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Stener-like lesion of the lateral collateral ligament of the first metatarsophalangeal joint

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Abstract

Displaced ulnar collateral ligament injuries of the metacarpophalangeal joint of the thumb, also known as Stener lesions, are a well-recognized clinical entity, requiring surgical intervention because of the trapped location of the torn lateral collateral ligament superficial to the adductor aponeurosis of the thumb. We report a similar lesion located at the first metatarsophalangeal joint, to our knowledge the first ever described in the literature. In our patient, magnetic resonance imaging showed a full-thickness tear of the lateral collateral ligament of the first metatarsophalangeal joint, as well as a full-thickness tear of the extensor hood, with dislocation of the proximal part of the ruptured lateral collateral ligament to a position superficial to the extensor hood. Analogous to true Stener lesions, we are convinced these patients also need early surgical repair. Therefore, we would like to raise awareness about their existence to ensure adequate management of these lesions, in order to prevent possible long-term complications like chronic pain, instability, and joint degeneration.

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Authors and Affiliations

  1. Department of Radiology, Antwerp University Hospital & University of Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium

    S. Braspenningx

  2. Department of Orthopaedic Surgery, Onze-Lieve-Vrouwziekenhuis Aalst, Moorselbaan 164, 9300, Aalst, Belgium

    W. Rezaie

  3. Department of Radiology, Onze-Lieve-Vrouwziekenhuis Aalst, Moorselbaan 164, 9300, Aalst, Belgium

    P. Simons

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  1. S. Braspenningx
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  2. W. Rezaie
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Correspondence to S. Braspenningx.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Braspenningx, S., Rezaie, W. & Simons, P. Stener-like lesion of the lateral collateral ligament of the first metatarsophalangeal joint. Skeletal Radiol 47, 413–417 (2018). https://doi.org/10.1007/s00256-017-2790-7

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  • DOI: https://doi.org/10.1007/s00256-017-2790-7

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