The Stener Lesion: Historical Perspective and Evolution of Diagnostic Criteria

Lark, Meghan E.; Maroukis, Brianna L.; Chung, Kevin C.

doi:10.1177/1558944716661999

Cited by 20 publications

(18 citation statements)

References 26 publications

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“…In literature, these injuries are often linked to sports, skiing, baseball, handball, but the frequency of sports injuries is only 10% of all registered injuries. Therefore, we most commonly deal with patients who had sustained this type of injury in everyday situations [8]. The UCL ligament of the thumb injuries are often overlooked by inexperienced doctors because the complexity of the ligament apparatus requires special consideration during the examination.…”

Section: Discussionmentioning

confidence: 99%

The pull-out reparation technique for ulnar collateral ligament (UCL) of the thumb

Mitrović¹,

Jelača²,

Mitrović³

2020

Halo 194

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Introduction: Ulnar collateral ligament (UCL) of the thumb injury is a very common injury. However, due to the complexity of the ligament anatomy, the inexperience of doctors and unavailability of diagnostic procedures, the ulnar collateral ligament of the thumb injury is most commonly overseen. The consequences are loss of thumb function, instability and pain in the metacarpophalangeal joint, and accelerated osteoarthrosis. For these precise reasons, there is a clear consensus that this injury should be treated operatively. Objective: The objective of this paper is to present the results of the pull-out technique for reconstructing the UCL ligament. Methodology: In between 2018 and 2020, we have operated on 11 patients with the UCL of the thumb rupture in our department. We approached the dorsoulnar side of the metacarpophalangeal (MCP) joint of the thumb using the standard lazy S incision. In 9 out of 11 patients, a Stener ligament lesion was discovered. All patients had their ligament reconstructed using the pull-out technique, where the ligament was sewn through, then guided through a channel created using a K needle on the radial side of the base of the thumb. Postoperatively, a spica plaster orthosis was placed on the thumb. Results: The patients returned for re-evaluation 6, 12 and 24 weeks after surgery. Upon 24 weeks, the patients had no complaints regarding their thumb, they had full grip strength and could perform all the various grips. Two of the patients had a limited abduction amplitude of the thumb in the MCP joint, which didn't affect the outcome. There was no injury to the sensory branch of the radial nerve. Conclusion: The pull-out technique is a safe, quick and cheap operative technique for UCL of the thumb reconstruction.

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Section: Discussionmentioning

confidence: 99%

The pull-out reparation technique for ulnar collateral ligament (UCL) of the thumb

Mitrović¹,

Jelača²,

Mitrović³

2020

Halo 194

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“…Sonography and magnetic resonance imaging are much better suited than radiography to assessing soft tissue lesions. Several studies evaluating the use of sonography and magnetic resonance imaging have supported an improvement in the diagnosis of displaced ruptures of the collateral ligaments, but a consensus for one superior diagnostic tool does not currently exist . Several authors have focused their attention on sonographic evaluation of UCL injuries of the thumb MCP joint .…”

Section: Discussionmentioning

confidence: 99%

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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“…In a Stener lesion (Fig. 4.17), the adductor pollicis aponeurosis is interposed between the torn end of the ulnar collateral ligament and the base of the proximal phalanx, interfering with the healing process and warranting a surgical intervention [12].…”

Section: Gamekeeper's Thumb and Stener Lesionmentioning

confidence: 99%

Wrist and Hand

Khalilzadeh

Canella

Fayad

2021

IDKD Springer Series

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The wrist and hand have complex anatomy with small bones and supporting soft tissue structures, which limits the diagnostic yield for radiologic assessment. Knowledge of anatomy and different clinical entities is key to the radiologic diagnosis. Some of the essential anatomic and clinical topics in radiologic interpretation include knowledge of the topographic tendon anatomy of wrist and hand, the intrinsic and extrinsic carpal ligaments, the thumb ligaments, thumb carpometacarpal ligaments, the triangular fibrocartilage complex, the extensor mechanism, and the flexor tendons and pulleys. In this chapter, common traumatic injuries affecting the wrist and hand are reviewed.

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The Stener Lesion: Historical Perspective and Evolution of Diagnostic Criteria

Cited by 20 publications

References 26 publications

The pull-out reparation technique for ulnar collateral ligament (UCL) of the thumb

The pull-out reparation technique for ulnar collateral ligament (UCL) of the thumb

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

Wrist and Hand

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