Chronic scapholunate instability treated by scaphocapitate fusion: A midterm outcome perspective

Deletang, F.; Segret, J.; Dap, F.; Dautel, G.

doi:10.1016/j.otsr.2010.11.006

Cited by 21 publications

(7 citation statements)

References 24 publications

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“…We believe that this case has remarkable biomechanical and surgical implications. In this respect, scaphocapitate arthrodesis mimics this form of coalition and has been proposed by several authors as a surgical option to treat chronic scapholunate instability 4 5 6 and Kienböck's disease. 7 In Deletang's series, this type of arthrodesis, apart from improving symptoms and hand function, reduces the risk of radioscaphoid arthritic degeneration.…”

Section: Discussionmentioning

confidence: 99%

Scapholunate Ligament Insufficiency in a Patient with Scaphocapitate Coalition

Arenas-Prat¹

2023

Journal of Hand and Microsurgery

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We report a case of chronic scapholunate ligament insufficiency in a patient with scaphocapitate coalition. After more than 4 years of mild symptoms, there was no radiological evidence of progression to scapholunate advanced collapse in spite of minimal load-bearing repetitive physical activities undertaken by the patient as a professional guitarist. We believe that scaphocapitate coalition could contribute to mitigate the progression to scapholunate advanced collapse by preventing abnormal flexion of the scaphoid once the ligament is not competent anymore. The biomechanical and surgical implications of this type of carpal coalition are also discussed.

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Section: Discussionmentioning

confidence: 99%

Scapholunate Ligament Insufficiency in a Patient with Scaphocapitate Coalition

Arenas-Prat¹

2023

Journal of Hand and Microsurgery

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“…Although this fusion presents very satisfactory long-term results in Kienbock's disease, 10 its use is particularly important in carpal collapses. 4 In fact, in static scapholunate instabilities without radioscaphoid osteoarthritis, capsuloligamentary reconstruction, and other conservative methods, 1,2,11 Fig 6 . Arthroscopic wash-out (optic through ulnar midcarpal portal). In the case of major joint debridement, a lot of joint debris can impede visibility and be difficult to remove because there is so much of it.…”

Section: Discussionmentioning

confidence: 99%

“…3 In chronic scapholunate instability, scaphocapitate fusion seems to have good functional results, stopping the arthrosic evolution by eliminating dorsal and rotatory subluxation of the scaphoid. 4 Moreover, this technique has good results in the management of advanced Kienbock's disease without the need for lunate excision. 5 However, intracarpal fusion is not the most effective technique for the management of chronic scapholunate instability.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Scaphocapitate Fusion: Surgical Technique

Bargemon

Peras

Hasegawa

et al. 2022

Arthroscopy Techniques

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“…The results reported are very similar to the ligament reconstructions but with higher incidence of complications, including nonunion and radiocarpal arthrosis (4-51% and 15-35%, respectively). 21,[37][38][39][40] The major advantage of dorsal capsulodesis and tenodesis when compared with partial arthrodesis is the preservation of some intercarpal motion. To achieve this, the reconstruction should be strong enough to stabilize the carpus, and simultaneously flexible enough to preserve its dynamics.…”

Section: Discussionmentioning

confidence: 99%

Combined Tenodesis–Capsulodesis for Scapholunate Instability: Minimum 2-Year Follow-Up

et al. 2016

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Background The aim of this study is to evaluate the clinical and radiological midterm results of a combined dorsal tenodesis-capsulodesis for static and reducible scapholunate dissociation (SLD). Patients and Methods We evaluated 20 of 22 consecutive patients with static SLD minimum with follow-up of 2 years operated between 2003 and 2012. The mean age was 40 years (range: 23-65 years). Seventeen were men. Final evaluation included comparative wrist range of motion (ROM) and grip strength, pre-and postoperative pain and function by visual analog scale, and QuickDASH and Wrightington scores. Radiographs included preoperative, early postoperative, and final X-rays. Scapholunate space (SLS) and scapholunate and radioscaphoid angles (SLA and RSA) were measured. Statistical significance was evaluated with Student t-test, considered significant when p < 0.05. Results Mean follow-up was 67 months (range: 24-126 months). Mean final ROM was: flexion 55 degrees (73%), extension 62 degrees (90%), radial deviation 19 degrees (82%), and ulnar deviation 44 degrees (90%). Mean grip strength was 44 kg (92%). Pain at rest improved from 3.4 to 0.5 (p < 0.05). Pain in activity improved from 7 to 1.7 (p < 0.05). Final function was 8.5 (preoperative, 5.2; p < 0.05). Mean QuickDASH score improved from 38 to 8 (p < 0.05). Functional Wrightington score was as follows: 13 excellent, 3 good, 1 regular, and 3 poor. There were three postoperative minor complications. Radiological results (preoperative/early postoperative/final follow-up) were as follows: SLS, 4.7/1.6/1.8 mm; and SLA, 60/50/62 degrees; RSA, 39/45/37 degrees. Four patients showed arthritic changes (two SLAC wrist). Conclusion The clinical and radiological results with more than 2-year follow-up suggest that this technique may be effective, reproducible, and safe for symptomatic static and reducible SLD. Level of Evidence Level IV, case series.

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Chronic scapholunate instability treated by scaphocapitate fusion: A midterm outcome perspective

Abstract: Level 4, retrospective study.

Cited by 21 publications

References 24 publications

Scapholunate Ligament Insufficiency in a Patient with Scaphocapitate Coalition

Scapholunate Ligament Insufficiency in a Patient with Scaphocapitate Coalition

Arthroscopic Scaphocapitate Fusion: Surgical Technique

Combined Tenodesis–Capsulodesis for Scapholunate Instability: Minimum 2-Year Follow-Up

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