Case Paper Of Management Of Skier’s Thumb With Stener Lesion Using Suture Anchor

Abstract

Introduction:Skier’s thumb, also known as gamekeeper’s thumb, is an injury of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MCP) joint of the thumb. It commonly results from a forced hyperabduction and hyperextension injury. A complete UCL rupture with a Stener lesion often necessitates surgical repair to restore stability and function.

Case Report:

A 27-year-old male engineer sustained a left thumb injury while playing cricket. He experienced immediate pain, swelling, and instability following a hyperabduction and hyperextension mechanism. Clinical examination revealed tenderness, ecchymosis, and increased laxity on valgus stress testing, confirming UCL rupture. Radiographic evaluation ruled out fractures, and surgical repair was performed using a suture anchor technique. Intraoperatively, a Stener lesion was identified and addressed. Postoperative management included immobilization in a thumb spica cast followed by a structured rehabilitation program. The patient achieved full functional recovery, with a Kapandji score of 10/10 at four weeks postoperatively

Conclusion:Early diagnosis and surgical repair of complete UCL ruptures with Stener lesions are crucial for restoring thumb stability and function. The suture anchor repair technique provides excellent outcomes, enabling early rehabilitation and return to activity. Structured postoperative rehabilitation is essential for optimal recovery, minimizing complications, and ensuring a high rate of successful functional restoration.