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2b - Answer: 33-year-old male presents with pain in the right thumb

Pomeranz, Stephen
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
Includes DICOM files

HISTORY: 

This 33-year-old male presents with pain in the right thumb.

(QUIZ ANSWER) IS A FINDING IN THIS CASE: 

Non Stener type lesion involving the ulnar collateral ligament (UCL).

Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.

FINDINGS: 

Distal to midsubstance tear retracted underneath or deep to the adductor aponeurosis consistent with non Stener type intermediate grade UCL.

Slightly swollen LCL.

Intact cartilage. No fracture.

IMPRESSION: 

Intermediate grade 3mm retracted mostly midsubstance non Stener type UCL but no avulsion, fracture, or Stener lesion.

LESSON 2, TOPIC 6

Case Challenge: Thumb & Finger MRI Cases

Case Challenge

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Content reviewed: October 27, 2021

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