Advertisement

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

  • B. Bordet
    Affiliations
    (Service d'Imagerie médicale, Department de Chirurgie de la main, Clinique du Parc, 155 bis Blvd. Stalingrad, F-69006 Lyon, France Cedex). J Radiol 2009;90:217–220.
    Search for articles by this author
  • J. Borne
    Affiliations
    (Service d'Imagerie médicale, Department de Chirurgie de la main, Clinique du Parc, 155 bis Blvd. Stalingrad, F-69006 Lyon, France Cedex). J Radiol 2009;90:217–220.
    Search for articles by this author
  • O. Fantino
    Affiliations
    (Service d'Imagerie médicale, Department de Chirurgie de la main, Clinique du Parc, 155 bis Blvd. Stalingrad, F-69006 Lyon, France Cedex). J Radiol 2009;90:217–220.
    Search for articles by this author
  • J.B. Pialat
    Affiliations
    (Service d'Imagerie médicale, Department de Chirurgie de la main, Clinique du Parc, 155 bis Blvd. Stalingrad, F-69006 Lyon, France Cedex). J Radiol 2009;90:217–220.
    Search for articles by this author
      Sprain of the first MCP joint is frequent. In patients with UCL, tear, the adductor aponcurosis may become interposed between the distal site of ligament attachment and the ruptured ligament: this lesion, described by Stener, prevents ligamentous healing and requires surgical intervention. We present the results from a prospective study of 56 patients with first MCP sprain in order to determine the value of US by correlating with surgical findings. We propose a new dynamic maneuver during flexion-extension of the IP joint. This enables visualization of the adductor aponeurosis and its relationship to the UCL on US allowing detection of a Stener lesion when it exists. All patients with Stener lesion on US underwent surgery (32 operated patients): the sensitivity of US was 95.4% with a specificity of 80% for detection of Stener lesions. US, with the use of this specific dynamic maneuver is a reliable and reproducible tool for detecting Stener lesions. Review of video recordings allows visual comprehension of the examination for other health care providers.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect