4.2 Review

MRI spectrum of injuries to the thumb metacarpophalangeal joint ulnar collateral ligament with a proposed expanded classification of injuries in American football players

Related references

Note: Only part of the references are listed.
Review Orthopedics

Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injuries: Management and Biomechanical Evaluation

Andy L. Chang et al.

Summary: Injuries to the ulnar collateral ligament (UCL) of the thumb metacarpophalangeal joint, also known as gamekeeper's thumb, are common and can cause pain and instability. Diagnosis can be made through physical examination or imaging techniques. Surgical treatment options, including suture tape augmentation, have excellent outcomes and low complication rates.

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Evidence-based use of clinical examination, ultrasonography, and MRI for diagnosing ulnar collateral ligament tears of the metacarpophalangeal joint of the thumb: systematic review and meta-analysis

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Summary: Clinical examination, ultrasonography, and MRI show high sensitivities for ruling out UCL tears, with MRI having the highest specificity for confirming suspected tears. MRI is also superior to ultrasonography for distinguishing non-displaced from displaced UCL tears.

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Firas J. Raheman et al.

Summary: The meta-analysis showed that ultrasonography (USS) is a reliable and accurate method for diagnosing UCL injuries, with excellent diagnostic accuracy for Stener lesions. It can be used in the diagnostic work-up of UCL injuries, with magnetic resonance imaging reserved for ambiguous cases.

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