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.

How can you care for yourself at home?

• 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.
• 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). Be safe with medicines. Read and follow all instructions on the label.
• Follow your doctor's directions for wearing an elastic bandage, splint, or cast on your hand.