Finger Sprains, Ultrasound Anatomy, and Pathology of Finger Ligaments.

IF 0.9 4区 医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Seminars in Musculoskeletal Radiology Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI:10.1055/s-0044-1791732
Franck Lapegue, Aymeric André, François Lafourcade, Antoine Filliole, Constance Lambeaux, Viet-Tam Van, Elorie Adamski, Rafy Bachour, Céline Goumarre, Hélène Chiavassa, Marie Faruch Bilfeld, Nicolas Sans
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Abstract

The joints of the fingers play an important role in prehension. They must accomplish both great mobility in the sagittal plane to allow the fingers to roll up and great stability to ensure the grip is both precise and firm. The collateral ligaments and palmar plates are the main passive stabilizing structures between the interphalangeal (IP) and metacarpophalangeal (MCP) joints. Sprains with or without dislocation of the proximal IP joints of the fingers are common injuries in sports pathology and may involve not only the ligaments but also their bony insertion on the phalanges or extensor tendons. Certain entities are specific to the MCP joints: ligament ruptures with Stener-like effect under the sagittal bands and MCP flexion locking (locked finger). Radiographs and ultrasound usually enable a precise diagnosis, so appropriate treatment can be provided.

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手指扭伤、超声波解剖和手指韧带病理学。
手指关节在预握中起着重要作用。它们既要在矢状面上具有很大的活动度,使手指能够卷起,又要具有很大的稳定性,以确保抓握的精确性和牢固性。副韧带和掌骨板是指间关节(IP)和掌指关节(MCP)之间的主要被动稳定结构。手指近端 IP 关节扭伤并伴有或不伴有脱位是运动病理学中常见的损伤,不仅可能涉及韧带,还可能涉及韧带在指骨或伸肌腱上的骨性插入。某些情况是 MCP 关节所特有的:矢状带下的韧带断裂具有类似 Stener 的效果,以及 MCP 屈曲锁定(手指锁定)。X光片和超声波检查通常可以做出精确诊断,从而提供适当的治疗。
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来源期刊
CiteScore
2.50
自引率
7.10%
发文量
112
审稿时长
>12 weeks
期刊介绍: Seminars in Musculoskeletal Radiology is a review journal that is devoted to musculoskeletal and associated imaging techniques. The journal''s topical issues encompass a broad spectrum of radiological imaging including body MRI imaging, cross sectional radiology, ultrasound and biomechanics. The journal also covers advanced imaging techniques of metabolic bone disease and other areas like the foot and ankle, wrist, spine and other extremities. The journal''s content is suitable for both the practicing radiologist as well as residents in training.
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