Stener-like lesions of collateral ligament ruptures of the metacarpophalangeal joint of the finger

Ishizuki, Masafumi; Sugihara, Takayuki; Wakabayashi, Y.; Shirasaka, Ritsurou; Aoyama, Hiromichi

doi:10.1007/s00776-008-1301-z

Cited by 29 publications

(15 citation statements)

References 13 publications

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“…In a Stener lesion, the UCL is dislocated superficial or proximal to the proximal edge of the intact adductor pollicis aponeurosis . In Stener‐like lesions, a torn sagittal band creates a window for the injured collateral ligament to herniate and become trapped superficially . These complications prevent primary healing and require surgical repair .…”

Section: Discussionmentioning

confidence: 99%

“…Incidentally, a Stener‐like lesion may occur in the finger MCP joints. In these cases, the collateral ligament ruptures, and its stump is trapped superficially by an open window of the injured sagittal band …”

Section: General Features Of Collateral Ligament Injuriesmentioning

confidence: 99%

“…Misalignment in the coronal plane during finger extension is usually suggestive of a full‐thickness tear . Even though conservative treatment is successful in most cases, severe joint instability or displacement of the torn ligament may require surgical repair …”

Section: General Features Of Collateral Ligament Injuriesmentioning

confidence: 99%

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Injuries to the Collateral Ligaments of the Metacarpophalangeal and Interphalangeal Joints: Sonographic Appearance

Draghi

Gitto

Bianchi³

2018

J of Ultrasound Medicine

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Injuries to the collateral ligaments of the metacarpophalangeal (MCP) and interphalangeal (IP) joints are commonly encountered in both athletes and nonathletes. They require prompt evaluation to ensure proper management and prevent loss of joint motion and permanent disability. Imaging is often required to confirm the diagnosis and assess injury severity. This review article aims to provide physicians with guidelines for sonographic assessment of the collateral ligaments of the MCP and IP and related injuries. Sonographic features of ligament injuries ranging from sprains and partial-thickness tears to full-thickness tears are described. Specific lesions of the ulnar collateral ligament of the thumb MCP joint, such as gamekeeper's thumb, skier's thumb, and Stener lesions, are also included. In conclusion, sonography is effective in evaluating the collateral ligaments of the MCP and IP joints and related injuries and represents a valuable tool for diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: General Features Of Collateral Ligament Injuriesmentioning

confidence: 99%

See 1 more Smart Citation

Injuries to the Collateral Ligaments of the Metacarpophalangeal and Interphalangeal Joints: Sonographic Appearance

Draghi

Gitto

Bianchi³

2018

J of Ultrasound Medicine

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“…Rupture of the collateral ligament at its distal end and concurrent rupture of the sagittal band at the level of the MCP joint creates a window for a retracted collateral ligament to herniate through the torn sagittal band and become trapped superficially. 1,2,43 Patients with collateral ligament injuries may complain of focal pain and soft tissue swelling along the lateral side of the joint, with joint instability when grasping objects. 1,2 MCP joint laxity in full extension without a clear end point is considered a complete tear of the collateral ligament.…”

Section: Normal Ultrasound Appearancesmentioning

confidence: 99%

Ultrasound of Normal and Injured Ligaments and Retinacula of the Hand

McCarthy

2020

Semin Musculoskelet Radiol

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Clinical diagnosis of ligament and retinacular injuries of the hand may be challenging. Ultrasound (US) enables detailed high-resolution, dynamic, and real-time evaluation of these structures. This article is a comprehensive review of the intricate anatomy, optimal imaging technique, and normal US appearances of these ligaments and retinacula. The US features, pertinent biomechanics, clinical presentation, and differential diagnosis of injuries affecting the annular pulleys, differentiating from climber's finger; extensor hood including sagittal band and central slip rupture; proximal interphalangeal and metacarpophalangeal collateral ligaments including the Stener lesion and associated volar plate injury; and the anterior oblique or beak ligament of the trapeziometacarpal joint are reviewed. Emphasis is placed on optimal transducer positioning, value of dynamic US, injury severity, surgical indications, and other US findings with important management implications. US facilitates a timely accurate diagnosis of hand ligament and retinacular injury to ensure optimal patient management and minimize the risk of functional impairment of the hand.

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“…As a result, the little finger is held in abduction. 5 Injuries of the UCL affect the pincer function of the thumb and second digit. The potential sagittal, coronal, and rotary instability associated with this lesion make grasping activities such as turning a key or doorknob difficult.…”

Section: Clinical Presentation/functional Loss/potential Complicationmentioning

confidence: 99%

The Athlete's Hand: Ligament and Tendon Injury

Scalcione

Pathria

Chung

2012

Semin Musculoskelet Radiol

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Hand injuries are common, accounting for up to 20% of emergency department visits nationwide. An understanding of the complex and detailed anatomical relationships of small joints facilitates the accurate diagnosis of many common sports-related injuries of the hand. We review the common ligamentous and tendinous injuries of the hand including collateral ligament injuries, gamekeeper's thumb, extensor mechanism injuries, pulley injuries, boutonniere deformities, and mallet and jersey lesions. The mechanism of injury, clinical presentation and treatment, pertinent anatomy, and imaging findings are discussed.

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Stener-like lesions of collateral ligament ruptures of the metacarpophalangeal joint of the finger

Cited by 29 publications

References 13 publications

Injuries to the Collateral Ligaments of the Metacarpophalangeal and Interphalangeal Joints: Sonographic Appearance

Injuries to the Collateral Ligaments of the Metacarpophalangeal and Interphalangeal Joints: Sonographic Appearance

Ultrasound of Normal and Injured Ligaments and Retinacula of the Hand

The Athlete's Hand: Ligament and Tendon Injury

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