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For example, it may be: Pulled off its attachment at the base of the first bone (the proximal phalanx) in the thumb Pulled off the metacarpal bone, where it originates Torn through its middle, though this is less common Cause Any strong force that bends the thumb backward and away from the palm of the hand can stretch or tear the ulnar collateral ligament

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Australia, the US IND, the EU CTA The three systems answer the same question differently