures like splinting and physical therapy for mild cases to surgical repair for severe injuries. Prompt diagnosis and intervention are crucial to prevent long-term instability and functional impairment in the thumb.

FAQs About Skier’s Thumbs

What causes Skier's thumb?

Skier's thumb is typically caused by a sudden forceful abduction or hyperextension of the thumb, leading to injury of the ulnar collateral ligament (UCL) at the base of the thumb. This commonly occurs during falls while skiing, hence the name.

What are the symptoms of Skier's thumb?

Symptoms of Skier's thumb include pain, swelling, bruising, instability, and weakness at the base of the thumb, particularly when attempting to pinch or grasp objects.

How is Skier's thumb diagnosed?

Skier's thumb is diagnosed through a physical examination, where a healthcare professional evaluates thumb stability, range of motion, and tenderness, and may also use imaging tests such as X-ray or MRI to assess ligament damage.

What are the treatment options for Skier's thumb?

While mild cases of Skier's thumb may heal on their own with proper immobilization and rest, more severe injuries often require medical intervention to ensure proper healing and prevent long-term complications.

Do all cases of Skier's thumb require surgery?

Not all cases of Skier's thumb require surgery; the treatment approach depends on the severity of the injury, stability of the joint, and individual factors such as activity level and patient preference.

How long does it take to recover from Skier's thumb?

Recovery time for Skier's thumb varies depending on the severity of the injury and chosen treatment method, but typically ranges from several weeks to a few months. Physical therapy may be necessary to regain strength and function in the thumb.

Are there any complications associated with Skier's thumb?

Complications associated with Skier's thumb may include chronic instability, decreased grip strength, and arthritis in the thumb joint if the injury is not properly treated or if there are delays in seeking medical attention.

What activities should be avoided during Skier's thumb recovery?

During Skier's thumb recovery, it's important to avoid activities that could further stress or injure the thumb, such as heavy lifting, sports that involve gripping or impact, and repetitive thumb movements.

Can Skier's thumb lead to long-term issues with hand function?

Skier's thumb, if left untreated or inadequately managed, can lead to long-term issues with hand function, including chronic pain, weakness, and instability in the thumb joint, potentially affecting activities of daily living and sports participation. Early and appropriate treatment is crucial to minimize the risk of these complications.

  • Peter G. Fitzgibbons, MDPeter G. Fitzgibbons, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist

UCL Injury Treatment in Montgomery County, Maryland

Experience specialized treatment for Skier's thumb at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Put your trust in our experienced team to provide personalized care tailored to your needs. Contact us at (301) 515-0900 or schedule your appointment today to begin your journey towards relief and recovery.

Orthopedist examining his patient's wrist.

Other Hand & Wrist Conditions

  • Hand & Wrist Arthritis
  • Hand & Wrist Tendonitis
  • Hand & Wrist Fractures
  • Forearm Fractures
  • Hand Dislocation
  • Hand & Wrist Tendon Laceration
  • Dupuytren's Contracture
  • Trigger Finger
  • Mucous Cyst
  • Retinacular Cyst
  • Skier’s Thumb
  • Mallet Finger
  • Carpal Tunnel
  • De Quervain’s Tenosynovitis
  • Scaphoid Fracture
  • TFCC Injury 
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Explore Other Conditions We Treat

  • Hand & Wrist

    Hand & Wrist

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    Elbow

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    Shoulder

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    Foot & Ankle

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6710 A Rockledge Dr., Suite 130
Bethesda, MD 20817

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19847 Century Boulevard, Suite 205
Germantown, MD 20874

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1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.