US of the ulnar collateral ligament (UCL) at the first metacarpophalangeal (MCP) joint: a new dynamic maneuver to detect Stener lesion (in French)

Bordet, B.; Borne, J.; Fantino, O.; Pialat, J

doi:10.1016/j.clinimag.2009.06.016

Cited by 6 publications

(6 citation statements)

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“…If a Stener lesion occurs, the adductor pollicis aponeurosis collides with the proximal ligament stump or folds within its fibers under dynamic evaluation. 6,45…”

Section: Ultrasonographymentioning

confidence: 99%

Thumb Injuries and Instabilities. Part 1: Anatomy, Kinesiology, and Imaging Techniques of the Thumb

Blum

Holsbeeck

Bianchi

2021

Semin Musculoskelet Radiol

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The unique anatomical characteristics of the thumb offer a broad range of motion and the ability to oppose thumb and finger, an essential function for grasping. The motor function of the thumb and its orientation make it particularly vulnerable to trauma. Pathologic lesions encountered in this joint are varied, and imaging techniques play a crucial role in injury detection and characterization. Despite advances in diagnostic accuracy, acute thumb injuries pose a challenge for the radiologist. The complex and delicate anatomy requires meticulous and technically flawless image acquisition. Standard radiography and ultrasonography are currently the most frequently used imaging techniques. Computed tomography is most often indicated for complex fractures and dislocations, and magnetic resonance imaging may be useful in equivocal cases. In this article, we present the relevant anatomy and imaging techniques of the thumb.

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“…If a Stener lesion occurs, the adductor pollicis aponeurosis collides with the proximal ligament stump or folds within its fibers under dynamic evaluation. 6,45…”

Section: Ultrasonographymentioning

confidence: 99%

Thumb Injuries and Instabilities. Part 1: Anatomy, Kinesiology, and Imaging Techniques of the Thumb

Blum

Holsbeeck

Bianchi

2021

Semin Musculoskelet Radiol

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“…Because these transducers are now widely available and as musculoskeletal US expertise is building worldwide, US has improved its standing as a first-line imaging technique. 24,[33][34][35] The transducer is pressed against the ulnar aspect of the base of the proximal phalanx and the distal first metacarpal. The ideal image orientation is coronal at the base of the first web space.…”

Section: Ulnar Collateral Ligament Injuries Of the Mcp Jointmentioning

confidence: 99%

Thumb Injuries and Instabilities. Part 2: Spectrum of Lesions

Blum

Holsbeeck

Bianchi

2021

Semin Musculoskelet Radiol

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The motor function of the thumb and its alignment with regard to the hand make it particularly vulnerable to trauma. Pathology encountered in this joint is varied, and imaging techniques play a crucial role in the diagnosis and characterization of injury. Despite advances in imaging technology, acute thumb injuries remain a challenge for radiologists. Currently, standard radiography and ultrasonography are frequently used first-line imaging techniques. Computed tomography is most often indicated for complex fractures and dislocations. Magnetic resonance imaging may be used to optimally characterize soft tissues and bone marrow. In this article, we cover the most common traumatic injuries: fractures, dislocations, collateral ligament injuries of the metacarpophalangeal joint, as well as soft tissue lesions.

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“…Specifically, flexion and extension movements of the IP joint of the thumb induce passive gliding of the extensor pollicis longus tendon and, as a consequence, proximal or distal gliding of the aponeurosis that inserts into the extensor hood. If a Stener lesion occurs, the adductor pollicis aponeurosis clashes with the proximal ligament stump or folds within its fibers under dynamic evaluation (Figure ) …”

Section: Sonographic Examinationmentioning

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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US of the ulnar collateral ligament (UCL) at the first metacarpophalangeal (MCP) joint: a new dynamic maneuver to detect Stener lesion (in French)

Cited by 6 publications

References 0 publications

Thumb Injuries and Instabilities. Part 1: Anatomy, Kinesiology, and Imaging Techniques of the Thumb

Thumb Injuries and Instabilities. Part 1: Anatomy, Kinesiology, and Imaging Techniques of the Thumb

Thumb Injuries and Instabilities. Part 2: Spectrum of Lesions

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

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