Sonographic diagnosis of an acute Stener lesion: a case report.
This case report describes the use of diagnostic ultrasound to diagnose a Stener lesion in a patient who presented for conservative care of thumb pain following a fall on an outstretched hand. Conventional radiographic images demonstrated an avulsion fracture at the ulnar aspect of the base of the first proximal phalanx. Diagnostic ultrasound revealed a torn ulnar collateral ligament of the thumb that was displaced proximal to the adductor aponeurosis, consistent with a Stener lesion. Dynamic imaging with ultrasound confirmed displacement of the fully torn ligament. Surgical repair followed the diagnosis. Diagnostic ultrasound in this case provided an accurate diagnosis obviating further imaging. This allowed an optimal outcome due to early intervention.
Department of Radiology, Logan University, 1851 Schoettler Road, Chesterfield, MO 63017 USA.
Ross
R
Mattox
Department of Radiology, Logan University, 1851 Schoettler Road, Chesterfield, MO 63017 USA.
Aaron B
AB
Welk
Department of Radiology, Logan University, 1851 Schoettler Road, Chesterfield, MO 63017 USA.
Patrick J
PJ
Battaglia
Clinical Intern, AUC School of Medicine, 1 University Drive at Jordan Road, Cupecoy, St. Maarten.
Frank
F
Scali
Chiropractic Health Center, Logan University, 1851 Schoettler Road, Chesterfield, MO 63017 USA.
Mero
M
Nunez
Department of Radiology, Logan University, 1851 Schoettler Road, Chesterfield, MO 63017 USA.
Norman W
NW
Kettner
D017885:Collateral Ligaments / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D005260:Female; D050278:Finger Phalanges / Q000000981:diagnostic imaging / Q000293:injuries; D050723:Fractures, Bone / Q000000981:diagnostic imaging; D006801:Humans; D008662:Metacarpophalangeal Joint / Q000000981:diagnostic imaging / Q000293:injuries; D008875:Middle Aged; D011859:Radiography; D013933:Thumb / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D014463:Ultrasonography
Adductor aponeurosis; Stener lesion; Thumb; Ulnar collateral ligament; Ultrasonography