Presentation
Fall on left hand. Deformity at the first metacarpophalangeal joint
Patient Data
Age: 80 years
Gender: Male
From the case:
Stener lesion
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- laterally dislocated first metacarpophalangeal joint. No visible acute fracture
From the case:
Stener lesion
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- laxity and osseous irregularity of the first metacarpophalangeal joint
- complete tear of the first MCPJ ulnar collateral ligament with retraction of the proximal fibers
- the adductor pollicis aponeurosis inserts deep to the proximal aspect of the UCL in keeping with a Stener lesion (see arrowed image)
Case Discussion
The patient went on to have an ulnar collateral ligament repair with an intra-osseous anchor being placed. The interposition of the adductor pollicis aponeurosis between the UCL and the MCPJ prevents healing.
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