Closed rupture of the deep transverse metacarpal ligament: Diagnosis and management

Wheatley, Michael J.; Layman, Charles D.; Burke, James B.

doi:10.1016/s0363-5023(05)80472-1

Cited by 10 publications

(15 citation statements)

References 3 publications

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“…It is also reported that the metacarpal head is directly forced to dislocate toward the palm of the hand, which causes the rupture of the DTML. 4 The clinical symptoms of DTML include pain or discomfort on the affected site of the hand, decrease in grip strength and marked deviation of fingers during active flexion. Wheatley et al 4 have reported that it is possible to detect the ulnar deviation of the injured fingers in the radiological findings, however, there has been no specific findings in this case study.…”

Section: Discussionmentioning

confidence: 99%

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The Neglected Rupture of Deep Transverse Metacarpal Ligament

2003

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The deep transverse metacarpal ligament (DTML) extends in radio-ulnar direction between the palmar plates of the metacarpophalangeal (MCP) joints of the second through fifth finger rays. On the radial aspect of the index and the ulnar aspect of the small fingers, the ligament merges with the collateral ligament of the MCP joints. The ligament has palmar grooves for the flexor tendons at the MCP joints and act as a support for the metacarpal arch. Closed DTML injury is an unusual case, but the physical findings of DTML injury are a decrease in grip strength, deviation of the finger in flexion and pain on the affected site of the hand. We have experienced a case of neglected DTML injury of left third interdigital space in a 23-year-old man.

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Section: Discussionmentioning

confidence: 99%

“…Wheatley et al,4 in two cases of acute DTML rupture, have reported on the suturing of the DTML rupture and A1 pulleys over the ligament to reinforce the repair. In this case, there are difficulties in suture because of the time delay of two years.…”

Section: Discussionmentioning

confidence: 99%

The Neglected Rupture of Deep Transverse Metacarpal Ligament

2003

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“…21 One of the most common injuries associated with the crush mechanism is the CMC fracture-dislocation. It can occur in a single ray or affect all 4 medial rays.…”

Section: Discussionmentioning

confidence: 99%

The Exploded Hand Syndrome: Logical Evaluation and Comprehensive Treatment of the Severely Crushed Hand

Graham

2006

The Journal of Hand Surgery

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“…Wheatley et al (1998) repaired the disrupted ligament directly and reinforced it with A1 pulley flaps; they did not use additional K-wire stabilisation. However, direct repair may not be possible in severe or long standing injury.…”

Section: Discussionmentioning

confidence: 99%