what is the icd 10 code for gamekeepers thumb

by Mr. Christopher Haag DDS 7 min read

641A.

Full Answer

What is gamekeeper’s thumb?

Gamekeeper’s Thumb, also known as Skier’s Thumb, results from acute or chronic injury of the ulnar collateral ligament (UCL). Ligaments are strong, flexible, fibrous connective tissues that connect bone to bone. The UCL is the main ligament, located on the inner aspect at the base of the thumb, which stabilizes the metacarpophalangeal (MCP) joint.

What is the ICD 10 code for thumb fracture?

ICD-10-CM Codes › S00-T88 Injury, poisoning and certain other consequences of external causes ; S60-S69 Injuries to the wrist, hand and fingers ; S62-Fracture at wrist and hand level Fracture of thumb S62.5 Fracture of thumb S62.5-

What is the ICD 10 code for diagnosis?

2022 ICD-10-CM Diagnosis Code S63.602A S63.602A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S63.602A became effective on October 1, 2021.

How is gamekeeper’s thumb diagnosed?

How is GameKeeper’s Thumb diagnosed? Early diagnosis is important in any hand injury to prevent possible long-term effects. In addition to a comprehensive history and review of symptoms, the physician will perform a physical examination of both hands and may order imaging test to confirm diagnosis.

image

What is the ICD-10 code for right thumb ulnar collateral ligament tear?

Traumatic rupture of ulnar collateral ligament ICD-10-CM S53. 32XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):

Where is the ulnar collateral ligament thumb?

The thumb metacarpophalangeal joint contains two important ligaments: the ulnar collateral ligament, which is on the pinky side of the thumb, and the radial collateral ligament, which is on the free side of the thumb.

What is gamekeeper's thumb and what ligament is being tested?

What is GameKeeper's Thumb? Gamekeeper's Thumb, also known as Skier's Thumb, results from acute or chronic injury of the ulnar collateral ligament (UCL). Ligaments are strong, flexible, fibrous connective tissues that connect bone to bone.

What is thumb radial collateral ligament?

Collateral ligaments provide intrinsic stability to ulnar and radial side of the thumb MCP. They get stretched during flexion of the MCP joint and are lax during extension of the joint.

Why is it called gamekeepers thumb?

The term "Gamekeeper's thumb" was first coined in 1955 by Campbell who identified UCL injuries as an occupational disease in Scottish gamekeepers. The gamekeepers strangled rabbits using their thumb and index finger, and the repeated valgus stresses resulted in UCL injury and chronic instability of the MCP joint.

What is ulnar collateral ligament injury thumb?

A UCL injury is a tear or other damage to the soft tissue that connects the bones of the thumb and provides stability to the thumb joint. The condition is often referred to as skier's thumb because it is a common injury among skiers.

What structure is injured gamekeeper's thumb?

Gamekeeper's thumb is an insufficiency of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MCP) joint of the thumb. Campbell originally coined the term in 1955 because the condition was most commonly associated with Scottish gamekeepers (especially rabbit keepers) as a work-related injury.

What is the most common mechanism of injury for a gamekeeper's thumb?

Forced abduction and hyperextension of the thumb metacarpophalangeal joint is the usual mechanism causing injury of the thumb UCL [1,2,6-8]. This can occur if someone falls onto their thumb or the thumb is struck, violently forcing it into abduction.

What do I do if I have gamekeeper's thumb?

How can you care for yourself at home?Put ice or a cold pack where your thumb connects to your hand. ... Rest your thumb and hand.Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve).More items...

Where is the radial collateral ligament thumb?

The radial collateral ligament of the thumb extends from the first metacarpal head to the proximal phalanx of the thumb. It is located on the radial side of the joint and is weaker than the ulnar collateral ligament of the thumb.

Where is radial collateral ligament?

The radial collateral ligament (RCL) is a strong, short, thin band of tissue that connects from the humerus (upper arm bone) to the radius (one of two forearm bones).

What is radial collateral ligament sprain?

The LCL in the elbow is sometimes also called the radial collateral ligament (RCL). This ligament can become sprained or torn as a result of a sports injury. Because the LCL has an important role in supporting the elbow, injury can lead to elbow instability.

How do you know if your ulnar collateral ligament is torn?

What are the symptoms of a UCL injury?A sudden “pop” or pain along the inside of the elbow, leading to the inability to continue throwing.Pain on the inside of the elbow after a period of heavy throwing or other overhead activity.Pain when accelerating the arm forward, just prior to releasing a ball.More items...

How long does it take for a torn ulnar collateral ligament in the thumb to heal?

1-6 weeks: If the ligament is partially torn then a splint or cast is usually worn for six weeks and after its removal a programme of exercises is used to get the thumb moving again. It can take several weeks for the movement and the strength to return.

How do you test for ulnar collateral ligament of the thumb?

0:391:19Thumb Ulnar Collateral Ligament Test - YouTubeYouTubeStart of suggested clipEnd of suggested clipAway from the palm to gap the inner aspect of the joint. A positive test is indicated by pain orMoreAway from the palm to gap the inner aspect of the joint. A positive test is indicated by pain or laxity laxity over 15 degrees may indicate a rupture.

How painful is a torn UCL in thumb?

This injury is sometimes called “skier's thumb” because skiers are prone to this injury when they fall with their hand strapped to a ski pole. A thumb UCL injury can be very painful and make the thumb feel unstable. The injury can limit movements, such as squeezing and gripping, needed for many sports.

What is a gamekeeper's thumb?

What is GameKeeper’s Thumb? Gamekeeper’s Thumb, also known as Skier’s Thumb, results from acute or chronic injury of the ulnar collateral ligament (UCL). Ligaments are strong, flexible, fibrous connective tissues that connect bone to bone.

Why is the thumb called a skier's thumb?

The name Skier’s thumb comes from the commonness of this injury to skiers, as well as people who play racket sports, because the hand is constantly gripping tightly a handle, which can put strain on the ligament. The name Gamekeepers’s thumb is an older one, and comes from the action of gamekeepers to snap the necks of rabbits ...

How long does it take for a gamekeeper's thumb to heal?

Whether treated conservatively or with surgery, the recovery time for a gamekeeper’s thumb is generally from four to six weeks, either in a cast and splint or splinted after surgery. A period of physical therapy will be integral to the recovery process, to ensure that the ligament heals correctly.

What happens if you tear your thumb ligament?

Various levels of pain, bruising, or edema may present at the site of damage. Weakened grip or reduced thumb range of motion may occur. If the ligament is completely torn there may be a bump on the palmar aspect at the base of the thumb and the thumb may hang at an awkward angle.

What does it mean when your thumb is hurting?

Pain at the base of the thumb is the most obvious and common symptom, acocmpaneid by swelling and weakness, and loss of the ability to pinch the thumb and forefinger together. In more severe cases, pain from the thumb may be referred to the wrist, but this is not necessarily a diagnostic feature.

Why does my thumb hurt when I ski?

Gamekeeper’s Thumb can be caused by acute injury or chronic overuse. This frequently results from a fall on an outstretched hand that violently pulls the thumb away from the index finger and can stretch or tear the UCL. This is common during skiing accidents when the skier falls without releasing the ski pole.

Can a doctor test for gamekeeper's thumb?

There are no laboratory tests that aid in the detection of gamekeeper's thumb, but physical examination will allow the doctor to determine the precise nature of the injury, and if the ligament has been partially or fully severed.

image