COMPARATIVE STUDY
JOURNAL ARTICLE
Pitfalls in sonography of the Gamekeeper's thumb.
European Radiology 1997
The gamekeeper's or skier's thumb is a very common injury. Nondisplaced tears of the ulnar collateral ligament of the thumb (UCL) may be treated conservatively. For that reason an accurate diagnosis is mandatory for choosing the correct therapy. Ultrasound is able to depict the position of the torn UCL correctly in approximately 90 % of cases. Sonographic pitfalls can be caused by a dislocation of the palmar joint capsule to the ulnar joint space, by a scalloping of the adductor aponeurosis due to the displaced UCL, and by scar tissue or technical mistakes. It is important to know about those pitfalls because conservative treatment of displaced UCL tears leads to instability. Therefore, the use of MRI is recommended whenever a nondisplaced UCL tear is suspected by US and a conservative therapy is suggested. Splitting the diagnostic pathway between US and MRI and preferring conservative therapy in nondisplaced UCL tears should help to save money in this field.
Full text links
Trending Papers
The future of intensive care: the study of the microcirculation will help to guide our therapies.Critical Care : the Official Journal of the Critical Care Forum 2023 May 17
Invasive candidiasis: current clinical challenges and unmet needs in adult populations.Journal of Antimicrobial Chemotherapy 2023 May 24
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
Read by QxMD is copyright © 2021 QxMD Software Inc. All rights reserved. By using this service, you agree to our terms of use and privacy policy.
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app