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Skiing Injuries of the Thumb

机译：拇指滑雪损伤

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摘要

Injury to the ulnar collateral ligament (UCL) of the thumb metacarpophalangeal (MCP) joint is commonly associated with skiing. An acute rupture of the UCL of the MCP has been coined "skier's thumb." If the UCL is ruptured and displaced superficially to the adductor aponeurosis (Stener lesion), the interposed aponeurosis may interfere with ligament healing. Injury resulting in a Stener lesion will require open surgical management to repair the displaced UCL tear. Ruptured UCL can often be identified by the presence of a bony avulsion, and many investigators believe that a Stener lesion cannot be predicted with high sensitivity and specificity by clinical examination, arthrography, or stress films without this bony avulsion. Some reports have indicated successful identification of Stener lesion [1], but the lack of agreement on the diagnostic procedures for complete UCL thumb injures can make this injury and its treatment controversial.
机译：拇指掌指（MCP）关节的尺侧副韧带（UCL）损伤通常与滑雪相关。 MCP UCL的急性破裂被称为“滑雪者的拇指”。如果UCL破裂并浅表移位至内收肌腱膜（Stener病变），则插入的腱膜可能会干扰韧带的愈合。导致Stener病变的损伤将需要进行开放式外科治疗，以修复移位的UCL撕裂。破裂的UCL通常可以通过存在骨性撕脱伤来鉴定，许多研究者认为，如果没有这种骨性撕脱伤，无法通过临床检查，关节造影或压力胶卷以很高的敏感性和特异性预测Stener损伤。一些报告表明已成功鉴定出Stener病灶[1]，但对于完整的UCL拇指损伤的诊断程序缺乏共识可能会使这种损伤及其治疗引起争议。

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