Hand Trauma

  • Anand KirwadiEmail author
  • Nikhil A. Kotnis
  • Andrew Dunn
Part of the Medical Radiology book series (MEDRAD)


Hand injuries account for a large proportion of all injuries presenting to emergency departments. Avulsion injuries of the FDP tendons are a common sporting injury. Bowstringing of the flexor tendons are an important imaging sign of multiple annular pulley injuries. Mallet finger is the most common closed tendon injury in a sportsman. Rupture of the volar plate is a common complication of hyperextension injury. Imaging plays a crucial role in management of collateral ligament injuries. The extensor mechanism of the fingers is extremely intricate. Understanding relevant anatomy is quintessential for diagnosing and treating extensor mechanism injuries. Intra-articular metacarpal base fractures are commonly missed on initial presentation and pronated oblique radiographs help demonstrate the severity of this injury. Imaging evaluation of sports-related injuries of the hand should begin with radiographs. Ultrasound and magnetic resonance imaging play a vital role in diagnoses of soft tissue injuries. CT may be useful in understanding complex bony injuries.


Flexor Tendon Extensor Tendon Ulnar Collateral Ligament Volar Plate Radial Collateral Ligament 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors wish to sincerely thank Dr. David Moore, Dr. Steven L. J. James and Dr. Andrew J. Grainger for providing some of the images used in this chapter.


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Copyright information

© Springer-Verlag Berlin Heidelberg  2013

Authors and Affiliations

  1. 1.Department of RadiologyNorthern General Hospital, Sheffield Teaching Hospitals NHS Foundation TrustSheffieldUK
  2. 2.Department of RadiologyRoyal Liverpool University Hospitals NHS trustLiverpoolUK

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