| MRI follow-up after free tendon graft reconstruction of the thumb ulnar collateral ligament. | |
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MedLine Citation:
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PMID: 20449588 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Our aim was to analyse whether MRI is useful in the follow-up of reconstruction of the ulnar collateral ligament (UCL) of the metacarpophalangeal joint of the thumb, to describe normal postoperative findings, and to evaluate different MR sequences. MATERIAL AND METHODS: Our study material consists of 10 patients who, because of a chronic rupture of the ulnar collateral ligament of the thumb, had been operatively treated using a free tendon graft. The patients were, in addition to the clinical examination and radiographs, also imaged using MRI both pre- and postoperatively. The postoperative MRI controls, undertaken at 2, 12 and 24 months were analysed without knowledge of the clinical or radiographic findings. RESULTS: The reconstructed UCL was well visualised on MRI. One graft rupture was diagnosed on MRI and was later operatively confirmed. No increase in osteoarthritis of the metacarpophalangeal (MP) joint of the thumb was seen during the follow-up. The single most informative MR sequence was T2TSE in the coronal plane. CONCLUSION: Magnetic resonance imaging may provide a clinically valuable means of assessing graft integrity in patients with suspected postoperative graft failure after UCL reconstruction, although we do not consider MRI necessary in the routine follow-up of patients with an uneventful recovery. |
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Authors:
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M Lohman; J Vasenius; O Nieminen; L Kivisaari |
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Publication Detail:
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Type: Journal Article Date: 2010-05-07 |
Journal Detail:
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Title: Skeletal radiology Volume: 39 ISSN: 1432-2161 ISO Abbreviation: Skeletal Radiol. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-09-15 Completed Date: 2011-01-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7701953 Medline TA: Skeletal Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 1081-6 Citation Subset: IM |
Affiliation:
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Department of Radiology, Helsinki University Hospital, PL 900, 00029 HUS, Helsinki, Finland. martina.lohman@fimnet.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Follow-Up Studies Humans Ligaments, Articular / injuries*, pathology, surgery* Male Prognosis Reconstructive Surgical Procedures / methods* Tendons / pathology*, transplantation* Thumb / pathology*, surgery Treatment Outcome |
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