Sagittal Band Injury
 

Author: Tyler Schmitz, DO
Affiliation: Blue Ridge Orthopedics
Senior Editor: William Denq, MD

Clinical Vignette: 38 year old female presented with a right hand injury that occurred 1 month ago when she crushed her long finger knuckle in between a sled and the ground while snow sledding. Examination of the 3rd MCP joint demonstrated swelling at the dorsal aspect, pain with flexion, and snapping at the knuckle.

Type of Probe Used: 15-6 MHz Linear Transducer



Short axis view to the central band of the extensor tendon at the proximal third MCP joint with long finger at rest.


Short axis view to the central band of the extensor tendon at the proximal third MCP joint with long finger at rest.


Short axis view to the central band of the extensor tendon at the third metacarpal head with the long finger at rest.


There is some hypoechoic thickening of the distal part of the radial sagittal band compared to the ulnar sagittal band with the long finger at rest at the location of the metacarpal head.


Short axis view to the central band of the extensor tendon at the third MCP joint with the MCP joint flexed.


There is ulnar subluxation of the extensor tendon relative to the metacarpal head with MCP joint flexion.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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