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

被引：3

作者：

Jakubietz, Rafael G. ^{[1
]}

Erguen, Sueleyman ^{[2
]}

Bernuth, Silvia ^{[1
]}

Meffert, Rainer H. ^{[1
]}

Gilbert, Fabian ^{[1
]}

Jakubietz, Michael ^{[1
]}

机构：

[1] Univ Hosp Wuerzburg, Dept Trauma Hand Plast & Reconstruct Surg, Oberduerrbacherstr 6, DE-97080 Wurzburg, Germany

[2] Univ Wurzburg, Inst Anat & Cellbiol, Wurzburg, Germany

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2020年 / 45卷 / 02期

关键词：

Radial collateral ligament; Stener-lesion; ligament rupture radial collateral ligament; INJURIES; ULNAR;

D O I：

10.1177/1753193419887344

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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 degrees of supination, in 45 degrees and 30 degrees 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 degrees 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.

引用

页码：131 / 135

页数：5

共 14 条

[11]

POSNER MA, 1992, HAND CLIN, V8, P713

[12] Thumb Ulnar Collateral and Radial Collateral Ligament Injuries [J].

Schroeder, Nicole S. ;

Goldfarb, Charles A. .

CLINICS IN SPORTS MEDICINE, 2015, 34 (01) :117-+

[13] Impact of Joint Position and Joint Morphology on Assessment of Thumb Metacarpophalangeal Joint Radial Collateral Ligament Integrity [J].

Shaftel, Noah D. ;

Ayalon, Omri ;

Liu, Shian ;

Sapienza, Anthony ;

Green, Steven .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2015, 40 (09) :1838-1843

[14] DISPLACEMENT OF THE RUPTURED ULNAR COLLATERAL LIGAMENT OF THE METACARPO-PHALANGEAL JOINT OF THE THUMB - A CLINICAL AND ANATOMICAL STUDY [J].

STENER, B .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1962, 44 (04) :869-879

← 1 2 →