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Background And Research Aims: Scapholunate interosseous ligament rupture can cause wrist issues like pain, strength loss, and cartilage degeneration. While various surgical treatments exist, it's unclear which method is optimal. This study aims to determine the superior treatment approach for scapholunate dissociation.
View Article and Find Full Text PDFArthroscopic Midcarpal Suture Anchor Repair of Dorsal Intercarpal Ligament Avulsion.
Arthrosc Tech
August 2024
International Wrist Center, Clinique Bizet, Paris, France.
The dorsal intercarpal ligament (DICL) is crucial for carpal stability and is frequently associated with injuries to other carpal ligaments, notably the scapholunate and lunotriquetral interosseous ligaments. Although isolated DICL injuries are uncommon, they can manifest as ligament avulsions, bony avulsions, or attenuations from chronic injury. Surgical repair of isolated DICL tears may be necessary when conservative management fails.
View Article and Find Full Text PDFArthroscopic Volar Extrinsic Plicature of the Volar Extrinsic Ligaments for Chronic Volar Scapholunate Instability.
Arthrosc Tech
June 2024
PRO-MANO, Treviso, Italy.
The scapholunate ligamentous complex consists of the scapholunate interosseous ligament and the surrounding extrinsic ligamentous system. In cases of chronic scapholunate instability, stabilizing the extrinsic ligaments is crucial. This article presents an arthroscopic capsuloligamentous reinforcement plicature that focuses on tightening the volar scapholunate extrinsic ligaments, namely the radioscaphocapitate ligament and long radiolunate ligament, along with indirect tightening of the volar scapholunate interosseous ligament.
View Article and Find Full Text PDFArthroscopic Debridement for Treatment of Chronic Dynamic Scaphoid Instability.
J Wrist Surg
August 2024
Department of Hand Surgery, Seradge Medical, Oklahoma City, Oklahoma.
There is a paucity of information on minimal surgical intervention for the treatment of chronic dynamic scaphoid instability (CDSI) that will achieve an acceptable mid-term result. We hypothesize that by following a debride-first-then-wait protocol, some patients with CDSI can be treated with arthroscopic debridement alone and avoid a reconstructive procedure. We performed a retrospective, longitudinal study from January 2008 to December 2018 of all patients diagnosed with CDSI and treated with arthroscopic debridement of the scapholunate interosseous ligament.
View Article and Find Full Text PDFPreliminary Outcomes of Scapholunate Ligament Augmentation with Internal Brace Technique.
J Hand Surg Glob Online
March 2024
Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA.
Purpose: Injury to the scapholunate (SL) interosseous ligament (SLIL) is a common cause of carpal instability. Internal brace augmentation has been used in various ligament repair procedures; however, further investigation of its outcomes in hand surgery is needed. This study aimed to examine outcomes for patients who underwent SLIL repair with internal brace augmentation.
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