Bilateral scapholunate widening may have a nontraumatic aetiology and progress to carpal instability and osteoarthritis with advancing age

Hollevoet, Nadine

doi:10.1177/1753193418819653

Cited by 4 publications

(4 citation statements)

References 23 publications

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“…Even if SLIL degeneration grading was lower in these subjects, we suppose that dorsal ganglion cysts could be one of the first imaging signs of midcarpal instability due to structural abnormalities of SLIL, in the same manner as meniscal cysts of the knee are associated to meniscal tears ( 27 ) . As arthrographic studies demonstrated that wrist compartments are often well separated, so the finding of dorsal ganglion cyst immediately over a slightly degenerated SLIL should alert the clinician to possible wrist instability due to SLIL pathology ( 4 , 28 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic injuries or progressive degenerative changes of SLIL can lead to internal derangement of carpal bones ( 3 , 4 ) , instability of midcarpal joints (often associated to production of synovial ganglion cysts), and eventually to scapholunate advanced collapse (SLAC), which is the most common cause of osteoarthritis involving the wrist ( 5 ) . Both calcium pyrophosphate dihydrates (CPPD) crystal deposition disease (CPDD) arthropathy and rheumatoid arthritis (RA) are rheumatologic conditions associated with wrist instability and SLAC ( 6 – 9 ) .…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting

et al. 2021

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Aim: The aims of the study were to perform an ultrasound assessment of the dorsal portion of the scapholunate interosseous ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting, to describe ultrasound abnormalities about scapholunate interosseous ligament region, and to correlate them with clinical data, presence of dorsal ganglion cysts and diagnoses of rheumatic diseases. Material and methods: Seventy-four consecutive patients with wrist pain and/or swelling were evaluated by routine power Doppler ultrasound. Forty normal wrists were studied to confirm the normality values of the scapholunate joint. Results: The mean width of the normal scapholunate joint was 2.49 mm (±0.49 SD), with a coefficient of variation on repeated measurements of 3.662%. The best predictors of scapholunate interosseous ligament degeneration were: older age (p <0.0001), male gender (p = 0.0049), and radiocarpal effusion (p = 0.0156). The presence of osteophytosis and calcifications of the scapholunate joint were higher (p <0.001) in rheumatic patients. Scapholunate calcifications showed a sensitivity of 98.2% and a specificity of 61.1% for calcium pyrophosphate deposition disease. Dorsal ganglion cysts were more frequent in younger subjects (p <0.0012) without rheumatic conditions (p <0.0001) or midcarpal synovitis (p <0.0001). Larger cysts often exhibited power Doppler signal (p <0.0001). The best predictors of scapholunate dissociation were: male gender (p = 0.0002), presence of midcarpal synovitis (p <0.0137), and higher grade of scapholunate interosseous ligament degeneration (p <0.0001). Scapholunate widening was greater (p = 0.0419) in calcium pyrophosphate deposition disease or rheumatoid arthritis than in other rheumatic conditions. Conclusions: Ultrasound findings of scapholunate interosseous ligament degeneration and calcification, scapholunate space enlargement, and dorsal ganglion cysts should be considered in ultrasound reporting, since they add useful information about the diagnosis of associated rheumatic conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting

et al. 2021

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“…Those causes are more commonly observed in patients with bilateral wrist changes. 28,[34][35][36] analyzed radiographs from both wrists of 1,000 people with no recent trauma, and found 67 of those cases of bilateral and 51 of unilateral SL space widening. 34 There were signs of SLAC in 26 wrists, and, of those, 9 were bilateral.…”

Section: Discussionmentioning

confidence: 99%

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Oliveira¹,

Aita

Brunelli

et al. 2020

Revista Iberoamericana de Cirugía de la Mano

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Despite being the second most common osteoarthritis of the wrist, little is known about scaphotrapeziotrapezoid osteoarthritis. Not all patients with this type of osteoarthritis have symptoms, and, even in those symptomatic patients, the intensity of the complaint is not proportional to the severity of the degeneration. In symptomatic patients, when the conservative treatment fails, grading classifications to help define the surgical treatment are solely based on the joint characteristics, and fail to assess the rest of the carpus.In general, most carpal degenerative processes show the same evolution pattern, which varies according to the initial injury, along with the type of deformity and the inherent instabilities. Thus, we hypothesize that the degenerative evolution due to primary osteoarthritis of the scaphotrapeziotrapezoid joint also follows a logical evolutionary sequence, similar to the one that occurs in cases of scapholunate advanced collapse (SLAC), scaphoid nonunion advanced collapse (SNAC), scaphoid malunion advanced collapse (SMAC), and scaphoid chondrocalcinosis advanced collapse (SCAC), thus resulting in scaphotrapeziotrapezoid osteoarthritis advanced collapse (SOAC). We have divided the SOAC into three groups, and considered that their treatment shall be guided by the evolutionary stage of the disease, and not by the surgeon's preferred technique.

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“…(continued) ,10,38,40,43,49,57,58,66,76,89,101,104,107,111,127,128,[132][133][134]137,146,167,171,172,174,181,182,195,46,48,51,70,71,74,85,95,113,121,124,125,163,173,176,177,180,183,[187][188][189][190][191]201,202 Sex unclear or not reported5-7,9,10,34,38,40,45,50-52,54,55,63,65,67,68,71,73,76,80,81,83,84,88-90,96,98,99,101-103,106,109-111,113, …”

mentioning

confidence: 99%

A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

Mitchell,

Hamilton,

Dean

et al. 2023

Hand Therapy

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Introduction Non-traumatic wrist disorders (NTWD) are commonly encountered yet sparse resources exist to aid management. This study aimed to produce a literature map regarding diagnosis, management, pathways of care and outcome measures for NTWDs in the United Kingdom. Methods An interdisciplinary team of clinicians and academic researchers used Joanna Briggs Institute guidelines and the PRISMA ScR checklist in this scoping review. A mixed stakeholder group of patients and healthcare professionals identified 16 questions of importance to which the literature was mapped. An a-priori search strategy of both published and non-published material from five electronic databases and grey literature resources identified records. Two reviewers independently screened records for inclusion using explicit eligibility criteria with oversight from a third. Data extraction through narrative synthesis, charting and summary was performed independently by two reviewers. Results Of 185 studies meeting eligibility criteria, diagnoses of wrist pain, De Quervain’s syndrome and ulna-sided pain were encountered most frequently, with uncontrolled non-randomised trial or cohort study being the most frequently used methodology. Diagnostic methods used included subjective questioning, self-reported pain, palpation and special tests. Best practice guidelines were found from three sources for two NTWD conditions. Seventeen types of conservative management, and 20 different patient-reported outcome measures were suggested for NTWD. Conclusion Substantial gaps in evidence exist in all parts of the patient journey for NTWD when mapped against an analytic framework (AF). Opportunities exist for future rigorous primary studies to address these gaps and the preliminary concerns about the quality of the literature regarding NTWD.

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Bilateral scapholunate widening may have a nontraumatic aetiology and progress to carpal instability and osteoarthritis with advancing age

Cited by 4 publications

References 23 publications

Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting

Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

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