Classification of the Gamekeeper's thumb
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| Classification of the Gamekeeper's thumb | |
| ICD-10 | S42.2-S42.4 |
|---|---|
| ICD-9 | 812 |
| eMedicine | emerg/199 orthoped/271 orthoped/199 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].
Synonyms and Keywords: Skier's thumb (used in acute cases)
Overview
The Gamekeeper's thumb known as a rupture or avulsion of a ligament of the thumb called ulnar collateral ligament (UCL). In 1955 , Campbell CS, described this problem originated from the Scottish gamekeepers (Also the rabbit keepers as a work-related injury)
Classification of the Gamekeeper's thumb
| Type | Features | Management |
| I | A non-displaced fracture stable in flexion | Typically treated with a splint/cast |
| II | A displaced fracture | Typically requires surgical intervention |
| III | A non-fracture stable in flexion | Typically treated with a splint/cast |
| IV | A non-fracture un-stable in flexion | Typically requires surgical intervention |
| V | A displaced fracture involving the volar plate stable in flexion | Typically treated with a splint/cast |
| VI | A displaced fracture involving the volar plate un-stable in flexion | Typically requires surgical intervention |