Échographie de l’entorse du ligament collatéral ulnaire (LCU) de l’articulation métacarpo-phalangienne (MCP) du pouce : une nouvelle manœuvre dynamique pour visualiser l’effet Stener
In: Journal de Radiologie, Jg. 90 (2009-02-01), S. 217-220
Online
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Zugriff:
Sprain of the first MCP joint is frequent. In patients with UCL tear, the adductor aponeurosis 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.
Titel: |
Échographie de l’entorse du ligament collatéral ulnaire (LCU) de l’articulation métacarpo-phalangienne (MCP) du pouce : une nouvelle manœuvre dynamique pour visualiser l’effet Stener
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Autor/in / Beteiligte Person: | Pialat, J.B. ; Borne, J. ; Bordet, B. ; Fantino, O. |
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Zeitschrift: | Journal de Radiologie, Jg. 90 (2009-02-01), S. 217-220 |
Veröffentlichung: | Elsevier BV, 2009 |
Medientyp: | unknown |
ISSN: | 0221-0363 (print) |
DOI: | 10.1016/s0221-0363(09)72472-2 |
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