Thumb collateral ligament injuries in the athlete

Avery, Daniel; Inkellis, Elizabeth; Carlson, Michelle G.

doi:10.1007/s12178-017-9381-z

Cited by 28 publications

(19 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Stener lesion is significantly more common on the ulnar side of the thumb because of anatomical and functional conditions. First, the mechanism of injury of the UCL is a forced radial deviation of the thumb, which occurs in many common activities (Avery et al., 2017; Schroeder and Goldfarb, 2015). In contrast, forced ulnar deviation of the thumb is far less common (Avery et al., 2017; Edelstein et al., 2008; Lee and Carlson, 2012; Posner and Retaillaud, 1992).…”

Section: Discussionmentioning

confidence: 99%

“…First, the mechanism of injury of the UCL is a forced radial deviation of the thumb, which occurs in many common activities (Avery et al., 2017; Schroeder and Goldfarb, 2015). In contrast, forced ulnar deviation of the thumb is far less common (Avery et al., 2017; Edelstein et al., 2008; Lee and Carlson, 2012; Posner and Retaillaud, 1992). We believe that ulnar stress of the thumb alone is unlikely to rupture the ligament as ulnar deviation will eventually be blocked by the hand, whereas a radial deviation is unopposed by a bony structure.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An anatomical study on the Stener-type lesion of the radial collateral ligament of the metacarpophalangeal joint of the thumb

Jakubietz

Erguen

Meffert

et al. 2019

J Hand Surg Eur Vol

View full text Add to dashboard Cite

The Stener-type lesion of the radial collateral ligament is rare. The insertion of the abductor pollicis brevis is believed to preclude its occurrence. The aim of this study was to determine whether this lesion can be induced mechanically. Four specimens were tested in neutral rotation and 20° of supination, in 45° and 30° of flexion, and in the neutral position. The angle of ulnar adduction to form a Stener-type lesion was measured. The lesion occurred only in 45° flexion in all specimens. A lesser angle of flexion decreased the rate of ligament displacement. In the neutral position no ligament displacement was found. A Stener-type lesion of the radial collateral ligament can occur in ulnar adduction and flexion of the metacarpophalangeal joint. Supination of the joint increases the likelihood of ligament displacement. As distal ruptures of the radial collateral ligament are uncommon, a high index of suspicion is required for diagnosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An anatomical study on the Stener-type lesion of the radial collateral ligament of the metacarpophalangeal joint of the thumb

Jakubietz

Erguen

Meffert

et al. 2019

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…Although it is controversial, in cases where no angulation or translation is present, stress radiography may be used to evaluate for instability. Some authors argue that controlled stress is unlikely to cause further injury, while others assert that there is at least some risk of completing a previously nondisplaced ligament tear (21). Stress examinations are not routinely performed at our institution, not only because of the risk of increasing the severity of the injury, but also because stress radiography can have a false-negative result rate of up to 25%, which limits the utility of this examination (22).…”

Section: Ucl Avulsionmentioning

confidence: 99%

Avulsion Injuries of the Hand and Wrist

et al. 2020

View full text Add to dashboard Cite

Injuries of the hand and wrist are frequently encountered in radiology. Avulsions of the hand and wrist are a heterogeneous group of injuries, but they often have a characteristic imaging appearance that relates to the intricate bone and soft-tissue anatomy and the mechanism of injury. The imaging appearance and this intricate form and function dictate treatment of hand and wrist avulsions. This article reviews frequently and infrequently encountered avulsion injuries and describes abnormalities that may mimic the imaging appearance of avulsions. Specifically discussed entities include the Bennett and reverse Bennett fracture, ulnar collateral ligament avulsion, radial and ulnar styloid process avulsion, triquetral avulsion, mallet and jersey finger, central slip avulsion, and acute and chronic volar plate avulsion injuries. Uncommon avulsion injuries are also described and include avulsions of the scapholunate ligament, extensor carpi radialis longus and brevis tendons, trapeziometacarpal ligament, radial collateral ligament, and flexor digitorum profundus tendon. Emphasis is placed on the relevant anatomy and typical imaging findings for each diagnosis, with pertinent clinical history, pathophysiologic evaluation, and treatment discussed briefly. Understanding the anatomy and expected imaging findings can aid the radiologist in recognizing and characterizing these injuries. ©

show abstract

“…[10] Grades 1 and 2 injuries with maintained ligament continuity are usually managed conservatively while Grade 3 injuries with discontinuity may require surgical management. [11] Coronal PD FSE image at the MCP joint [ Figure 14] shows Grade 3 injury to the radial collateral ligament.…”

Section: Common Injuries and Their Biomechanics Along With Imaging Fimentioning

confidence: 99%

3T Magnetic Resonance Imaging of the Thumb-normal Appearances and Common Injuries

Chakrabarty¹,

Daftary²,

Lawande³

2020

IJMSR

View full text Add to dashboard Cite

Thumb is unique not only in its orientation and function compared to the other fingers but also in its bony and soft-tissue anatomy. It is important to understand methods to acquire appropriate image of the thumb along its axis, become familiar with the normal magnetic resonance imaging anatomy of the thumb and develop an understanding of the appearance of common injuries, all of which help in proper management. With proper scanning technique, it is possible to identify all the ligaments, tendons, and pulleys of the thumb. Checklist ensures that all the structures are systematically seen and injuries are consciously looked for in a case of thumb trauma.

show abstract

Thumb collateral ligament injuries in the athlete

Cited by 28 publications

References 63 publications

An anatomical study on the Stener-type lesion of the radial collateral ligament of the metacarpophalangeal joint of the thumb

An anatomical study on the Stener-type lesion of the radial collateral ligament of the metacarpophalangeal joint of the thumb

Avulsion Injuries of the Hand and Wrist

3T Magnetic Resonance Imaging of the Thumb-normal Appearances and Common Injuries

Contact Info

Product

Resources

About