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Thumb Avulsion Fraction

Apr 29, 2009
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Hi All,

I suffered a skier's thumb injury last Saturday preriding a CX course. The fracture was an avlusion fracture of the ulnar collateral ligament that's been treated non-operatively with a hard cast.

Two questions:

1) Is it ok to ride the trainer? I feel no pain on occasional, minimal pressure at the injury site when I do so.
2) Is a splint preferrable to a cast? I've seen clinical, peer-reviewed data suggesting there's no statistical difference in outcome between splinting and casting, but wanted input from anyone who knows about this stuff.

Thanks,
Revere
 
Sep 30, 2009
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Keep the cast on. If the joint/fracture don't heal properly, you will end up with an unstable thumb joint. The cast just does a better job all around of not just immobilizing the joint, but also protecting it. As far as riding the trainer, just keep it to seated riding and don't put too much pressure on the broken hand.