Knee injuries: collateral ligament sprains.
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The purpose of the study was to evaluate the visualization of the collateral ankle ligaments on multiplanar reconstructions (MPR) based on standard 2D turbo spin-echo images. Coronal and axial T2-weighted turbo spin-echo and MPR angled parallel to the course of the ligaments of 15 asymptomatic and 15 symptomatic ankles were separately analyzed by two musculoskeletal radiologists. Image quality was assessed in the asymptomatic ankles qualitatively. In the symptomatic ankles interobserver agreement and reader confidence was determined for each ligament. On MPR the tibionavicular and calcaneofibular ligaments were more commonly demonstrated on a single image than on standard MR images (reader 1: 13 versus 0, P=0.002; reader 2: 14 versus 1, P=0.001 and reader 1: 13 versus 2, P=0.001; reader 2: 14 versus 0, P<0.001). The tibionavicular ligament was considered to be better delineated on MPR by reader 1 (12 versus 3, P=0.031). In the symptomatic ankles, reader confidence was greater with MPR for all ligaments except for the tibiocalcanear ligament (both readers) and the anterior and posterior talofibular ligaments (for reader 2). Interobserver agreement was increased with MPR for the tibionavicular ligament. Multiplanar reconstructions of 2D turbo spin-echo images improve the visualization of the tibionavicular and calcaneofibular ligaments and strengthen diagnostic confidence for these ligaments.
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The metacarporetinacular fascicle, the fourth fascicle of the medial collateral metacarpotrapezial ligament, was examined in 25 anatomic specimens. It contributes to stability of the ligament and plays an important role in the pronosupination of the thumb. This role becomes determinate when the geometry of the articular surfaces is disturbed.
The collateral ulnar ligament of the first metacarpo-phalangeal joint was studies in anatomical specimens in order to evaluate the relationship between pathological anatomy of the lesion and joint laxity. The clinical and X-ray evaluation of the valgus stretched joint led to the correct indications for treatment.
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