Avulsion fractures of the ulnar collateral ligament of the thumb metac
arpophalangeal joint (bony skier's thumb) may result in chronic instab
ility with pain and weakness of pinch if improperly treated, Managemen
t requires an understanding of the relevant anatomy and careful clinic
al examination including stress testing, Undisplaced, or minimally dis
placed and stable fractures are treated conservatively, whereas displa
ced, rotated and unstable fractures require surgical treatment.