![]() ![]() Gamekeeping and poaching have largely fallen by the wayside as a recreational activity. Repetitive injury of the ulnar collateral ligament of the thumb metacarpophalangeal joint caused when the gamekeeper broke the neck of game, using their thumb, index finger and the ground, leading to eventual tear of the ligament. Skier's thumb refers to acute injury due to trauma, from hyperabduction of the thumb as it is caught by the ski pole strap. Gamekeeper's thumb refers to chronic non-traumatic overuse injury (stress and repetitive trauma) that gradually injure the ulnar collateral ligament.
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