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Choose the body area

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Neck

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Shoulder

Female physical therapist assisting a young patient on a treatment table in a Marathon Physical Therapy room.

Back

Patient receiving laser therapy at Marathon Physical Therapy for pain management.

Elbow

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Wrist

Trainer assisting client on treatment table at Marathon Physical Therapy, with exercise equipment in background.

Hip

Therapist using a laser therapy device on a patient's leg at Marathon Physical Therapy for pain relief and rehabilitation.

Knee

Physical therapist with elderly male patient on treatment table at Marathon Physical Therapy with anatomy posters.

Leg

Physical therapy session at Marathon Physical Therapy, focusing on shoulder rehabilitation exercises for injury recovery.

Ankle

Overview

Skier’s Thumb (Gamekeeper’s thumb)

Hand illustration of Skier's Thumb, showing torn ulnar collateral ligament and labeled phalanx for educational purposes.

Skier’s Thumb occurs when a traumatic force is applied to the thumb, causing it to be removed (thumb abduction or extension are the anatomical directions). This causes damage to the ulnar collateral ligament at metacarpophalangeal joint (MCP). It is common in football and skiing.

The symptoms include swelling, pain around the thumb’s knuckle, and instability of the joint. Avulsion fracture is a small piece of metacarpal pulled off by the ligament.

Bracing or splinting partial tears is the most common treatment. In some cases, surgery may be necessary to repair the tear completely.

Goals

Possible Treatment Goals

  • Decrease Risk of Reoccurrence
  • Improve Function
  • Optimize Joint Alignment
  • Improve Muscle Strength and Power
  • Improve Proprioception
  • Self-care of Symptoms
  • Improve Safety
  • Improve Tolerance for Prolonged Activities
Resources