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J Wrist Surg 2020; 09(04): 328-337
DOI: 10.1055/s-0040-1710502
Scientific Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Arthroscopic Reinsertion of Acute Injuries of the Scapholunate Ligament Technique and Results

Vicente Carratalá
1   Hand and Upper Limb Surgery Unit, Department of Orthopaedics, Hospital Quirónsalud Valencia, Valencia, Spain
,
Francisco Javier Lucas
1   Hand and Upper Limb Surgery Unit, Department of Orthopaedics, Hospital Quirónsalud Valencia, Valencia, Spain
,
Ignacio Miranda
2   Department of Orthopaedics, Hospital Universitari i Politècnic La Fe. Valencia, Spain
,
Alfonso Prada
3   Department of Orthopaedics, Hospital General de Villalba, Madrid, Spain
,
Eva Guisasola
1   Hand and Upper Limb Surgery Unit, Department of Orthopaedics, Hospital Quirónsalud Valencia, Valencia, Spain
,
Francisco J. Miranda
4   Departamento de Fisiología, Universitat de València, Valencia, Spain
› Author Affiliations Funding None.
Further Information

Publication History

30 December 2019

29 March 2020

Publication Date:
20 May 2020 (online)

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Abstract

Objective To describe a technique for treating acute injuries of the scapholunate ligament (SLL) by performing an arthroscopic reinsertion of the SLL and dorsal capsulodesis and to present the results obtained.

Methods The study deals with an analytical, prospective clinical study that included 19 consecutive patients with acute injury of the SLL. The range of joint motion, grip strength, pain according to the visual analog scale, functional outcomes according to the Mayo Wrist Score (MWS), and the QuickDASH Score were studied preoperatively and 6 and 12 months postoperatively. The complications and necessary reinterventions were recorded.

Results Nineteen patients with acute injury of the SLL were studied; mean age was 44 ± 2 years, 74% males, 58% complete rupture, and 42% partial rupture, treated with the above-mentioned technique. Thirty-seven percent also had a distal radius fracture and there was one case of perilunate dislocation. Improvement in pain, grip strength, joint balance, and functionality was observed 6 and 12 months postoperatively, with 79% of the cases with good or excellent results

Conclusion The arthroscopic reinsertion and dorsal capsular reinforcement of the SLL, allow a reliable and stable primary repair of the dorsal aspect of the ligament in acute or subacute SL injuries where there is tissue that can potentially be repaired, thus achieving an anatomical repair similar to that obtained with open surgery, but without the complications and stiffness secondary to aggressive interventions on the soft tissues that are inherent to the open dorsal approach.

Keywords

acute injury of the scapholunate ligament - scapholunate ligament complex - arthroscopy - dorsal capsular reinforcement

Note

This study was performed in Unidad de Cirugía de Mano y Miembro Superior. Hospital Quirónsalud Valencia. Valencia, Spain.


Ethical Approval

This study was approved by the Ethics Committee of the Hospital Quirónsalud Valencia.


 

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