High-resolution ultrasound tendon-to-bone distances in partial and complete finger flexor A2 pulley ruptures simulated in human cadaver dissection: toward understanding imaging of partial pulley ruptures

Vista sencilla de ítem
dc.contributor.authorIruretagoiena Urbieta, Seber
dc.contributor.authorSchöffl, Volker
dc.contributor.authorBalius Matas, Ramón
dc.contributor.authorBlasi, Marc
dc.contributor.authorDávila, Fernando
dc.contributor.authorSala Blanch, Xavier
dc.contributor.authorSancho Amundarain, Igor
dc.contributor.authorFuente Ortiz de Zárate, J. de la
dc.date.accessioned2025-06-25T08:13:12Z
dc.date.available2025-06-25T08:13:12Z
dc.date.issued2023-06-07
dc.date.updated2025-06-25T08:13:12Z
dc.description.abstractIntroduction: The A2 pulley tear is the most common injury in rock climbing. Whereas complete A2 pulley ruptures have been extensively researched, studies focused on partial A2 pulley ruptures are lacking. A2 pulleys rupture distally to proximally. High-resolution ultrasound imaging is considered the gold-standard tool for diagnosis and the most relevant ultrasound measurement is the tendon-to-bone distance (TBD), which increases when the pulley ruptures. The purpose of this study was to establish tendon-to-bone distance values for different sizes of partial A2 pulley ruptures and compare these values with those of complete ruptures. Material and methods: The sample consisted of 30 in vitro fingers randomly assigned to 5 groups: G1, no simulated tear (control); G2, simulated 5 mm tear (low-grade partial rupture); G3, simulated 10 mm tear (medium-grade partial rupture); G4, simulated 15 mm tear (high-grade partial rupture); and G5, simulated 20 mm or equivalent tear (complete rupture). A highly experienced sonographer blinded to the randomization process and dissections examined all fingers. Results: The tendon-to-bone distance measurements (medians and interquartile ranges) were as follows: G1, 0.95 mm (0.77–1.33); G2, 2.11 mm (1.78–2.33); G3, 2.28 mm (1.95–2.42); G4, 3.06 mm (2.79–3.28); and G5, 3.66 mm (3.55–4.76). Significant differences were found between non-torn pulleys and simulated partial and complete pulley ruptures. Discussion: In contrast, and inconsistent with other findings, no significant differences were found among the different partial rupture groups. In conclusion, the longer the partial pulley rupture, the higher the tendon-to-bone distance value. The literature is inconsistent regarding the tendon-to-bone distance threshold to diagnose a partial A2 pulley rupture. The minimum tendon-to-bone distance value for a partial rupture was 1.6 mm, and tendon-to-bone distance values above 3 mm suggest a high-grade partial pulley rupture (15 mm incision) or a complete pulley rupture.en
dc.identifier.citationIruretagoiena, X., Schöffl, V., Balius, R., Blasi, M., Dávila, F., Sala, X., Sancho, I., & De La Fuente, J. (2023). High-resolution ultrasound tendon-to-bone distances in partial and complete finger flexor A2 pulley ruptures simulated in human cadaver dissection: toward understanding imaging of partial pulley ruptures. Frontiers in Bioengineering and Biotechnology, 11. https://doi.org/10.3389/FBIOE.2023.1123857
dc.identifier.doi10.3389/FBIOE.2023.1123857
dc.identifier.eissn2296-4185
dc.identifier.urihttp://hdl.handle.net/20.500.14454/3132
dc.language.isoeng
dc.publisherFrontiers Media S.A.
dc.rights© 2023 Iruretagoiena, Schöffl, Balius, Blasi, Dávila, Sala, Sancho and De La Fuente
dc.subject.otherA2 pulley
dc.subject.otherClimbing
dc.subject.otherPartial rupture
dc.subject.otherTear
dc.subject.otherTendon-bone distance
dc.subject.otherUltrasound
dc.titleHigh-resolution ultrasound tendon-to-bone distances in partial and complete finger flexor A2 pulley ruptures simulated in human cadaver dissection: toward understanding imaging of partial pulley rupturesen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.titleFrontiers in Bioengineering and Biotechnology
oaire.citation.volume11
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
Archivos
Bloque original
Mostrando 1 - 1 de 1
Miniatura
Nombre:
iruretagoiena_high_2023.pdf
Tamaño:
1.59 MB
Formato:
Adobe Portable Document Format
Descargar
Colecciones
Artículos