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Journal of Hand Surgery (British and European Volume)
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Articles

The Use of Ultrasound in the Diagnosis of Injuries of the Ulnar Collateral Ligament of the Thumb

M. H. JONES
S. J. ENGLAND
C. L. MUWANGA
T. HILDRETH

From the Sunderland Royal Hospital, Sunderland, UK

Correspondence: M. H. Jones FRCS, Department of Accident and Emergency, Sunderland Royal Hospital, Sunderland SR4 7TP, UK.

We describe the use of a specialist referral clinic and ultrasound assessment for all injuries to the ulnar collateral ligament of the metacarpophalangeal joint of the thumb presenting to an Accident and Emergency (A&E) department. Senior House Officers in the A&E department were able to correctly diagnose only 45% of the ruptures of the ulnar collateral ligament. The overall agreement between specialist clinic examination and ultrasound for injury to the ulnar collateral ligament was 85% (kappa 0.647). When compared with the operative finding ultrasound had a positive predictive value for rupture of 94%. An algorithm is presented for the assessment of injuries to the ulnar collateral ligament in A&E departments.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 1, 29-32 (2000)
DOI: 10.1054/jhsb.1999.0283
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