Classification of gamekeeper thumb
Last revised by Yuranga Weerakkody on 1 Jan 2022
Citation, DOI, disclosures and article data
Citation:
Gaillard F, Weerakkody Y, Babu V, et al. Classification of gamekeeper thumb. Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-7236
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rID:
7236
Article created:
Disclosures:
At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosures
Last revised:
1 Jan 2022,
Yuranga Weerakkody ◉
Disclosures:
At the time the article was last revised Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Revisions:
8 times, by
7 contributors -
see full revision history and disclosures
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Sections:
Synonyms:
- Classification of skier's thumb
- Skier's thumb classification
- Gamekeeper's thumb classification
- Gamekeeper thumb classification
- Skier thumb classification
- Classification of skier thumb
- Classification of gamekeeper's thumb
This classification of gamekeeper's thumb (also known as skier's thumb) was proposed by Hintermann et al. 1 in 1993 and is based on whether a fracture is present and whether the injury is stable:
-
type I
- fracture present, which is non-displaced and stable in flexion
- typically treated with a splint/cast
-
type II
- displaced fracture present
- requires surgery
-
type III
- no fracture present and the joint is stable in flexion
- typically treated with a splint/cast
-
type IV
- no fracture but unstable
- requires surgery
-
type V
- fracture present, involving the volar plate, but stable in flexion
- typically treated with a splint/cast
-
type VI
- fracture present, involving the volar plate; unstable
- requires surgery
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References
- 1. Hintermann B, Holzach P, Schütz M, Matter P. Skier's Thumb--The Significance of Bony Injuries. Am J Sports Med. 1993;21(6):800-4. doi:10.1177/036354659302100607 - Pubmed
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