The purpose of this study was to evaluate the prevalence of ligament pathology around the first carpometacarpal joint in an asymptomatic population. We used a compact office-based MRI system and examined the hands of 117 healthy volunteers. We checked the competence of the anterior oblique ligament and of the posterior ligament complex on the MRI images. Our results showed that, in 82% of the study population, both ligaments could be perfectly visualized, with consistent signal from origin to insertion. Examination found signal changes indicating a damaged or torn ligament in the other cases. This study suggests that ligament pathology seen on MRI should be interpreted with caution. In symptomatic patients, pathologic images are to be interpreted in the light of the relevant clinical context. LEVEL OF EVIDENCE: III.
Keywords: Anterior oblique ligament; Arthrose; Articulation trapézo-métacarpienne; Complexe ligamentaire postérieur; Ligament oblique antérieur; Osteoarthritis; Posterior ligament complex; Thumb carpometacarpal joint.
Copyright © 2022 SFCM. Published by Elsevier Masson SAS. All rights reserved.