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The condition of chronic instability of the MP (metacarpophalangeal) joint of the thumb, may be the resultant of chronic strain of the ulnar collateral liga- ment of the MP joint.This condition was described in Scottish gamekeepers who used to kill hunted animals by a special manoeuvre subjecting the thumb to extension abduction force, and was termed "Gamekeeper's Thumb" (Campbell, 1955).Nowadays, such a chronic strain has been replaced by relatively frequent acute strains and tears subjected to the thumb during sport activities.The MP joint of the thumb, being a vulnerable one, is subjected to trauma on falling down with arms extended, during hand ball or volley-ball
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Ganel et al. (1980) studied this question.
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