Abstract
Background: A retrospective review was performed of 15 adult patients who underwent arthroscopic
suture anchor scapholunate capsuloligamentous repair between 2021 and 2023.
Patient/Methods/Results: There were 12 male and 3 female patients, with a mean age of 44.9 years. Eight patients
had European Wrist Arthroscopy Society (EWAS) II (Geissler II), four patients had
EWAS IIIC (Geissler III), and three patients had EWAS IV (Geissler IV). After a follow-up
of 12 months (12–26), the mean grip strength significantly improved by 131% compared
with presurgery. There was a significant improvement in the visual analog scale score
from 6 to 1.2, the Mayo Wrist Score from 43.5 to 86.5, and the Quick Disabilities
of the Arm, Shoulder, and Hand questionnaire score from 65.9 to 6.5. Two EWAS IV patients
had recurrent symptomatic scapholunate diastasis requiring scapholunate ligamentoplasty.
Conclusion: The arthroscopic dorsal scapholunate capsuloligamentous repair with suture anchors
is a reliable and safe technique with minimal complications. It is recommended for
reducible acute or chronic injury to the scapholunate ligament complex with suspected
avulsion injury.
Level Of Evidence: Level IV
Keywords
wrist - arthroscopy - scapholunate interosseous ligament - arthroscopic suture anchor
- scapholunate capsulodesis
