Classification of the Gamekeeper's thumb

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Skiers-thumb-type-i-1.jpg
Classification of the Gamekeeper's thumb
ICD-10 S42.2-S42.4
ICD-9 812
eMedicine emerg/199  orthoped/271 orthoped/199

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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

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

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