MR Imaging of post‑traumatic tendon and ligament injuries of the thumb | ||
| SVU-International Journal of Medical Sciences | ||
| Article 6, Volume 7, Issue 2, July 2024, Pages 42-51 PDF (365.46 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2024.268546.1816 | ||
| Authors | ||
| Neveen Seif Al-Islam Shaker* ; Yousra Foud Rashad; Rehab Elnagar | ||
| Diagnostic Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt | ||
| Abstract | ||
| Background: Magnetic resonance imaging is an optimal method for evaluating soft-tissue trauma in the thumbs, clarifying its fine anatomy which is crucial for identifying pathologic entities, presence of a tear, and the extent of tendon retraction. Objectives: This study was done to emphasis the MRI role in assessment of trauma-related injuries of the thumb and subsequently positively affect the surgical decisions. Patients and methods: This retrospective study included (50) cases referred by orthopedic surgeons for MR imaging of the thumb following injury. Radiographs were performed to assess tendon & ligaments injuries. Results: Regarding tendon affection ,it was found in 43 cases with flexor tendon affection in 36 patients out of 43 and extensor tendon affection in 7 patients ,Regarding the level of tendon tears (20 cases) ,in 55% of cases, it was at the level of MCP .Ulnar collateral ligament injury was found in 8 cases while radial collateral ligament injury was found in 5 cases associated with subluxation of the MCP . Muscle injury was found in 23 cases while tears was found in 7 cases. Volar plate injury was reported in only one case. Bone marrow edema was detected in 9 cases. Conclusion: MRI is an essential technique to obtain a correct pre-surgical diagnosis. It provides a great assessment of the tendons and ligaments tear by whether partial or complete, or bony fragment avulsion and the extent of retraction in cases of complete tear. | ||
| Keywords | ||
| Hand; thumb tendon; Ligament; Injury; Tear; Magnetic resonance | ||
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