Minimum 5-Year Outcomes of Dorsal Intercarpal Ligament Capsulodesis With Scapholunate Interosseous Ligament Repair for Subacute and Chronic Static Scapholunate Instability: A Clinical Series of 5 Patients

Shibayama, Hiroki; Matsui, Yuichiro; Kawamura, Daisuke; Momma, Daisuke; Endo, Toyoshi; Iwasaki, Norimasa

doi:10.1016/j.jhsg.2022.01.007

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…2,8 This understanding has led to surgical management of SL dissociation focusing on capsuloligamentous repair rather than SLIL alone. [12][13][14] There have also been reports of DICL capsulodesis or plication for midcarpal instability. 15,16 Although DICL injuries are often associated with other carpal ligament injuries, they can also occur in isolation.…”

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Dorsal Intercarpal Ligament Tears: An Arthroscopic Classification and Clinical Outcomes Study

Merlini,

Chung,

Caloia

2024

J Wrist Surg

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Background The dorsal intercarpal (DIC) ligament plays a significant role in carpal stability and is often associated with other carpal ligament injuries. Isolated DIC ligament injuries are rare and can present as a ligament avulsion, bony avulsion, or attenuation due to chronic injury. Previously, we described the first isolated DIC ligament avulsion and proposed an arthroscopic repair technique. This article presents an arthroscopic classification of DIC ligament complex injuries and outcomes in a larger series of patients. Methods A retrospective review was conducted on 16 patients who had undergone arthroscopic repair of the DIC ligament from 2018 to 2022. Intraoperative arthroscopic findings were documented, leading to the proposal of a classification system for DIC ligament tears. Pre- and postoperative outcomes, including the range of motion, grip strength, visual analog scale (VAS) pain scores, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH) outcomes, were assessed in this cohort. Results At a mean follow-up of 17.8 months, there was a statistically significant improvement in wrist flexion (65.3 to 74.3 degrees), wrist extension (77.8 to 84.5 degrees), comparative grip strength (46.4 to 87% compared with contralateral wrist), VAS score (6.3 to 0.6), and QuickDASH score (54.8 to 4.5). Four out of 16 patients (25%) had isolated DIC ligament tears, and the remaining 12 (75%) had concomitant intercarpal ligament injuries. Conclusion The study highlights the critical role of the DIC ligament in carpal stability and introduces an arthroscopic classification for evaluating this lesion. Surgical options for different types of DIC ligament tears were also discussed. Level of Evidence Level III, Retrospective study.

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“…2 8 This understanding has led to surgical management of SL dissociation focusing on capsuloligamentous repair rather than SLIL alone. 12 13 14…”

mentioning

confidence: 99%

Dorsal Intercarpal Ligament Tears: An Arthroscopic Classification and Clinical Outcomes Study

Merlini,

Chung,

Caloia

2024

J Wrist Surg

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Capsulodesis with Internal Brace Augmentation for Treatment of Static Scapholunate Instability

Parikh,

Shin

2024

Carpal Instability

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Ligamentoplasty in scapholunate instability: short-term results of the “all dorsal scapholunate repair” technique

Helfter,

Forli,

Philippides

et al. 2023

Eur J Orthop Surg Traumatol

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Minimum 5-Year Outcomes of Dorsal Intercarpal Ligament Capsulodesis With Scapholunate Interosseous Ligament Repair for Subacute and Chronic Static Scapholunate Instability: A Clinical Series of 5 Patients

Cited by 3 publications

References 33 publications

Dorsal Intercarpal Ligament Tears: An Arthroscopic Classification and Clinical Outcomes Study

Dorsal Intercarpal Ligament Tears: An Arthroscopic Classification and Clinical Outcomes Study

Capsulodesis with Internal Brace Augmentation for Treatment of Static Scapholunate Instability

Ligamentoplasty in scapholunate instability: short-term results of the “all dorsal scapholunate repair” technique

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