Arthroscopic dorsal ligamento capsulodesis results in Geissler grade 2 and 3 scapholunate interosseous ligament injuries

Özçelık, İsmail Bülent; Uğurlar, Meriç; Kabakas, Fatih; Purisa, Hüsrev

doi:10.5606/ehc.2015.03

Cited by 5 publications

(8 citation statements)

References 20 publications

(48 reference statements)

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“…1 ). 1 37 38 39 40 41 42 43 44 45 46 47 48 49 Substantial inter-reviewer agreement was obtained for both the title and abstract screening (κ = 0.899; 95% confidence interval [CI]: 0.874–0.923) and for full-text screening (κ = 0.777; 95% CI: 0.604–0.950). There was one level III evidence case–control study 48 and 13 level IV evidence case series studies ( Table 1 ).…”

Section: Resultsmentioning

confidence: 97%

“…There were three studies included in the AC group 42 43 44 consisting of 138 patients with an average age of 32.2 ± 3.8 years, the percentage of patients that was female averaged 38.1% ± 1.1, and the average follow-up period was 15.2 ± 0.4 months. There were 32 wrists graded Geissler II or III, 5 wrists graded Messina-EWAS II, 5 wrists graded Messina-EWAS IIIB, 48 wrists graded predynamic by Watson clinical grading, and 48 wrists graded dynamic by Watson clinical grading ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

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Partial Scapholunate Interosseous Ligament Injuries: A Systematic Review of Treatment Options

et al. 2023

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Purpose This systematic review summarizes the existing evidence on treatment options and outcomes for partial scapholunate interosseous ligament (pSLIL) injuries. Methods A systematic electronic search of Medline, Embase, and CINAHL was performed from inception through to February 13, 2022. All primary research articles addressing the treatment of pSLIL tears were eligible for inclusion regardless of timing of surgery, surgical technique, or rehabilitation. The PRISMA Checklist guided the reporting and data abstraction. Descriptive statistics and forest plots are presented. Results A total of 14 studies with 342 patients were included for analysis. Treatments were categorized into four groups: electrothermal shrinkage (ES), arthroscopic capsuloplasty (AC), open capsulodesis (OC), and no treatment (NT). There were five studies in the ES group (N = 69, mean age = 34.3 ± 3.3 years), three studies in the AC group (N = 138, mean age = 32.2 ± 3.8 years), five studies in the OC group (N = 123, mean age of 30.7 ± 7.8 years), and one study in the NT group (N = 12, mean age = 43 years, range = 28–67 years). The average postintervention visual analog scale pain score for the ES group was 1.4 ± 0.5 (from 5.7 ± 1.8), for the AC group was 3.2 ± 1.3 (from 6.6 ± 0), for the OC group was 2.3 ± 2.1 (from 5.6 ± 1.6), and for the NT group was 3.2 (from 7.6). The wrist extension range of motion improved postoperatively for all intervention groups (ES = 66.3°–70.7°; AC = 67°–74.5°; and OC = 48.9°–63.5°), whereas it remained unchanged for the NT group (46°–45°). Grip strength also improved in all intervention groups (ES = 17.9–29.9 kg; AC = 24.0–32.2 kg; and OC = 15.8–26.6 kg), while the NT group remained unchanged (25–24 kg). The radiographic scapholunate gap improved postoperatively in all groups that reported pre- and postintervention (ES = 2.2–1.9 mm; OC = 2.5–1.8 mm) and slightly worsened in the NT group (2.5–2.7 mm). In the ES group, there were three complications (11.5%, no major complications), in the AC group there was one major complication (0.9%, complex regional pain syndrome [CRPS]), and in the OC group there were six complications (15.4%, four major complications—CRPS). Conclusion All interventional treatment options (ES, AC, and OC) provided significant improvements in patient-reported pain, range of motion, grip strength, and radiographic parameters, with low complication rates. In comparison, no improvement in range of motion or grip strength was noted in the NT group. Therefore, surgical management of pSLIL injuries is an effective and relatively safe treatment option. Further studies comparing the outcomes of specific surgical treatments are warranted to further elucidate the optimal management option for pSLIL tears. Level of Evidence Level III, systematic review of Level III–IV studies.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Partial Scapholunate Interosseous Ligament Injuries: A Systematic Review of Treatment Options

et al. 2023

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“…[1] It is not welldefined whether surgical treatment methods achievebetter results than conservative treatment methods.A great number of the surgical managements hadsatisfactory clinical and functional results in theliterature. [1][2][3][4][5][6][7][8][9]in this study, satisfactory clinical andfunctional results were achieved in patients with stage 3 or 4Kienböck's disease with arthroscopicminimal invasive surgery. It has certain advantages suchas shorter operation time.…”

Section: Discussion:-mentioning

confidence: 97%

Arthroscopic Limited Intercarpal Fusion With Bone Graft Inpatients With Kienbocks Disease.

SM¹,

Abd²,

Eid³

et al. 2019

IJAR

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Objectives:This study aims to present our clinical results obtained in arthroscopic limited intercarpal fusion performed with use of bone graft in patients with Kienböck's disease.Patients and methods:The study included 16 patients with Kienböck's disease (9 males, 7 females; mean age 28.9 years; range 14 to 51 years) who were performed arthroscopic scaphocapitatefusion with or without lunate excision between January 2016 and may 2018. Bain and Begg Arthroscopic Classification was used for the staging of Kienböck'sdisease. Quick Disabilities of Arm, Shoulder and Hand and Mayo Wrist scorings were used for clinical evaluation Our inclusion criteria were skeletally mature patients with ulnar side wrist pain and failure of trial conservative treatment. Our exclusion criteria were skeletally immature patients, active infection of the wrist joint, pan arthritis involving all or most compartments of the wrist and rapidly progressive inflammatory arthritis at proliferative stage e.g. Rheumatoid arthritis. Results:Intercarpal fusion was achieved in approximately 6.5weeks. There was a statistically significant difference in pre-and postoperative Mayo Wrist scores and pre-and postoperative Quick Disabilities of Arm, Shoulder and Hand scores. There was no postoperative complication. Conclusion:According to our study findings, arthroscopic limited intercarpal fusion with bone graft and without lunate excision may be performed in patients with Kienböck's disease. Satisfactory clinical and functional results were obtained as a result of treatment with this method in stage 3 and 4 Kienböck's disease.

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“…A great number of the surgical managements had satisfactory clinical and functional results in the literature. [1][2][3][4][5][6][7][8][9] In this study, satisfactory clinical and functional results were achieved in patients with stage 3 or 4 Kienböck's disease with arthroscopic minimal invasive surgery. To our knowledge, this is the first article presenting arthroscopic SCF without bone graft.…”

Section: Discussionmentioning

confidence: 98%

Arthroscopic limited intercarpal fusion without bone graft in patients with Kienböck’s disease

Ertem

Görmeli

Karakaplan

et al. 2016

Eklem Hastalik Cerrahisi

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Arthroscopic dorsal ligamento capsulodesis results in Geissler grade 2 and 3 scapholunate interosseous ligament injuries

Cited by 5 publications

References 20 publications

Partial Scapholunate Interosseous Ligament Injuries: A Systematic Review of Treatment Options

Partial Scapholunate Interosseous Ligament Injuries: A Systematic Review of Treatment Options

Arthroscopic Limited Intercarpal Fusion With Bone Graft Inpatients With Kienbocks Disease.

Arthroscopic limited intercarpal fusion without bone graft in patients with Kienböck’s disease

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