A series of 10 patients with reducible chronic post-traumatic scapholunate dissociation, treated with the modified Brunelli technique, is presented. The general outcome was good with a mean DASH score of 12, a range of motion of 69% and gripping force of 77% compared with the contralateral side.
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J Hand Surg Glob Online
November 2024
Department of Orthopedic Surgery, Crystal Clinic, Akron, OH.
This surgical technique article describes the anatomic C scapholunate reconstruction technique. It is indicated for complete acute or chronic scapholunate ligament dissociation. The technique addresses severe scapholunate interval gapping, ulnar translocation of the lunate, and rotational/dorsal intercalated segment instability.
View Article and Find Full Text PDFJ Hand Surg Am
December 2024
Brisbane Hand and Upper Limb Research Institute, Brisbane, Queensland, Australia; School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Debate persists about the optimal surgical management of scapholunate dissociation. Many contemporary techniques address both the injured scapholunate ligament as well as the capsuloligamentous stabilizers necessary to prevent carpal instability and collapse. Here, we present a technique to reinforce or plicate the long radiolunate ligament, a critical stabilizer to the carpus.
View Article and Find Full Text PDFJ Hand Surg Am
November 2024
Department of Hand Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Mehiläinen Helsinki Hospital, Helsinki, Finland.
Purpose: Scapholunate dissociation frequently results in malalignment and scapholunate advanced collapse (SLAC). Previous analyses have relied on visual observations of carpal angles among the scaphoid, lunate, and capitate on lateral radiographs. However, the 3-dimensional carpal alignment during SLAC progression remains unclear.
View Article and Find Full Text PDFCureus
October 2024
Department of Orthopaedic Surgery, Tokyo Medical University Ibaraki Medical Center, Ibaraki, JPN.
Infections associated with percutaneous pinning of the fingers occur in a certain percentage of cases; however, osteomyelitis rarely leads to more severe suppurative arthritis of the hand. A 26-year-old woman presented with scapholunate dissociation and underwent percutaneous pinning. Although some signs of infection were found around the pin site at five weeks, the pins were removed seven weeks postoperatively.
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