Injury Insights: Dr. Ramos and Zach Bye Discuss Lamar Jackson’s Dislocated Thumb

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A quarterback’s grip is everything and Lamar’s thumb is in trouble

A quarterback needs more than a strong arm to throw a football. Grip strength, hand stability and the ability to control the ball are all essential, which makes Baltimore Ravens quarterback Lamar Jackson’s dislocated thumb a particularly concerning injury. On Injury Insights, Dr. Joseph Ramos and Zach Bye break down what a thumb dislocation means and why it can be so disruptive for an NFL quarterback. Dr. Ramos explains that the injury typically involves damage to one of two ligaments at the base of the thumb: the ulnar collateral ligament or the radial collateral ligament. These ligaments help stabilize the thumb joint, allowing the hand to perform critical movements like gripping and pinching. When one of these ligaments tears, the thumb can become unstable, making it difficult to apply pressure or securely hold a football.

Dr. Ramos explains that surgical repair typically involves a small incision to reattach the torn ligament and stabilize the joint, followed by immobilization and rehabilitation. Depending on the severity of the injury and recovery progress, a return to football could take approximately four to six weeks. However, getting back on the field doesn’t necessarily mean the thumb is back to full strength. Grip strength and hand function can take longer to recover, potentially affecting Jackson’s ability to hold, control and throw the football. For a quarterback, even a lingering loss of thumb strength or stability could make a significant difference in performance.

Key Insights

  • The Quarterback’s Grip: A stable thumb is essential for gripping, pinching and controlling a football, making this injury particularly challenging for Lamar Jackson.
  • Two Critical Ligaments: The ulnar collateral ligament (UCL) and radial collateral ligament (RCL) help stabilize the base of the thumb and keep the joint properly aligned.
  • Joint Instability: A dislocated thumb can involve a ligament tear that allows the joint to move out of its normal position, compromising grip strength and hand function.
  • Surgical Repair: Surgeons can use a small incision to reattach the torn ligament and stabilize the joint, followed by immobilization and physical therapy.
  • Four to Six Weeks: Dr. Ramos estimates a potential return-to-play timeline of four to six weeks, although the actual recovery depends on the severity of the injury and rehabilitation progress.
  • The Lingering Effect: Even after returning to play, Jackson could experience reduced grip strength or hand stability that may affect his ability to control and throw the football.

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Meet The Contributors

Joseph Ramos, MD JD

Medical Doctor and Attorney

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Zach Bye

Denver Sports

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