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斯滕纳损伤:历史视角与诊断标准的演变

The Stener Lesion: Historical Perspective and Evolution of Diagnostic Criteria.

作者信息

Lark Meghan E, Maroukis Brianna L, Chung Kevin C

机构信息

1 University of Michigan Health System, Ann Arbor, USA.

2 University of Michigan Medical School, Ann Arbor, USA.

出版信息

Hand (N Y). 2017 May;12(3):283-289. doi: 10.1177/1558944716661999. Epub 2016 Jul 28.

Abstract

BACKGROUND

In 1962, Bertil Stener first described the anatomy and treatment of the displaced ulnar collateral ligament of the metacarpophalangeal joint, later called the Stener lesion. Since Stener's publication, treatment algorithms for ulnar collateral ligament rupture have aided in preoperative diagnosis, yet the best diagnostic method to assess ligament displacement remains largely undefined.

METHODS

An extensive literature search was performed to explore the treatment evolution of the Stener lesion and explore how technical development has influenced Stener lesion diagnosis. We also sought to illuminate the life and work of Bertil Stener.

RESULTS

Studies evaluating the use of magnetic resonance imaging (MRI) and ultrasound (US) technology have suggested that these modalities have improved Stener lesion diagnosis.

CONCLUSION

Despite the utility of developing MRI and US technology, consensus for one superior diagnostic tool for Stener lesions does not currently exist.

摘要

背景

1962年,贝蒂尔·斯泰纳首次描述了掌指关节尺侧副韧带移位的解剖结构及治疗方法,该移位后来被称为斯泰纳损伤。自斯泰纳发表相关内容以来,尺侧副韧带断裂的治疗算法有助于术前诊断,但评估韧带移位的最佳诊断方法在很大程度上仍不明确。

方法

进行了广泛的文献检索,以探讨斯泰纳损伤的治疗演变,并探究技术发展如何影响斯泰纳损伤的诊断。我们还试图阐明贝蒂尔·斯泰纳的生平与工作。

结果

评估磁共振成像(MRI)和超声(US)技术应用的研究表明,这些方法改善了斯泰纳损伤的诊断。

结论

尽管发展中的MRI和US技术具有实用性,但目前对于斯泰纳损伤尚无一种优越的诊断工具达成共识。

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Injury to ulnar collateral ligament of thumb.拇指尺侧副韧带损伤。
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