Abdellatif, H., Abduallah, M., Maaly, M., Soltan, B. (2022). MRI value in Characterization of Tendon and Ligament Lesions of the Fingers. The Egyptian Journal of Hospital Medicine, 86(1), 291-298. doi: 10.21608/ejhm.2022.212007
Hayam Abdelmonsif Abdellatif; Mohammed Shawky Abduallah; Mohammed Abd El Aziz Maaly; Belal Said Soltan. "MRI value in Characterization of Tendon and Ligament Lesions of the Fingers". The Egyptian Journal of Hospital Medicine, 86, 1, 2022, 291-298. doi: 10.21608/ejhm.2022.212007
Abdellatif, H., Abduallah, M., Maaly, M., Soltan, B. (2022). 'MRI value in Characterization of Tendon and Ligament Lesions of the Fingers', The Egyptian Journal of Hospital Medicine, 86(1), pp. 291-298. doi: 10.21608/ejhm.2022.212007
Abdellatif, H., Abduallah, M., Maaly, M., Soltan, B. MRI value in Characterization of Tendon and Ligament Lesions of the Fingers. The Egyptian Journal of Hospital Medicine, 2022; 86(1): 291-298. doi: 10.21608/ejhm.2022.212007
MRI value in Characterization of Tendon and Ligament Lesions of the Fingers
Department of Radiodiagnosis, Faculty of Medicine, Menoufia University, Egypt
Abstract
Background: MR imaging is a powerful method for characterization of swellings arising from the tendon sheath especially giant cell tumors and ganglion cyst of the tendon sheath. A trigger finger is a common condition and is either blockage or triggering of the finger from flexion to extension. Objective: To evaluate the diagnostic performance of MRI in non-traumatic finger tendon and ligament-related lesions to allow a more focused assessment of the soft tissue structures of this region. Patients and methods: This study was performed in Radiology Department, Menoufia University Hospitals, during the period from August 2018 to April 2020. This study included 44 patients; 25 males, 19 females with an age range from 13 years to 58 years (mean age 35 years). In terms of clinical presentation, 73% of cases presented by swelling and cases presented by pain were 27%. Results: Primary diagnosis by MRI revealed 50% of cases were giant cell tumors, 25% were ganglion cysts and the remainder were hemangiomas, MRI detection of characterization represented by 100%, the results then compared with pathology and laboratory results with accuracy of MRI in the detection of tissue characterization is 93.3%, MRI evidence of non-traumatic tenosynovitis constituted about 75% of all cases of tenosynovitis. On the other hand, only 25% of cases had a radiological diagnosis of trigger finger. Conclusions: MRI is a great assessment of the tendon and ligaments tear whether partial or complete, any associated marrow edema or bony fragment avulsion, and the extent of retraction in cases of a complete tear.
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