A technique for arthroscopic all-inside suturing in the wrist

Piñal, Francisco del; García-Bernal, Francisco J.; Cagigal, Leopoldo; Studer, Alexis; Regalado, Javier; Thams, Carlos

doi:10.1177/1753193409361014

Cited by 34 publications

(7 citation statements)

References 17 publications

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“…Proximal and complete tears are repaired with trans-osseous sutures or anchor sutures by reattaching the ligament to the ulnar fovea. Both open and arthroscopic-assisted techniques have been described for improving DRUJ stability (Atzei, 2009; Atzei et al, 2008; Badia and Jimenez, 2006; Boehringer et al, 2002; Corso et al, 1997; de Araujo et al, 1996; del Piñal et al, 2010; Estrella et al, 2007; Hermansdorfer and Kleinman, 1991; Mathoulin et al, 2005; Pederzini et al, 2007; Skie et al, 1997; Trumble et al, 1997; Yao et al, 2007; Zachee et al, 1993). The aim of this study was to assess the functional outcome and DRUJ stability objectively and subjectively after foveal reattachment of isolated proximal or complete ulnar-sided TFCC lesions with DRUJ instability after open or arthroscopically assisted repair.…”

Section: Introductionmentioning

confidence: 99%

Comparison between open and arthroscopic-assisted foveal triangular fibrocartilage complex repair for post-traumatic distal radio-ulnar joint instability

Luchetti

Atzei

Cozzolino

et al. 2013

J Hand Surg Eur Vol

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The aim of this study was to assess the objective and subjective functional outcomes after foveal reattachment of proximal or complete ulnar-sided triangular fibrocartilage complex lesions by two surgical procedures: an open technique or an arthroscopically assisted repair. The study was done prospectively on 49 wrists affected by post-traumatic distal radio-ulnar joint instability. Twenty-four patients were treated with the open technique (Group 1) and 25 by the arthroscopically assisted technique (Group 2). Magnetic resonance imaging demonstrated a clear foveal detachment of the triangular fibrocartilage complex in 67% of the cases. Arthroscopy showed a positive ulnar-sided detachment of the triangular fibrocartilage complex (positive hook test) in all cases. Distal radio-ulnar joint stability was obtained in all but five patients at a mean follow-up of 6 months. Both groups had improvement of all parameters with significant differences in wrist pain scores, Mayo wrist score, Disability of the Arm, Shoulder and Hand questionnaire and Patient-Rated Wrist/Hand Evaluation questionnaire scores. There were no significant post-operative differences between the two groups in the outcome parameters except for the Disability of the Arm Shoulder and Hand questionnaire score, which was significantly better in Group 2 (p < 0.001).

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Section: Introductionmentioning

confidence: 99%

Comparison between open and arthroscopic-assisted foveal triangular fibrocartilage complex repair for post-traumatic distal radio-ulnar joint instability

Luchetti

Atzei

Cozzolino

et al. 2013

J Hand Surg Eur Vol

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“…Recently, some arthroscopy-guided SL ligament repairs have been introduced (del Piñal et al, 2010 and 2011; Mathoulin et al, 2011; Stuffmann et al, 2010). When feasible, the advantages of such minimally invasive surgeries are obvious.…”

Section: Introductionmentioning

confidence: 99%

Dorsal scapholunate ligament injury: a classification of clinical forms

Andersson

García-Elias

2012

J Hand Surg Eur Vol

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The dorsal scapholunate (SL) ligament may disrupt in variety of ways. Each form of injury requires specific fixation. To investigate the incidence of each type of ligament failure, the records of 45 patients with adequate information, good quality pictures, or videos demonstrating injury characteristics were reviewed. Four types of SL injury were found: type 1 (lateral avulsion from the scaphoid) was the most frequent, present in 19 patients (42%); type 2 (medial avulsion from the lunate) was the least frequent, with 7 cases (16%); type 3 (mid-substance rupture) was found on 9 occasions (20%); and type 4 (partial rupture plus elongation) was observed on 10 occasions (22%). Based on our observations, we submit that an arthroscopically assisted SL capsuloplasty may not be possible in all cases, particularly not when the ligament has avulsed off the bone (60% of the cases), leaving no ligament remnant on one side. Most patients will require ligament reattachment techniques using transosseous sutures, bone anchors, or ligament reconstruction.

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“…The ideal repair securely keeps the torn TFCC tightly sutured to the dorsal capsule with no nerve or tendon irritation and with minimal incisions (less scarring). 17 …”

Section: Discussionmentioning

confidence: 99%