The additional value of magnetic resonance imaging in suspected saddle deformity

Veen, F J C van der; Karim, Refaat B.; Woude, Henk-Jan van der

doi:10.1016/j.ejrex.2008.08.002

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…They conclude that pain relief is achieved by mechanical disruption of the adhesions by the volume of the injectate in the fascial planes [8]. Van der Veen also reported on one case treated conservatively with cortisone injections [5].…”

Section: Discussionmentioning

confidence: 97%

“…Blunt trauma to the distal part of the hand has been described as a causal factor to this condition [1,2]. Furthermore, the condition has occasionally been reported as post-infectious and postinflammatory [3][4][5]. There are few reports in the literature about this condition, and most of them are limited to case reports with a short follow-up (see Table 2).…”

Section: Introductionmentioning

confidence: 99%

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Interosseous-lumbrical adhesions – a rare condition? A series of five cases

Jann

Vedung

Giesen³

et al. 2021

Journal of Plastic Surgery and Hand Surgery

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Adhesions between the interosseous and lumbrical muscles involving the deep transverse metacarpal ligament (dTML) can be a cause of chronic pain and reduced range of motion. New reports on this condition are rare. We identified five patients experiencing pain, swelling and decreased range of motion in the metacarpophalangeal (MCP) joints during manual load. The condition was caused by a direct trauma. After not responding to conservative treatment, patients underwent surgery. Time between trauma and surgery was on average 16 months and the mean postoperative follow-up was 8 months. The lumbrical-interosseus junction was exposed by volar or dorsal incision, adhesions were widely released and the distal third of the dTML was resected. This resulted in normal passive excursion of the muscles and the tendon junction. At the mean follow-up time 8.2 months (3-18) after surgery, all patients were pain-free and had gained near normal range of motion in the MCP joints. Interosseous-lumbrical adhesions may be more common than reflected by the literature. Hand surgeons should keep this condition in mind in cases with chronic inter-metacarpal pain after trauma or infection. Surgical exploration is relatively straight forward and tends to lead to gratifying results. Level of Evidence: IV (therapeutic)

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Interosseous-lumbrical adhesions – a rare condition? A series of five cases

Jann

Vedung

Giesen³

et al. 2021

Journal of Plastic Surgery and Hand Surgery

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show abstract

“…Of the cases in the comprehensive Chicarilli report, 10% are referred to as miscellaneous [ 2 ]. Other exceptions are local inflammation [ 4 ] and inflammation after a complex regional pain syndrome [ 5 ]. The symptomatic interosseous-lumbrical adhesion in our case was caused by a local infection.…”

Section: Discussionmentioning

confidence: 99%

“…Also van der Veen et al . reported a case with MRI findings suggesting the diagnosis [ 5 ]. The MRI in our case was not helpful, other than excluding differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Interosseous-lumbrical adhesions secondary to an infection: a case report

Muder

Vedung

2014

J Med Case Reports

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IntroductionAdhesions between the tendons to the interosseous muscles, the lumbrical muscles and occasionally the deep transverse metacarpal ligament can be symptomatic and cause chronic discomfort in the distal part of the hand. Reports about the condition are rare and the causal factors in previous publications are in principle limited to crush injuries and contusion from a direct blow to the hand. We present a case with typical clinic findings secondary to an infection after a cat bite. To the best of our knowledge symptomatic interosseous-lumbrical adhesions caused by an infection has never been described previously.Case presentationOur case report describes a 25-year-old Caucasian woman with chronic pain and swelling between her second and third metacarpal heads. Symptoms occurred especially under stress and developed secondary to an infection after a cat bite. Surgical exploration revealed localized adhesions between her second lumbrical muscle, her first palmar interosseous muscle and her deep transverse metacarpal ligament. The symptoms were completely relieved by surgical release of the adhesions, partial resection of the deep transverse metacarpal ligament and immediate postoperative physiotherapy.ConclusionsPhysicians involved in hand surgery should be aware of the condition and look for it in patients complaining about distal intermetacarpal pain. The major causal factors for developing symptomatic interosseous-lumbrical adhesions are crush injuries or contusion to the distal part of the hand but it may also occur after an infection.

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Anatomic Relationship of Hand Intrinsic Tendons at the Metacarpal Head as It Relates to the Diagnosis of Saddle Syndrome: A Cadaveric Study

Campbell

Kistler

et al. 2023

The Journal of Hand Surgery

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The additional value of magnetic resonance imaging in suspected saddle deformity

Cited by 3 publications

References 7 publications

Interosseous-lumbrical adhesions – a rare condition? A series of five cases

Interosseous-lumbrical adhesions – a rare condition? A series of five cases

Interosseous-lumbrical adhesions secondary to an infection: a case report

Anatomic Relationship of Hand Intrinsic Tendons at the Metacarpal Head as It Relates to the Diagnosis of Saddle Syndrome: A Cadaveric Study

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