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Skier's Thumb

WHAT YOU SHOULD KNOW

Skier's thumb is a tear in one of the ligaments connecting the bones of the thumb. It's particularly common among skiers. The injury can happen suddenly or over a long period of time and may take 6 to 8 weeks to heal. If the tear is bad, surgery may be necessary to repair it.

Causes

The injury occurs when you force the joint in your thumb closest to the hand to move in a certain way over and over again. This causes a tear in the ulnar (UL-ner) collateral (ko-LAT-er-ul) ligament.

Signs/Symptoms

You may have difficulty holding things between your thumb and finger. Moving your thumb will be painful.

Care

You may need an x-ray to make sure there is no break in the bones near the injury. The doctor may apply a splint or cast to keep the thumb from moving and protect it so the ligaments can heal.

WHAT YOU SHOULD DO

  • Apply ice to the injury for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a towel between the bag of ice and your skin.
  • After the first 1 to 2 days, you may put heat on the injury to help ease the pain. You may use a heating pad (set on low), a whirlpool bath, or warm, moist towels for 15 to 20 minutes every hour for 48 hours.
  • If your thumb is not in a splint or cast, do not use it until your doctor gives the okay.
  • If you're given a plaster or fiberglass cast:
    • Do not try to scratch the skin under the cast using a sharp or pointed object.
    • Check the skin around the cast every day. You may put lotion on any red or sore areas.
    • Keep the cast dry. Wrap it in a plastic bag to protect it during bathing.
    • If your fiberglass cast gets a little wet, you can dry it off with a hair dryer.
  • If you're given a plaster splint:
    • Do not get the splint wet. Use a plastic bag for protection while bathing.
    • If your fingers start to get numb or tingly, loosen the elastic bandage (ace wrap) around the splint.
    • Wear the splint until your doctor says you may take it off or until your follow-up examination.
  • You may use over-the-counter medications for pain.

Call Your Doctor If...

  • Your thumb or fingers change color or the pain increases. Your cast or splint may be too tight.
  • You have continued numbness or tingling in your thumb or fingers.

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