Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Stener-Like Lesions in the Metacarpophalangeal Joint of the Fingers

다른 수지의 중수수지 관절에서의 Stener 유사 병변

  • Lee, Sanglim (Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital) ;
  • Jung, Eui Yub (Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital) ;
  • Lee, Jihae (Department of Radiology, Inje University Sanggye Paik Hospital) ;
  • Jeon, Suk Ha (Department of Orthopaedic Surgery, National Medical Center)
  • 이상림 (인제대학교 상계백병원 정형외과) ;
  • 정의엽 (인제대학교 상계백병원 정형외과) ;
  • 이지혜 (인제대학교 영상의학과) ;
  • 전숙하 (국립중앙의료원 정형외과)
  • Received : 2017.11.21
  • Accepted : 2018.01.24
  • Published : 2018.12.30
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Abstract

Three Stener-like lesions of the metacarpophalangeal joint of the fingers and a rupture of the first dorsal interosseous muscle mimicking the lesion in the index finger were observed. Two cases in the little fingers had a true Stener's lesion. In one case in the index finger, the ruptured ligament was retracted and located under the intact sagittal band, which was also observed by preoperative magnetic resonance imaging (MRI). Rupture of the first dorsal interosseous muscle was misdiagnosed preoperatively as a Stener's lesion in the index finger by ultrasonography. MRI should be an essential differential diagnostic exam for collateral ligament ruptures of the metacarpophalangeal joint of the fingers.

저자들은 다른 수지의 중수수지 관절에서 발견된 Stener 유사 병변 3예와 제2 수지에서 이와 유사한 임상 소견을 나타냈던 제1 배측 골간근 파열 1예를 보고하고자 한다. 제5 수지에서 발생한 2예는 Stener 병변이었고 제2 수지의 1예는 파열된 측부 인대가 전위되었으나 파열되지 않은 시상대가 아래에 위치하여 있었으며, 이는 수술 전 자기공명영상(magnetic resonance imaging, MRI) 검사에서도 관찰되었다. 수술 전 초음파에서 제2 수지의 Stener 병변으로 판단되었던 1예는 제1 골간근의 파열이었다. MRI는 수지의 중수수지 관절의 측부 인대 파열의 진단에서 필수적인 감별 진단 검사라고 판단된다.

Keywords

References

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