The Athlete's Hand: Ligament and Tendon Injury

Scalcione, Luke R.; Pathria, Mini N.; Chung, Christine B.

doi:10.1055/s-0032-1327007

Cited by 23 publications

(12 citation statements)

References 29 publications

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“…[ 25 26 ] In the skiing sport, the skier grips his/her ski pole when sustains a fall with the thumb in abduction position may result in a valgus/radial stress on the thumb. [ 16 ] The radial side stress applied to the ulnar side of the distal thumb, across MCPJ, and caused the UCL injury. This type of lesion is also seen in football, basketball, and other contact-collision sports.…”

Section: Discussionmentioning

confidence: 99%

“…[ 32 ] Closed extension splinting is the initial treatment option for the boutonniere deformity, because splinting alone typically allows the central slip to heal. [ 16 ]…”

Section: Discussionmentioning

confidence: 99%

“…The term Gamekeeper's thumb was applied to both acute and chronic injuries of the UCL at the MCPJ of thumb. [ 16 ] When the torn UCL retracted and lay superficial to the AA, this lesion was termed Stener lesion [ Figure 7 ]. [ 16 ] Among the 12 cases with the injury of the UCL, eight cases were Stener lesions and showed the discontinuity and thickening of the UCL with increased signal intensity and displacement superficially to the AA [ Figure 7 ].…”

Section: R Esultsmentioning

confidence: 99%

“…[ 16 ] When the torn UCL retracted and lay superficial to the AA, this lesion was termed Stener lesion [ Figure 7 ]. [ 16 ] Among the 12 cases with the injury of the UCL, eight cases were Stener lesions and showed the discontinuity and thickening of the UCL with increased signal intensity and displacement superficially to the AA [ Figure 7 ]. Among the Stener lesions, there were five cases with the torn ligament occurred at the insertion into the base of the proximal phalanx, three cases with the torn ligament occurred at the midportion of the ligament.…”

Section: R Esultsmentioning

confidence: 99%

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Sports Injury-Related Fingers and Thumb Deformity Due to Tendon or Ligament Rupture

Renju

Huibo

Zhan

et al. 2018

Chinese Medical Journal

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Background:Hand injuries are very common in sports, such as skiing and ball sports. One of the major reasons causing hand and finger deformity is due to ligament and tendon injury. The aim of this study was to investigate if the high-resolution 3T magnetic resonance imaging (MRI) can demonstrate the complex anatomy of the fingers and thumb, especially the tendons and ligaments, and provide the accurate diagnosis of clinically important fingers and thumbs deformity due to ligamentous and tendinous injuries during sport activities.Methods:Sixteen fresh un-embalmed cadaveric hands were harvested from eight cadavers. A total of 20 healthy volunteers' hands and 44 patients with fingers or thumb deformity due to sports-related injuries were included in this study. All subjects had MR examination with T1-weighted images and proton density-weighted imaging with fat suppression (PD FS) in axial, coronal, and sagittal plane, respectively. Subsequently, all 16 cadaveric hands were sliced into 2-mm thick slab with a band saw (six in coronal plane, six in sagittal plane, and four in axial plane). The correlation of anatomic sections and the MRI characteristics of tendons of fingers and the ulnar collateral ligament (UCL) at the metacarpal phalangeal joint (MCPJ) of thumb between 20 healthy volunteers and 44 patients (confirmed by surgery) were analyzed.Results:The normal ligaments and tendons in 16 cadaveric hands and 20 volunteers' hands showed uniform low-signal intensity on all the sequences of the MRI. Among 44 patients with tendinous and ligamentous injuries in the fingers or thumb, 12 cases with UCL injury at MCPJ of the thumb (Stener lesion = 8 and non-Stener lesion = 4), 6 cases with the central slip injury, 12 cases with terminal tendon injury, and 14 cases with flexor digitorum profundus injury. The ligaments and tendons disruption manifested as increased signal intensity and poor definition, discontinuity, and heterogeneous signal intensity of the involved ligaments and tendons.Conclusions:Sports injury-related fingers and thumb deformity are relatively common. MRI is an accurate method for evaluation of the anatomy and pathologic conditions of the fingers and thumb. It is a useful tool for accurate diagnosis of the sports-related ligaments and tendons injuries in hand.

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Section: Discussionmentioning

confidence: 99%

“…[ 32 ] Closed extension splinting is the initial treatment option for the boutonniere deformity, because splinting alone typically allows the central slip to heal. [ 16 ]…”

Section: Discussionmentioning

confidence: 99%

Section: R Esultsmentioning

confidence: 99%

Section: R Esultsmentioning

confidence: 99%

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Sports Injury-Related Fingers and Thumb Deformity Due to Tendon or Ligament Rupture

Renju

Huibo

Zhan

et al. 2018

Chinese Medical Journal

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“…7 Often, however, by delaying treatment the player is unknowingly slowing or jeopardizing his or her ability to regain full function. 11,42,44 Athletic trainers and sports medicine physicians are tasked with encouraging athletes to seek medical attention for finger jam injuries and knowing the specifics of diagnosis and management of these common injuries.…”

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confidence: 99%

Jam Injuries of the Finger

Carruthers

Skie

Jain

2016

Sports Health: A Multidisciplinary Approach

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Context:Jam injuries of the finger are frequently encountered in general orthopaedic and sports medicine practice. The finger joints in particular are very susceptible to traumatic injury, but in the absence of severe deformity, digital trauma is often downplayed in the hopes of a more rapid return to game play.Evidence Acquisition:Articles published from 1966 to 2015 were reviewed to capture historical and current views on the presentation, diagnosis, and treatment of jam injuries in athletes.Study Design:Clinical review.Level of Evidence:Level 5.Results:Although jam injuries are frequently grouped together, they represent a host of injuries that can be challenging to differentiate. A thorough knowledge of finger joint anatomy and injury mechanism is critical to perform an appropriate examination, establish an accurate diagnosis, and identify a treatment plan for each patient.Conclusion:Every member of the athletic care team must be aware of the spectrum of digital injuries, including the basic signs present on examination, which may indicate the need for more formal workup. Additionally, preventing injury through athlete education is paramount to athletic care.

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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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The Athlete's Hand: Ligament and Tendon Injury

Cited by 23 publications

References 29 publications

Sports Injury-Related Fingers and Thumb Deformity Due to Tendon or Ligament Rupture

Sports Injury-Related Fingers and Thumb Deformity Due to Tendon or Ligament Rupture

Jam Injuries of the Finger

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

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