Stener lesion

Case contributed by Dr Maulik S Patel

Presentation

Left thumb trauma a few hours before. Complaining of thumb base pain, swelling on the ulnar aspect.

Patient Data

Age: 65 years
Gender: Male
Ultrasound

Symptomatic side - Ulnar collateral ligament  

  • Absent in normal location
  • There is a hypoechoic pseudomass abutting head of the metacarpus.
  • Stress view results in a significant opening of metacarpophalangeal joint with herniation of peri-articular soft tissue into the joint.

Asymptomatic side - Ulnar collateral ligament  

  • Normal echopattern
  • Stress view does not allow opening of the metacarpophalangeal joint.

Case Discussion

An elderly male presented with post-traumatic left thumb base pain and swelling. Ultrasound reveals Stener's lesion.

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Case information

rID: 59409
Published: 9th Apr 2018
Last edited: 9th Apr 2018
Inclusion in quiz mode: Included

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