A New Surgical Technique for Treating Rotary Instability of the Scaphoid

Herbert, Timothy J.; Hargreaves, Ian; Clarke, Andrew

doi:10.1142/s0218810496000130

Cited by 13 publications

(4 citation statements)

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“…7,16,17 A variety of surgical techniques have been proposed to treat this complex problem, yet disagreement remains with respect to the best management. [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] As mentioned by Kitay and Wolfe, 16 in the presence of a flexible deformity (dynamic instability) without osteoarthritis some type of soft-tissue reconstruction may be indicated. The majority of the capsulodesis bring good results in these cases.…”

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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Section: Discussionmentioning

confidence: 99%

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

et al. 2016

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“…La que han sido mayormente difundidas son: la primera descrita por Blatt 9 en la que se confeccionaba un colgajo rectangular de la cápsula dorsal, dejándola insertada en la parte dorsal del radio, se reinsertaba su extremo distal en la cara dorsal del escafoides corrigiendo su posición en flexión. Posteriormente Herbert 10 , describió la misma técnica pero dejando la cápsula insertada distalmente y anclándola en la cara dorsal del radio. Estudios mediante RM han mostrado el aumento de grosor de estas capsulodesis con el paso del tiempo.…”

Section: Figura 12: En La Proyección De Perfil Un Aumento Del áNgulo unclassified

Inestabilidades carpianas

Claramunt¹

2010

Rev Iberoam Cir Mano

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“…16 In cases with an incomplete SL ligament tear, screw fixation was usually unnecessary and the capsular flap was advanced proximally to correct any anteversion deformity of the scaphoid (see Herbert et a/. 16 for details).…”

Section: Operative Techniquementioning

confidence: 99%

Herbert Screw Fixation for the Treatment of Scapholunate Ligament Rupture

Filan¹,

Herbert²

1998

Hand Surg.

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Complete rupture of the scapholunate ligament was treated by open reduction, ligament repair and internal splintage with a Herbert bone screw. After an average of 12 months, the screw was removed to allow full loading of the repair. In 33 procedures, there were 22 good and 11 poor results. In five cases with a poor outcome, the screw pulled or fractured out of the scaphoid or lunate. Grip and range of wrist motion improved in patients with a good outcome, and repair of the ligament was noted at all revision and open screw removal surgeries. A comparison of the good and poor results leads us to recommend this technique for patients with relatively recent injuries and light to moderate activity levels. Longstanding injuries and heavy occupational wrist loading led to poorer results.Correspondence to: Susan L Filan,

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A New Surgical Technique for Treating Rotary Instability of the Scaphoid

Cited by 13 publications

References 0 publications

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

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

Inestabilidades carpianas

Herbert Screw Fixation for the Treatment of Scapholunate Ligament Rupture

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