gamekeeper's thumb skier' thumb
Conditions
Interventions
Patients will get a cast immobilisation instead of an operation.
Sponsors
Chirurgie
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: older than 18, presenting with a skier's thumb on the emergency department, with an X-ray showing no fracture and diagnosed with a complete rupture of the UCL on MRI
Exclusion criteria
Exclusion criteria: Younger than 18, multiple injuries of the same hand, not being able to speak Dutch, systemic disease of the musculoskeletal system (such as rheumatoid arthritis or Marfan's disease)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain on a VAS scale of 1-10 in rest and during testing of thumb stability | — |
Secondary
| Measure | Time frame |
|---|---|
| - Difference in pinch grip when compared to the healthy side, expressed in no. of kg and as a percentage compared to the healthy side. - laxity of the UCL in extension of MCP and 30 degrees flexion, measured with a goniometer - range of motion of the thumb, noted as 'limited' or 'unlimited' - neurovaxcular status, complaints of tingling, hypo/hyperesthesia and/or other neurovascular complaints of the hand are tested and noted. A difference is made between temporary (8 weeks) complaints. - result of questionnaire --> Michigan Hand Outcome Questionnaire | — |
Countries
Netherlands
Outcome results
None listed