scholarly journals Scapholunate Interosseous Ligament and Dorsal Intercarpal Ligament Repair: A Two-Tailed Tendon Graft Repair for Scapholunate Ligament Dissociation

2017 ◽  
Vol 1 (3) ◽  
Author(s):  
Lisa L Lattanza
Keyword(s):  
Tendon Graft ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Interosseous Ligament

scholarly journals Modern approaches to the treatment of scapholunate interosseous ligament injuries (literature review)

2020 ◽  
Vol 26 (4) ◽  
pp. 593-599
Author(s):  
O.G. Shershneva ◽  
◽  
I.V. Kirpichev ◽  
Keyword(s):  
Primary Repair ◽  
Clinical Manifestations ◽  
Tendon Graft ◽  
Open Approach ◽  
Scapholunate Ligament ◽  
Ligament Injuries ◽  
Chronic Instability ◽  
Interosseous Ligament ◽  
Acute Injuries ◽  
Arthroscopically Assisted

Introduction The scapholunate interosseous ligament binds the scaphoid and lunate together, and is the primary stabilising ligament between these two bones. Scapholunate injuries lead to chronic instability and degenerative arthritis of the wrist. Scapholunate injuries are graded based on the acuity and the severity of the injury. Purpose The paper is a review of various techniques used to repair or reconstruct the scapholunate ligament according to the clinical manifestations, anatomic and pathologic findings. Methods A review of the literature covering this topic is presented. Results Conservative treatment is primarily indicated in stable and partial ligament tears. Arthroscopic treatment is used when immobilization is unsuccessful. Arthroscopically assisted scapholunate reduction and K-wire fixation is commonly used for acute injuries. Primary repair of scapholunate injuries are performed in all tear types using an open approach. Surgical indications depend on the severity of the instability, time after trauma and the presence of degenerative changes. Acute repair of scapholunate ligament injuries remains the gold standard as an earlier intervention provides better results. Acute injuries to the scapholunate ligament require two-four weeks before surgery. Within this period the ligament is often still repairable itself both with or without supplementary capsulodesis procedures; ligament reconstruction is generally preferable in patients with chronic injures. There are many arthroscopic techniques to treat chronic scapholunate injures such as scapholunate ligament primary repair using various types of capsulodesis, tendon graft reconstruction, bone-ligament-bone procedure, various intercarpal fusions and proximal row carpectomy, total wrist fusion and arthroplasty. Conclusion Early diagnosis and management of scapholunate ligament tears are necessary to preserve wrist functions.

scholarly journals Kinematic analysis of two scapholunate ligament reconstruction techniques

2021 ◽  
Vol 29 (2) ◽  
pp. 230949902110258
Author(s):  
Seungbum Chae ◽  
Junho Nam ◽  
Il-Jung Park ◽  
Steven S. Shin ◽  
Michelle H. McGarry ◽  
...  
Keyword(s):  
Kinematic Analysis ◽  
Clinical Relevance ◽  
Ligament Reconstruction ◽  
Operative Time ◽  
Efficient Technique ◽  
Scapholunate Ligament ◽  
Interosseous Ligament ◽  
Flexion Extension

Purpose: This study compares the kinematic changes after the procedures for scapholunate interosseous ligament (SLIL) reconstruction—the modified Brunelli technique (MBT) and Mark Henry’s technique (MHT). Methods: Ten cadaveric wrists were used. The scapholunate (SL) interval and angle and radiolunate (RL) angle were recorded using the MicroScribe system. The SL interval was measured by dividing the volar and dorsal portions. Four motions of the wrist were performed—neutral, flexion, extension, and clenched fist (CF) positions—and compared among five conditions: (1) intact wrist, (2) volar SLIL resection, (3) whole SLIL resection, (4) MBT reconstruction, and (5) MHT reconstruction. Results: Under the whole SLIL resection condition, the dorsal SL intervals were widened in all positions. In all positions, the dorsal SL intervals were restored after MBT and MHT. The volar SL interval widened in the extension position after volar SLIL resection. The volar SL interval was not restored in the extension position after MBT and MHT. The SL angle increased in the neutral and CF positions under the whole SLIL resection condition. The SL angle was not restored in the neutral and CF positions after MBT and MHT. The RL angle increased in the neutral and CF positions under the whole SLIL resection condition. The RL angle was not restored in the neutral and CF positions after MBT and MHT. Conclusion: The MBT and MHT may restore the dorsal SL interval. No significant differences in restoration of the SL interval between MBT and MHT were found in the cadaveric models. Clinical relevance: No significant differences between MBT and MHT were found in the cadaveric models for SLIL reconstruction. When considering the complications due to volar incision and additional procedures in MHT, MBT may be a more efficient technique in terms of operative time and injury of the anterior structures during surgery, but further research is needed.

HERBERT SCREW FIXATION FOR THE TREATMENT OF SCAPHOLUNATE LIGAMENT RUPTURE

Hand Surgery ◽  
1998 ◽  
Vol 03 (01) ◽  
pp. 47-55 ◽  
Author(s):  
Susan L. Filan ◽  
Timothy J. Herbert
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Moderate Activity ◽  
Activity Levels ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Wrist Motion ◽  
Bone Screw ◽  
Ligament Rupture ◽  
Full Loading

Complete rupture of the scapholunate ligament was treated by open reduction, ligament repair and internal splintage with a Herbert bone screw. After an average of 12 months, the screw was removed to allow full loading of the repair. In 33 procedures, there were 22 good and 11 poor results. In five cases with a poor outcome, the screw pulled or fractured out of the scaphoid or lunate. Grip and range of wrist motion improved in patients with a good outcome, and repair of the ligament was noted at all revision and open screw removal surgeries. A comparison of the good and poor results leads us to recommend this technique for patients with relatively recent injuries and light to moderate activity levels. Longstanding injuries and heavy occupational wrist loading led to poorer results.

Suture Tape Augmentation for Scapholunate Ligament Repair: A Biomechanical Study

2021 ◽  
Vol 46 (1) ◽  
pp. 36-42 ◽  
Author(s):  
R. Gil Thompson ◽  
Joel A. Dustin ◽  
D. Keith Roper ◽  
Steven M. Kane ◽  
Gary M. Lourie
Keyword(s):  
Biomechanical Study ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Suture Tape

Scapholunate Ligament Repair Using the Mitek™ Bone Anchor

2000 ◽  
Vol 25 (2) ◽  
pp. 188-192 ◽  
Author(s):  
B. BICKERT ◽  
M. SAUERBIER ◽  
G. GERMANN
Keyword(s):  
Retrospective Study ◽  
Functional Result ◽  
Functional Results ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Bone Anchor ◽  
Excellent Functional Result ◽  
Lunate Necrosis

A retrospective study was done to assess the outcome after repair of completely ruptured scapholunate interosseous ligaments using the Mitek™ Mini G2 bone anchor. From 1994 to 1996. 12 patients underwent scapholunate ligament repair using the bone anchor. A follow-up assessment was done at a mean of 19 months postoperatively and revealed excellent or good results in eight patients, satisfactory in two, and poor in two patients, one of whom had developed lunate necrosis. One patient with an excellent functional result demonstrated recurrent dissociation of the scapholunate gap radiographically. The technique described proved to be simpler than conventional procedures in our hands, and yields similar functional results.

scholarly journals The Anatomy of the Dorsal Capsulo-Scapholunate Septum: A Cadaveric Study

2017 ◽  
Vol 06 (03) ◽  
pp. 244-247 ◽  
Author(s):  
Marina Tommasini Carrara de Sambuy ◽  
Tanya Burgess ◽  
Christophe Mathoulin ◽  
Adeline Cambon-Binder
Keyword(s):  
Dorsal Surface ◽  
Anatomical Study ◽  
Biomechanical Properties ◽  
Scapholunate Ligament ◽  
Maximum Width ◽  
Interosseous Ligament ◽  
Gothic Architecture ◽  
Constant Structure ◽  
Fresh Frozen ◽  
The Mean

Background Tears of the dorsal radiocarpal capsule at the level of the scapholunate interosseous ligament (SLIL) have recently been described in association with predynamic scapholunate instability. Purpose The aim of this anatomical study of the dorsal capsulo-scapholunate septum (DCSS) was to examine the connection of the dorsal capsule on the SLIL and dorsal intercarpal ligament (DICL). Methods Fourteen fresh frozen wrists from seven adult cadavers were dissected through a dorsal approach. Any dorsal attachment of the DICL on the dorsal surface of the SLIL, that is, the DCSS, was identified and measured (height and width). Results The DCSS was consistently found connecting the DICL, the dorsal radiocarpal capsule, and the dorsal aspect of the SLIL. It was formed by the confluence of three arches like intersecting ribs in gothic architecture. The mean dimensions of the DCSS were 5.8 mm in height and 4.0 mm in maximum width. Conclusion The DCSS that connects the SLIL with the dorsal capsule and DICL could be a constant structure of dorsal wrist. Further investigation is required to study the histology of the DCSS and its biomechanical properties in isolation to know whether the DCSS can be considered a secondary stabilizer of the scapholunate ligament complex. Clinical Relevance A better anatomical knowledge of scapholunate ligament complex could help understand and manage instability of the wrist.

Sign in / Sign up

Export Citation Format

Share Document