Skier's or Gamekeeper's Thumb: Care Instructions
Overview

Skier's or gamekeeper's thumb is a tear of the ulnar collateral ligament. This injury happens when your thumb
is pulled back or to the side, away from your fingers. It often happens when skiers fall on an outstretched
hand while holding a ski pole.
Rest and other measures at home can help heal a mild injury. You may need to wear a splint or a cast for 4 to
6 weeks. If your injury is severe or not improving, your doctor may refer you to an orthopedic or hand
specialist to decide if you need surgery.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all
appointments, and call your doctor if you are having problems. It's also a good idea to know your test results
and keep a list of the medicines you take.
How can you care for yourself at home?
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Put ice or a cold pack where your thumb connects to your hand. Do this for up to 20 minutes at a time. Try
to do this every 1 to 2 hours for the next 3 days (when you are awake) or until the swelling goes down. Put
a thin cloth between the ice and your skin.
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Rest your thumb and hand.
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Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol),
ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on
the label.
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Follow your doctor's directions for wearing an elastic bandage, splint, or cast on your hand.
When should you call for help?
Watch closely
for changes in your health, and be sure to contact your doctor if:
Current as of: July 17, 2023
Content Version: 14.0
Care instructions adapted under license by your
healthcare professional. If you have questions about a medical condition or this instruction, always ask
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