Arthroscopically Assisted Ligamentoplasty for Axial and Dorsal Reconstruction of the Scapholunate Ligament

Carratalá, Vicente; Lucas, Francisco Javier; Alepuz, Eduardo Sánchez; Guisasola, Eva; Calero, Rafael

doi:10.1016/j.eats.2016.01.010

Cited by 14 publications

(8 citation statements)

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“…In both cases, arthroscopy-assisted ligamentoplasty was performed for axial and dorsal reconstruction of the SLL, described by Carratalá et al in 2016. 23 No other complications were reported in the rest of the cases.…”

Section: Resultsmentioning

confidence: 85%

Arthroscopic Reinsertion of Acute Injuries of the Scapholunate Ligament Technique and Results

et al. 2020

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Objective To describe a technique for treating acute injuries of the scapholunate ligament (SLL) by performing an arthroscopic reinsertion of the SLL and dorsal capsulodesis and to present the results obtained. Methods The study deals with an analytical, prospective clinical study that included 19 consecutive patients with acute injury of the SLL. The range of joint motion, grip strength, pain according to the visual analog scale, functional outcomes according to the Mayo Wrist Score (MWS), and the QuickDASH Score were studied preoperatively and 6 and 12 months postoperatively. The complications and necessary reinterventions were recorded. Results Nineteen patients with acute injury of the SLL were studied; mean age was 44 ± 2 years, 74% males, 58% complete rupture, and 42% partial rupture, treated with the above-mentioned technique. Thirty-seven percent also had a distal radius fracture and there was one case of perilunate dislocation. Improvement in pain, grip strength, joint balance, and functionality was observed 6 and 12 months postoperatively, with 79% of the cases with good or excellent results Conclusion The arthroscopic reinsertion and dorsal capsular reinforcement of the SLL, allow a reliable and stable primary repair of the dorsal aspect of the ligament in acute or subacute SL injuries where there is tissue that can potentially be repaired, thus achieving an anatomical repair similar to that obtained with open surgery, but without the complications and stiffness secondary to aggressive interventions on the soft tissues that are inherent to the open dorsal approach.

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Section: Resultsmentioning

confidence: 85%

Arthroscopic Reinsertion of Acute Injuries of the Scapholunate Ligament Technique and Results

et al. 2020

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“…The remainder of the tendon is sutured to the volar surface of the scaphoid. Corella et al have also described an arthroscopic approach to reconstruct both the volar and dorsal SLLs with a minimally invasive technique 80,81. A clinical cohort study performed by Ho et al on an arthroscopic ligamentoplasty reconstructing the volar and dorsal SLLs followed its patients for an average of 48.3 months and found improvements in pain score, wrist motion, and grip strength 82…”

Section: Stage 4: Complete Irreparable Sll Injury With Reducible Malmentioning

confidence: 99%

Optimal management of scapholunate ligament injuries

Konopka¹,

Chim²

2018

ORR

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Scapholunate ligament (SLL) injuries are a common cause of wrist pain and instability. Treatment of SLL injuries requires intricate understanding of wrist anatomy and biomechanics. Mindful physical exam and appropriate diagnostic studies can orient the surgeon to the defined stage of injury. Review of the literature on each treatment by stage can prepare the upper extremity surgeon to provide the best evidence-based care. The optimal management of SLL injuries should result in a stable, painless wrist.

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“…En este punto es importante destacar las ventajas de la cirugía artroscópica con respecto a las técnicas abiertas, en las que hay una lesión casi constante del nervio interóseo posterior así como de los estabilizadores secundarios de la muñeca al realizar el abordaje dorsal. Las ventajas de la artroscopia en este sentido serán: menor rigidez de la articulación, lo que facilita la recuperación de recorridos articulares y la ausencia de lesión del nervio interóseo posterior así como de los estabilizadores secundarios, lo que nos va a permitir la correcta reeducación propioceptiva 18,19 .…”

Section: Potenciación Selectiva De Determinados Grupos Musculares Queunclassified

“…El tiempo de inmovilización posquirúrgico variará según las indicaciones del cirujano en función del tipo de reparación empleada (reparación del ligamento o ligamentoplastia de reconstrucción 18,19 ). Este podrá oscilar entre 2 y 6 semanas según la técnica.…”

Section: Protocolo Rehabilitador Tras La Reparación Escafolunarunclassified

El papel de la rehabilitación tras las reparaciones de las inestabilidades de muñeca

Lerma¹,

Baixauli²,

Selma³

et al. 2016

Rev Iberoam Cir Mano

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PALABRAS CLAVERehabilitación; Inestabilidad; Propiocepción; Muñeca Resumen De las patologías de muñeca más frecuentes en la consulta del cirujano de la mano, las inestabilidades carpianas ocupan un lugar importante junto con el dolor en la vertiente ulnocarpiana cuya causa más frecuente son las lesiones del complejo fibrocartílago triangular, que en ocasiones van a condicionar una inestabilidad de la articulación radiocubital distal. Analizando los datos anatómicos y biomecánicos que diponemos de la muñeca y tomando como punto de partida los escasos protocolos rehabilitadores de las inestabilidades escafolunares y lunopiramidales que existen en la bibliografía, se exponen los programas rehabilitadores específicos para cada una de ellas. Se describen también los protocolos existentes para la rehabilitación tras las reparaciones del complejo fibrocartílago triangular y exponemos los protocolos con los que trabajamos en la actualidad.Definimos también la importancia de la reeducación propioceptiva en este tipo de lesiones y describimos un programa detallado de introducción progresiva de determinados ejercicios encaminados a ello. © 2016 SECMA. Publicado por Elsevier España, S.L.U. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/). KEYWORDS Rehabilitation; Instability; Proprioception; WristThe role of rehabilitation after repair of wrist injuries Abstract One of the most frequent wrist pathologies seen by the hand surgeon are the carpal instabilities together with the pain in the ulnocarpal side. The most common causes are due to injuries in the fibrocartilage triangular complex. These injuries sometimes may cause an instability of the distal radio-ulnar joint. After an analysis of the anatomical and biomechanical data, and taking the few rehabilitation protocols of scapholunate and lunotriquetral instabilities published in the literature, specific rehabilitation programs for each one of these * Autor para correspondencia. Correo electrónico: evaguisa@yahoo.es (E. Guisasola Lerma).

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Arthroscopically Assisted Ligamentoplasty for Axial and Dorsal Reconstruction of the Scapholunate Ligament

Cited by 14 publications

References 8 publications

Arthroscopic Reinsertion of Acute Injuries of the Scapholunate Ligament Technique and Results

Arthroscopic Reinsertion of Acute Injuries of the Scapholunate Ligament Technique and Results

Optimal management of scapholunate ligament injuries

El papel de la rehabilitación tras las reparaciones de las inestabilidades de muñeca

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