Learn how to assess and treat Ulnar Collateral Ligament (UCL) thumb sprains effectively. This video guide covers patient evaluation, post-surgery care, and rehabilitation protocols for a successful recovery.
In the video titled "How To Eval A Ulnar Collateral Ligament (UCL) Thumb Sprain," the presenter, Hoang OT/L CHT, discusses the evaluation and treatment of a Ulnar Collateral Ligament (UCL) thumb sprain. The video provides valuable insights into assessing and managing this type of thumb injury, particularly when patients have a misdiagnosis and require post-surgery care.
The case discussed in the video involves a patient who initially thought she had a thumb sprain due to a car accident. However, after trying various treatments, it was determined that she needed ligament repair surgery. This scenario highlights the importance of accurate diagnosis and understanding the nature of the injury before starting the treatment.
The initial evaluation process for a UCL thumb sprain involves several key steps
Gathering Patient History Understanding the patient's history, including the accident or incident that led to the injury, previous treatments, and any related information is crucial.
Assessing Pain Levels Determining the current pain levels and the patient's pain tolerance is essential for creating an effective treatment plan.
Evaluating Range of Motion Assessing the range of motion in the injured thumb, including the IP (Interphalangeal) and MCP (Metacarpophalangeal) joints, is vital to understand the extent of the injury.
Checking CMC (Carpometacarpal) Joint Function The ability of the patient to oppose the thumb and perform a sliding motion at the CMC joint is a key evaluation point.
Considering Strength Measurement Strength testing is based on the time since the injury and surgery. If the patient has recently undergone surgery, strength testing may be limited, and passive range of motion is generally avoided for the first six to eight weeks.
The presenter emphasizes that when unsure about certain aspects of the evaluation, it's essential to focus on gathering basic information and ensuring that the patient trusts the therapist. Establishing trust is crucial in the early stages of treatment, even if full details are not immediately available. The therapist can gradually build knowledge and confidence as they work with the patient.
Post-surgery, the rehabilitation plan for a UCL thumb sprain involves following specific protocols. Typically, the initial focus is on active range of motion exercises to gradually restore mobility. Passive range of motion and strengthening exercises are introduced at appropriate times, adhering to the timeline provided by the surgeon. This gradual approach aims to prevent complications and ensure a successful recovery.
The video underscores the importance of building both trust and competence in the treatment of UCL thumb sprains, emphasizing that therapists can take a step-by-step approach to gaining expertise in handling such cases.
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