Abstract
The ulnar collateral ligament (UCL) of the thumb metacarpophalangeal joint is a static stabilizer that may rupture from a hyperabduction injury. Although some UCL tears may heal with immobilization, outcomes are worse for Stener lesions, in which the proximal ligament stump slips out from beneath the adductor pollicis aponeurosis and is entrapped proximal and superficial to the aponeurosis, preventing primary healing. We report the case of a patient with a Stener lesion with radiographic, ultrasound, and magnetic resonance imaging correlation, subsequently confirmed with intraoperative photographs. Physicians must be familiar with the regional anatomy to understand the injury pathogenesis and the need for surgical intervention to optimize patient outcomes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E195-E199 |
| Journal | American journal of orthopedics (Belle Mead, N.J.) |
| Volume | 46 |
| Issue number | 3 |
| State | Published - May 1 2017 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Multimodality Approach to a Stener Lesion : Radiographic, Ultrasound, Magnetic Resonance Imaging, and Surgical Correlation. / Tresley, Jonathan; Singer, Adam D.; Ouellette, Elizabeth A.; Blaichman, Jason; Clifford, Paul D.
In: American journal of orthopedics (Belle Mead, N.J.), Vol. 46, No. 3, 01.05.2017, p. E195-E199.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Multimodality Approach to a Stener Lesion
T2 - Radiographic, Ultrasound, Magnetic Resonance Imaging, and Surgical Correlation
AU - Tresley, Jonathan
AU - Singer, Adam D.
AU - Ouellette, Elizabeth A.
AU - Blaichman, Jason
AU - Clifford, Paul D.
PY - 2017/5/1
Y1 - 2017/5/1
N2 - The ulnar collateral ligament (UCL) of the thumb metacarpophalangeal joint is a static stabilizer that may rupture from a hyperabduction injury. Although some UCL tears may heal with immobilization, outcomes are worse for Stener lesions, in which the proximal ligament stump slips out from beneath the adductor pollicis aponeurosis and is entrapped proximal and superficial to the aponeurosis, preventing primary healing. We report the case of a patient with a Stener lesion with radiographic, ultrasound, and magnetic resonance imaging correlation, subsequently confirmed with intraoperative photographs. Physicians must be familiar with the regional anatomy to understand the injury pathogenesis and the need for surgical intervention to optimize patient outcomes.
AB - The ulnar collateral ligament (UCL) of the thumb metacarpophalangeal joint is a static stabilizer that may rupture from a hyperabduction injury. Although some UCL tears may heal with immobilization, outcomes are worse for Stener lesions, in which the proximal ligament stump slips out from beneath the adductor pollicis aponeurosis and is entrapped proximal and superficial to the aponeurosis, preventing primary healing. We report the case of a patient with a Stener lesion with radiographic, ultrasound, and magnetic resonance imaging correlation, subsequently confirmed with intraoperative photographs. Physicians must be familiar with the regional anatomy to understand the injury pathogenesis and the need for surgical intervention to optimize patient outcomes.
UR - http://www.scopus.com/inward/record.url?scp=85044849878&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044849878&partnerID=8YFLogxK
M3 - Article
C2 - 28666051
AN - SCOPUS:85044849878
VL - 46
SP - E195-E199
JO - American Journal of Orthopedics
JF - American Journal of Orthopedics
SN - 1078-4519
IS - 3
ER -