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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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