Lumbrical muscle tear: clinical presentation, imaging findings and outcome

被引:11
作者
Lutter, Christoph [1 ,2 ]
Schweizer, Andreas [3 ]
Schoeffl, Volker [1 ,4 ,5 ]
Roemer, Frank [6 ]
Bayer, Thomas [6 ]
机构
[1] Klinikum Bamberg, Dept Sports Orthopaed, Sports Med, Sports Traumatol, Bamberg, Germany
[2] CVPath Inst, Gaithersburg, MD USA
[3] Univ Zurich, Hand Surg Dept, Zurich, Switzerland
[4] Friedrich Alexander Univ, Dept Trauma & Orthopaed Surg, Erlangen, Germany
[5] Univ Colorado, Sch Med, Dept Emergency Med, Denver, CO USA
[6] Friedrich Alexander Univ, Dept Radiol, Erlangen, Germany
关键词
Climbing; lumbrical muscle tear; Quadriga; magnetic resonance imaging; ultrasound; ROCK CLIMBERS; CASE SERIES; INJURIES; FINGER; HAND; DIAGNOSIS; THERAPY; TENDONS; PAIN;
D O I
10.1177/1753193418765716
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 incidence of lumbrical muscle tear is increasing due to the popularity of climbing sport. We reviewed data from 60 consecutive patients with a positive lumbrical stress test, including clinical examination, ultrasound and clinical outcomes in all patients, and magnetic resonance imaging in 12 patients. Fifty-seven patients were climbers. Lumbrical muscle tears were graded according to the severity of clinical and imaging findings as Grade I-III injuries. Eighteen patients had Grade I injuries (microtrauma), 32 had Grade II injuries (muscle fibre disruption) and 10 had Grade III injuries (musculotendinous disruption). The treatment consisted of adapted functional therapy. All patients completely recovered and were able to return to climbing. The healing period in Grade III injuries was significantly longer than in the patients with Grade I or II injuries (p < 0.001). We recommend evaluation of specific clinical and imaging findings to grade the injuries and to determine suitable therapy.
引用
收藏
页码:767 / 775
页数:9
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