Ligamentous reconstruction of scapholunate dislocation through a double dorsal and palmar approach

Six patients, were treated for scapholunate dissociation by reconstruction of both the palmar and dorsal parts of the scapholunate interosseous ligament through a combined palmar and dorsal approach. The mean active range of motion of the wrist at final follow-up was 44° of flexion and 58° of extens...

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Bibliographic Details
Published in:Journal of hand surgery, British volume British volume, 2006-08, Vol.31 (4), p.445-449
Main Authors: Marcuzzi, A., Leti Acciaro, A., Caserta, G., Landi, A.
Format: Article
Language:English
Subjects:
Adult
Aged
dislocation
Hand - surgery
Humans
Ligaments - diagnostic imaging
Ligaments - surgery
Middle Aged
Radiography
reconstruction
Reconstructive Surgical Procedures - methods
scapholunate
Scapula - diagnostic imaging
Scapula - injuries
Scapula - surgery
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Summary:Six patients, were treated for scapholunate dissociation by reconstruction of both the palmar and dorsal parts of the scapholunate interosseous ligament through a combined palmar and dorsal approach. The mean active range of motion of the wrist at final follow-up was 44° of flexion and 58° of extension and the mean hand grip strengths was 88% of that of the contralateral hand. The average time to return to work was 105 days and the mean DASH score at a mean follow-up of 32 months was 18. At follow-up, radiographs showed maintenance of the anatomical reduction of the scapholunate articulation in all cases and the scapholunate angle was normal in five patients.
ISSN:0266-7681
1532-2211
DOI:10.1016/j.jhsb.2006.02.009