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
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Publicado: SpringerOpen 2021
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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
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AT hayamabdelmonsifabdellatif roleofmagneticresonanceimagingonfingersindiagnosisofposttraumatictendonandligamentinjuries
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