Ultrasound evaluation of the first finger’s sesamoid bones: diagnostic value of sesamoid and subsesamoid indices

Glorioso, M; Perri, Stefano; Lombardo, Valentina; Brino, Martina Di; Giovagnorio, F

doi:10.1007/s40477-020-00556-6

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…The use of US has also been seen in the detection of micro lesions that are not seen by XR such as the use of the sesamoid index, the study by Glorioso et al . 13 in 15 patients with trauma due to hyperextension of the first finger showed US alterations of the sesamoid index above the reference values (18 ‡5.1 mm for the radial sesamoid and 15.7+5 mm for the ulnar sesamoid): the abnormal values observed were 35.8 mm for the radial sesamoid and 32 mm for the ulnar sesamoid, with statistical significance ( P <0.05).…”

Section: Resultsmentioning

confidence: 81%

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Comparative use of ultrasound and radiography for the detection of fractures: a systematic review and narrative synthesis

Endara-Mina,

Kumar,

Ghosh

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Traditionally, X-rays have remained the standard modality for bone fracture diagnosis. However, other diagnostic modalities most notably ultrasound have emerged as a simple, radiation-safe, effective imaging tool to diagnose bone fractures. Despite the advantages, there is a prevalent scarcity of literature recognizing its significance in bone trauma management. This review investigates the effectiveness of ultrasound in the diagnosis of various bone fractures when compared to conventional radiography such as X-rays. Methodology: Electronic databases such as PubMed/Medline, SCOPUS, and Web of Science (WOS) were reviewed for observational studies and review articles from the years 2017–2022 utilizing MESH terminology in a broad term search strategy. The search returned a total of 248 articles. After removal of duplicates, abstract, and full-text screening this systematic review ultimately utilized data from 31 articles. All searches were performed and analyzed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology and were conducted during August 2022. In accordance with the guidelines for assessing the quality of included systematic reviews, we used the AMSTAR 2020, Supplemental Digital Content 2, http://links.lww.com/MS9/A241 (A Measurement Tool to Assess Systematic Reviews) tool to evaluate the methodological quality of the included studies. A data extraction form based on the Cochrane Consumers and Communication Review group’s extraction template for quality assessment and evidence synthesis was used for data extraction. The information extracted included details such as author information, database, journal details, type of study, etc. Studies included will be classified into long bones, short bones, pneumatic bones, irregular bones, ankle and knee, stress fractures, hip fractures, POCUS, and others. All included studies considered bias and ethical criteria and provided valuable evidence to answer the research question. Results: The search returned a total of 248 articles, with 192 articles remaining after the removal of duplicates. Primary screening of the title and abstract articles from the database search and additional sources identified 68 relevant articles for full-text screening. This systematic review ultimately used data from 33 articles of the remaining articles we included all of them because they had more than 70% certainty, using the STROBE tool for observational articles, narrative reviews with the ENTREQ guide, and systematic reviews and meta-analyses with the PRISMA guide; however, two articles were excluded at the eligibility stage because of risk of bias. Conclusion: This systematic review provides insightful evidence on safety and effectiveness of ultrasound in diagnosing fractures when compared to the conventional imaging modalities such as X-rays. This shall promote further large-scale, multi-centre research that can eventually guide clinic practice in diagnosing and managing various bone fractures.

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Section: Resultsmentioning

confidence: 81%

“…Micro-injuries and possible sesamoid complex injuries could also be detected by US where XRs remained inconclusive. This can enable more efficient evaluation of sesamoiditis by qualitative detection of post-traumatic alteration of metacarpophalangeal joint of the first finger 13 . In fact, a cross-sectional study by Ebrahimi et al .…”

Section: Discussionmentioning

confidence: 99%

Comparative use of ultrasound and radiography for the detection of fractures: a systematic review and narrative synthesis

Endara-Mina,

Kumar,

Ghosh

et al. 2023

Annals of Medicine &Amp; Surgery

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“… 9 Sesamoid index is used as a supplement in diagnosing acromegaly 9 and psoriasis. 10 There are several reports on sesamoid fracture 11 , 12 and sesamoid incarceration in joint dislocation patients. 13 , 14 Conservative treatment is sufficient for simple fractures, 15 while open surgery is needed for concurrent collateral ligament avulsion, volar plate rupture and sesamoid incarceration.…”

Section: Introductionmentioning

confidence: 99%

The Application of Sesamoid Position in Diagnosing Thumb Metacarpophalangeal Joint Dorsal Dislocation: A Retrospective Study

Xu,

Han,

Zhang

et al. 2024

Orthopaedic Surgery

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ObjectivesThe position of sesamoid of thumb metacarpophalangeal (MCP) joint changed clearly when the joint was dislocated dorsally. However, the significance of sesamoid location in diagnosing joint dislocation was unclear. The present study aimed to explore the positional relationship between sesamoid bone and thumb metacarpophalangeal joint in normal and dorsal dislocation joints.MethodsBetween January 2018 and August 2023, we collected 60 isometric plain films from sixty outpatients and reviewed 56 anisometric plain films from twenty‐eight emergency patients with dorsal dislocation of thumb MCP joint at Tianjin Hospital, then took measurements on the hand X‐ray images. The sesamoid length on its longitudinal axis was defined as DP, the distance between the distal edge of sesamoid and thumb MCP joint was defined as DJ, and the ratio of DJ and DP was R. An independent‐samples t‐test and paired‐samples t‐test was utilized to analyze difference among data groups.ResultsThe 60 isometric images were from 30 male and 30 female outpatients with normal bone structure in their hands, and the 56 anisometric images of the 28 emergency patients included both preoperative and postoperative materials. Among the outpatients, the actual distance between the distal edge of sesamoid and thumb MCP joint space (DJ) was 2.09 mm and 1.40 mm in males and females, respectively. The authentic average length of sesamoid (DP) was 4.46 mm in males and 4.22 mm in females. The average value of R (the ratio of DJ and DP) in males and females was 0.49 and 0.34, respectively. There were gender‐related statistical differences in DJ (p < 0.01) and R (p=0.01), but no statistical difference in DP (p > 0.05). For the 28 emergency patients, the mean value of R was –0.47 before joint reduction and 0.58 after joint reduction, with statistical difference between them (p < 0.01).ConclusionsThere was significant difference in the relative position between sesamoid and thumb MCP joint when joint dislocation and joint reduction. The distal edge of sesamoid beyond thumb MCP joint could be an evidence in diagnosing joint dorsal dislocation. The distal edge of sesamoid below thumb MCP joint could be an evidence of joint reduction.

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Ultrasound evaluation of the first finger’s sesamoid bones: diagnostic value of sesamoid and subsesamoid indices

Cited by 2 publications

References 10 publications

Comparative use of ultrasound and radiography for the detection of fractures: a systematic review and narrative synthesis

Comparative use of ultrasound and radiography for the detection of fractures: a systematic review and narrative synthesis

The Application of Sesamoid Position in Diagnosing Thumb Metacarpophalangeal Joint Dorsal Dislocation: A Retrospective Study

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