Diagnosis of digital pulley rupture by computed tomography
Seven patients who presented with a rupture of the digital pulley were investigated by computed tomography. The rupture involved the A2 and A4 pulleys in four cases, the A2 pulley in two cases and, in the final case, the A4 pulley alone. A sagittal-plane CT scan gave a precise analysis of the ruptur...
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Veröffentlicht in: | The Journal of hand surgery (American ed.) 1996-03, Vol.21 (2), p.245-248 |
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creator | Le Viet, D. Rousselin, B. Roulot, E. Lantieri, L. Godefroy, D. |
description | Seven patients who presented with a rupture of the digital pulley were investigated by computed tomography. The rupture involved the A2 and A4 pulleys in four cases, the A2 pulley in two cases and, in the final case, the A4 pulley alone. A sagittal-plane CT scan gave a precise analysis of the rupture in all cases. Two cases were surgically repaired and CT scanning was used in their postoperative assessment. When performed by a radiologist with an interest in muscoloskeletal pathology, we have found CT scanning to be an excellent imaging procedure in the investigation and diagnosis of digital pulley injury. This can be useful when the diagnosis of digital pulley rupture cannot be made by history and physical examination. |
doi_str_mv | 10.1016/S0363-5023(96)80108-0 |
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The rupture involved the A2 and A4 pulleys in four cases, the A2 pulley in two cases and, in the final case, the A4 pulley alone. A sagittal-plane CT scan gave a precise analysis of the rupture in all cases. Two cases were surgically repaired and CT scanning was used in their postoperative assessment. When performed by a radiologist with an interest in muscoloskeletal pathology, we have found CT scanning to be an excellent imaging procedure in the investigation and diagnosis of digital pulley injury. 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The rupture involved the A2 and A4 pulleys in four cases, the A2 pulley in two cases and, in the final case, the A4 pulley alone. A sagittal-plane CT scan gave a precise analysis of the rupture in all cases. Two cases were surgically repaired and CT scanning was used in their postoperative assessment. When performed by a radiologist with an interest in muscoloskeletal pathology, we have found CT scanning to be an excellent imaging procedure in the investigation and diagnosis of digital pulley injury. This can be useful when the diagnosis of digital pulley rupture cannot be made by history and physical examination.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Finger Injuries - diagnostic imaging</subject><subject>Finger Injuries - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Range of Motion, Articular - physiology</subject><subject>Tendon Injuries - diagnostic imaging</subject><subject>Tendon Injuries - surgery</subject><subject>Tendons - diagnostic imaging</subject><subject>Tendons - surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Range of Motion, Articular - physiology</topic><topic>Tendon Injuries - diagnostic imaging</topic><topic>Tendon Injuries - surgery</topic><topic>Tendons - diagnostic imaging</topic><topic>Tendons - surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Weight-Bearing - physiology</topic><topic>Wound Healing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Le Viet, D.</creatorcontrib><creatorcontrib>Rousselin, B.</creatorcontrib><creatorcontrib>Roulot, E.</creatorcontrib><creatorcontrib>Lantieri, L.</creatorcontrib><creatorcontrib>Godefroy, D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Le Viet, D.</au><au>Rousselin, B.</au><au>Roulot, E.</au><au>Lantieri, L.</au><au>Godefroy, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis of digital pulley rupture by computed tomography</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1996-03-01</date><risdate>1996</risdate><volume>21</volume><issue>2</issue><spage>245</spage><epage>248</epage><pages>245-248</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Seven patients who presented with a rupture of the digital pulley were investigated by computed tomography. The rupture involved the A2 and A4 pulleys in four cases, the A2 pulley in two cases and, in the final case, the A4 pulley alone. A sagittal-plane CT scan gave a precise analysis of the rupture in all cases. Two cases were surgically repaired and CT scanning was used in their postoperative assessment. When performed by a radiologist with an interest in muscoloskeletal pathology, we have found CT scanning to be an excellent imaging procedure in the investigation and diagnosis of digital pulley injury. This can be useful when the diagnosis of digital pulley rupture cannot be made by history and physical examination.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>8683054</pmid><doi>10.1016/S0363-5023(96)80108-0</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Finger Injuries - diagnostic imaging Finger Injuries - surgery Follow-Up Studies Humans Injuries of the limb. Injuries of the spine Male Medical sciences Postoperative Complications - diagnostic imaging Range of Motion, Articular - physiology Tendon Injuries - diagnostic imaging Tendon Injuries - surgery Tendons - diagnostic imaging Tendons - surgery Tomography, X-Ray Computed Traumas. Diseases due to physical agents Weight-Bearing - physiology Wound Healing - physiology |
title | Diagnosis of digital pulley rupture by computed tomography |
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