Stener-like lesion of the lateral collateral ligament of the first metatarsophalangeal joint.

Abstract:

:Displaced ulnar collateral ligament injuries of the metacarpophalangeal joint of the thumb, also known as Stener lesions, are a well-recognized clinical entity, requiring surgical intervention because of the trapped location of the torn lateral collateral ligament superficial to the adductor aponeurosis of the thumb. We report a similar lesion located at the first metatarsophalangeal joint, to our knowledge the first ever described in the literature. In our patient, magnetic resonance imaging showed a full-thickness tear of the lateral collateral ligament of the first metatarsophalangeal joint, as well as a full-thickness tear of the extensor hood, with dislocation of the proximal part of the ruptured lateral collateral ligament to a position superficial to the extensor hood. Analogous to true Stener lesions, we are convinced these patients also need early surgical repair. Therefore, we would like to raise awareness about their existence to ensure adequate management of these lesions, in order to prevent possible long-term complications like chronic pain, instability, and joint degeneration.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Braspenningx S,Rezaie W,Simons P

doi

10.1007/s00256-017-2790-7

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

413-417

issue

3

eissn

0364-2348

issn

1432-2161

pii

10.1007/s00256-017-2790-7

journal_volume

47

pub_type

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