Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute pain and swelling at the ulnar aspect of the left thumb MCP joint following a forced abduction injury. Reports difficulty with pinch grip and instability. No prior history of trauma to the digit.
Clinical Examination Findings
Left thumb MCP joint exhibits localized tenderness along the ulnar collateral ligament (UCL). Significant swelling and ecchymosis noted. Stress testing reveals laxity in 30 degrees of flexion compared to the contralateral side. No neurovascular deficit noted in the radial or ulnar digital nerves.
Treatment Protocol
Immobilization in a thumb spica splint for 4-6 weeks to allow ligamentous healing. Ice application for 20 minutes every 2-3 hours. NSAIDs for pain management. Referral to hand therapy for controlled mobilization post-immobilization. Surgical consultation if complete rupture or Stener lesion suspected.