Pediatric Shoulder Anatomy
What is Gamekeeper’s Thumb?
Gamekeeper's thumb, also known as skier's thumb, is a tear of the ulnar collateral ligament, a band of tissue that supports the joint at the base of the thumb.
Causes of Gamekeeper’s Thumb
Damage to the ulnar collateral ligament may lead to chronic instability of the thumb, creating problems in its normal functioning. Gamekeeper's thumb can result from sports activities (while stopping a ball with a bare hand) or a fall on your outstretched thumb (especially while holding onto something like a ski pole).
Symptoms of Gamekeeper’s Thumb
The symptoms of gamekeeper’s thumb include pain, bruising and swelling at the base of the thumb. You may also experience loss of strength when pinching or gripping with the thumb.
Diagnosis of Gamekeeper’s Thumb
To diagnose gamekeeper’s thumb, your doctor may numb your thumb and perform a physical examination. If the tear is associated with a fracture of a bone, your doctor may order an X-ray or ultrasound.
Treatment for Gamekeeper’s Thumb
Your doctor may suggest applying ice to reduce swelling and prescribe pain-relieving medications. For a partially torn ligament, your doctor may order a splint or cast for about six weeks, followed by an exercise program to improve the thumb’s range of motion. If the ligament is completely torn, surgery is usually recommended for repair.