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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(02): e66-e78
DOI: 10.1055/s-0043-1777113
Artículo de Actualización | Update Article

Hand Therapy Protocol after Arthroscopic Reconstruction of the Scapholunate Ligament Based on the Pathomechanics and Neuromuscular Control of the Scapholunate Joint

Artikel in mehreren Sprachen: español | English
Mireia Esplugas 
1   Institut Kaplan Barcelona, Barcelona, España
,
Josep Maria Sole Artigau
2   Tarragona Hand Clinic, Tarragona, España
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Abstract

Objective This study aimed to assess the efficacy of a hand therapy protocol following the arthroscopic reconstruction of the dorsal scapholunate ligament according to the Corella technique.

Methods We implemented a protocol lasting less than 3 months, divided into seven therapeutic phases, based on the pathomechanics and neuromuscular control of the scapholunate joint. We provided clear guidelines for the clinical evaluation of the patient.

Results We observed a significant improvement in pain, strength, and mobility in all studied patients 6 months after surgery.

Conclusions The proposed sequential protocol seems an effective strategy for hand rehabilitation following arthroscopic reconstruction of the scapholunate ligament. This protocol has positive implications for the clinical practice and could be a new hand therapy standard.

Keywords

hand therapy - scapholunate arthroscopy - carpal stability - scapholunate protocol - scapholunate rehabilitation - corella's technique


Publikationsverlauf

Eingereicht: 27. Oktober 2023

Angenommen: 30. Oktober 2023

Artikel online veröffentlicht:
05. Dezember 2023

© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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