History of the Procedure. Gamekeeper's thumb is a clinical instability of the first metacarpophalangeal (MCP) joint caused by an insufficiency of the ulnar collateral ligament (UCL) in the MCP of the thumb.amekeeper's thumb is caused by a valgus force that is directed on the MCP joint of the thumb and produces a failure of the UCL. Falls on an abducted thumb and the fall of a skier against a planted ski pole are common mechanisms. (For a discussion of the anatomy of the MCP joint and the UCL, see Relevant Anatomy.).
There are 120 calories in a 6 pieces serving of Werther's Original Sugar Free Chewy Caramels. Calorie breakdown: 27% fat, 73% carbs, 0% protein.
Nutrition summary: There are 190 calories in a 1 bar serving of Nature Valley Protein Chewy Bars - Peanut Butter Dark Chocolate. Calorie breakdown: 53% fat, 27% carbs, 20% protein. Related Cereal Bars from Nature Valley: 1  Protein Chewy Bars - Coconut Almond. 2  Protein Chewy Bars - Honey, Peanut & Almond. 3  Protein Chewy Bars - Peanut, Almond & Dark Chocolate. 4  Protein Chewy Bars - Salted Caramel Nut. 5  Protein Soft Baked Granola Bites Blueberry Almond. 6  Protein Soft Baked Granola Bites Honey Almond. 7  Backpacker Chewy Oatmeal Bites.