Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries

Abstract Background Magnetic resonance (MR) imaging is a powerful method for evaluating acute and chronic lesions of the stabilizing articular elements (volar plate and collateral ligaments) of the fingers and thumbs, the condition of tendons, the presence of a tear, the number of affected tendons,...

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Autores principales:	Mohammed Abd El Aziz Mssaaly, Mohammed Shawky Abduallah, Hayam Abdelmonsif Abdellatif, Belal Said Hefny Ibrahim Soltan
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Hand Finger Tendon Ligament Injury Tear Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/d6e2022df1db4194a5e81a06721497c6
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spelling	oai:doaj.org-article:d6e2022df1db4194a5e81a06721497c62021-11-21T12:26:50ZRole of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries10.1186/s43055-021-00644-52090-4762https://doaj.org/article/d6e2022df1db4194a5e81a06721497c62021-11-01T00:00:00Zhttps://doi.org/10.1186/s43055-021-00644-5https://doaj.org/toc/2090-4762Abstract Background Magnetic resonance (MR) imaging is a powerful method for evaluating acute and chronic lesions of the stabilizing articular elements (volar plate and collateral ligaments) of the fingers and thumbs, the condition of tendons, the presence of a tear, the number of affected tendons, the extent of tendon retraction, and the presence of associated lesions. This study was done to clarify the value of magnetic resonance imaging (MRI) in assessment of trauma-related injuries of the tendons and ligaments of the fingers and subsequently positively affect the surgical decisions in such cases. Results This study included 42 patients (33 males and 9 females) with a mean age of 35 years. All of them had history of trauma. Male affection was 78.5%, while females constituted only 21.5%, striking right-sided-hand affection (92.9%). The most affected finger was the thumb. The most common affected sites were extending from the metacarpophalangeal (MCP) till the proximal interphalangeal (PIP). The tendons were affected in 42.9%; meanwhile, ligamentous affection represented 57.2%. The flexor tendon tear represented by 28.6%%, while extensor tendon tear occurred in 14.3%. The study also showed that partial thickness tear is represented by 66.7%, while complete thickness tear occurred in about 33.3%. Bone marrow edema and post-traumatic tenosynovitis occurred in about 14% of cases. Conclusions Magnetic resonance imaging is an essential technique to obtain a correct pre-surgical diagnosis. It is of utmost importance to possess an in-depth knowledge of finger radiological anatomy in detail, as well as the appearance of the different pathologic entities on MRI. It provides a great assessment of the tendons and ligaments tear by whether partial or complete, any associated marrow edema or bony fragment avulsion and the extent of retraction in cases of complete tear.Mohammed Abd El Aziz MssaalyMohammed Shawky AbduallahHayam Abdelmonsif AbdellatifBelal Said Hefny Ibrahim SoltanSpringerOpenarticleHandFingerTendonLigamentInjuryTearMedical physics. Medical radiology. Nuclear medicineR895-920ENThe Egyptian Journal of Radiology and Nuclear Medicine, Vol 52, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hand Finger Tendon Ligament Injury Tear Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Hand Finger Tendon Ligament Injury Tear Medical physics. Medical radiology. Nuclear medicine R895-920 Mohammed Abd El Aziz Mssaaly Mohammed Shawky Abduallah Hayam Abdelmonsif Abdellatif Belal Said Hefny Ibrahim Soltan Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries
description	Abstract Background Magnetic resonance (MR) imaging is a powerful method for evaluating acute and chronic lesions of the stabilizing articular elements (volar plate and collateral ligaments) of the fingers and thumbs, the condition of tendons, the presence of a tear, the number of affected tendons, the extent of tendon retraction, and the presence of associated lesions. This study was done to clarify the value of magnetic resonance imaging (MRI) in assessment of trauma-related injuries of the tendons and ligaments of the fingers and subsequently positively affect the surgical decisions in such cases. Results This study included 42 patients (33 males and 9 females) with a mean age of 35 years. All of them had history of trauma. Male affection was 78.5%, while females constituted only 21.5%, striking right-sided-hand affection (92.9%). The most affected finger was the thumb. The most common affected sites were extending from the metacarpophalangeal (MCP) till the proximal interphalangeal (PIP). The tendons were affected in 42.9%; meanwhile, ligamentous affection represented 57.2%. The flexor tendon tear represented by 28.6%%, while extensor tendon tear occurred in 14.3%. The study also showed that partial thickness tear is represented by 66.7%, while complete thickness tear occurred in about 33.3%. Bone marrow edema and post-traumatic tenosynovitis occurred in about 14% of cases. Conclusions Magnetic resonance imaging is an essential technique to obtain a correct pre-surgical diagnosis. It is of utmost importance to possess an in-depth knowledge of finger radiological anatomy in detail, as well as the appearance of the different pathologic entities on MRI. It provides a great assessment of the tendons and ligaments tear by whether partial or complete, any associated marrow edema or bony fragment avulsion and the extent of retraction in cases of complete tear.
format	article
author	Mohammed Abd El Aziz Mssaaly Mohammed Shawky Abduallah Hayam Abdelmonsif Abdellatif Belal Said Hefny Ibrahim Soltan
author_facet	Mohammed Abd El Aziz Mssaaly Mohammed Shawky Abduallah Hayam Abdelmonsif Abdellatif Belal Said Hefny Ibrahim Soltan
author_sort	Mohammed Abd El Aziz Mssaaly
title	Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries
title_short	Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries
title_full	Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries
title_fullStr	Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries
title_full_unstemmed	Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries
title_sort	role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/d6e2022df1db4194a5e81a06721497c6
work_keys_str_mv	AT mohammedabdelazizmssaaly roleofmagneticresonanceimagingonfingersindiagnosisofposttraumatictendonandligamentinjuries AT mohammedshawkyabduallah roleofmagneticresonanceimagingonfingersindiagnosisofposttraumatictendonandligamentinjuries AT hayamabdelmonsifabdellatif roleofmagneticresonanceimagingonfingersindiagnosisofposttraumatictendonandligamentinjuries AT belalsaidhefnyibrahimsoltan roleofmagneticresonanceimagingonfingersindiagnosisofposttraumatictendonandligamentinjuries
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Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries

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