Fulltext

MR imaging of the metacarpophalangeal joints of the fingers: evaluation of 38 patients with chronic joint disability

Theumann, Nicolas ; Pessis, Eric ; Lecompte, Martin ; Le Viet, Dominique ; Valenti, Philippe ; Chevrot, Alain ; Bittoun, Jacques ; Schnyder, Pierre ; Resnick, Donald ; Drapé, Jean-Luc

In: Skeletal Radiology, 2005, vol. 34, no. 4, p. 210-216

Aggiungi alla tua lista
    Titre
    • MR imaging of the metacarpophalangeal joints of the fingers: evaluation of 38 patients with chronic joint disability
    Auteur
    • Theumann, Nicolas. Service de Radiologie B, CHU Cochin, AP-HP—Université Paris V, 27 rue du faubourg Saint-Jacques, 75014, Paris, France
    • Pessis, Eric. Service de Radiologie B, CHU Cochin, AP-HP—Université Paris V, 27 rue du faubourg Saint-Jacques, 75014, Paris, France
    • Lecompte, Martin. Department of Radiology, Université de Sherbrooke, 3001 12th Ave N, J1H5N4, Sherbrooke, PQ, Canada
    • Le Viet, Dominique. Institut de la Main, Clinique Jouvenet, 75016, Paris, France
    • Valenti, Philippe. Institut de la Main, Clinique Jouvenet, 75016, Paris, France
    • Chevrot, Alain. Service de Radiologie B, CHU Cochin, AP-HP—Université Paris V, 27 rue du faubourg Saint-Jacques, 75014, Paris, France
    • Bittoun, Jacques. CIERM, Hôpital de Bicêtre, AP-HP—Université Paris XI, Le Kremlin-Bicêtre, France
    • Schnyder, Pierre. Service de Radiologie, CHUV, 1011, Lausanne, Switzerland
    • Resnick, Donald. Department of Radiology, Veterans Administration Medical Center, 3350 La Jolla Village Drive, CA 92161, San Diego, USA
    • Drapé, Jean-Luc. Service de Radiologie B, CHU Cochin, AP-HP—Université Paris V, 27 rue du faubourg Saint-Jacques, 75014, Paris, France
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:318985
    Summary
    Objective: To report the MR imaging findings of painful injured metacarpophalangeal (MCP) joints of the fingers. Design and patients: MR imaging of 39 injured MCP joints in 38 patients was performed after a mean delay of 8.8months. The MR images were obtained with the fingers in extended and flexed positions using T2-weighted and T1-weighted sequences before and after intravenous injection of a gadolinium compound. Ten patients were treated surgically. Mean clinical follow-up was 1.8years. Results: Tears of the collateral ligaments were the most common lesion (30/39), most being radial in location. Contrast-enhanced axial T1-weighted images with the MCP joint in a flexed position showed these lesions optimally. Ten tears were partial and 20 were complete. In 13 patients, MR images showed 17 associated lesions including injuries of the extensor hood (10/17), interosseous tendon (3/17), palmar plate (3/17), and an osteochondral lesion (1/17). Sagittal MR images were essential to highlight palmar plate tears. Conclusion: Partial or complete tears of the collateral ligaments are prevalent MR imaging findings in patients with chronic disability resulting from injuries to the MCP joints. Although conservative treatment generally is sufficient for isolated injuries of the collateral ligaments, surgical repair is often required in cases of more extensive injuries. MR imaging may clearly delineate associated lesions of and about the MCP joints