Association of Lesions of the Scapholunate Interval With Arthroscopic Grading of Scapholunate Instability Via the Geissler Classification

Lee, Steve K.; Model, Zina; Desai, Healthy; Hsu, Patricia; Paksima, Nader; Dhaliwal, Gurpreet

doi:10.1016/j.jhsa.2015.02.017

Cited by 19 publications

(12 citation statements)

References 24 publications

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“…25 Multiple in vivo studies suggest that scapholunate ligament diastasis occurs after injury of the scapholunate ligament in conjunction with an injury to a secondary stabilizer of the wrist. 11,18,31 Capsulodesis procedures attempt to augment ligament repair with a dorsal capsular plication, while tenodesis procedures attempt to introduce a nonanatomic stabilizer to address disordered wrist kinematics. Although these data cannot provide insights into actual kinematics, the study suggests in general the tenodesis concept may be more successful in improving carpal relationships.…”

Section: Discussionmentioning

confidence: 99%

Chronic Scapholunate Interosseous Ligament Disruption: A Systematic Review and Meta-Analysis of Surgical Treatments

Daly

Mohamadi

et al. 2018

Hand (New York, N,Y.)

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Section: Discussionmentioning

confidence: 99%

Chronic Scapholunate Interosseous Ligament Disruption: A Systematic Review and Meta-Analysis of Surgical Treatments

Daly

Mohamadi

et al. 2018

Hand (New York, N,Y.)

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“…Grade III followed sectioning of the dorsal SLIL and the volar extrinsic ligaments (radioscaphocapitate and long radiolunate ligaments). Sectioning of the dorsal extrinsic stabilizers was a key component in the progression from grade III to grade IV wrists [26].…”

Section: Discussionmentioning

confidence: 99%

“…Patients with acute partial tears (Geissler grades I, II, III) can be treated successfully with arthroscopic debridement and temporary K-wire stabilization of the SL and scaphocapitate joints [8,30]. Acute complete lesions (Geissler grade IV) are better addressed with open ligament repair, reinforced by dorsal capsulodesis [8,[25][26][27][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Scapholunate interosseous ligament injury in professional volleyball players

Mugnai

Rosa

Tarallo

2016

Hand Surgery and Rehabilitation

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Injuries to the scapholunate interosseous ligament (SLIL) are the most common cause of carpal instability. A SLIL injury typically follows a fall on an outstretched hand, with the wrist in hyperextension, ulnar deviation and intercarpal supination. We hypothesize that repetitive axial loading on the wrist in hyperextension, during the reception and digging motions of volleyball, can lead to functional overloading of the SLIL. To identify patients and to determine the clinical history and surgical treatment performed, we analyzed hospital records, X-rays, electronic databases containing all the operations performed, and image files (including before and after surgery and follow-up). We identified three SLIL injury cases in national volleyball team players, also at the libero position, who were treated at our clinic between 2007 and 2013 for scapholunate instability. Open reduction and Berger capsulodesis was performed in all cases. At a mean follow-up of 3 years (range, 22-50 months), the mean pain level on VAS was 0.3 (range, 0-1) at rest and 1.7 (range 1-2) during sport activities. The mean DASH score was 4 (range 2-5). The mean wrist flexion was 60° (range 55-70°) and extension was 80° (range 75-85°). Given the greater susceptibility of these players for developing a SLIL injury, a high index of suspicion is needed when managing athletes presenting with wrist pain or instability.

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“…12 Biomechanical evidence suggests that a tear of the SLIL accompanied by a tear of the secondary stabilizers such as the dorsal radiocarpal ligament, volar radiocarpal ligaments, or scaphotrapezial ligaments may lead to greater carpal instability. 13,14 Fracture lines tend to occur between ligament attachment sites of the distal radius, 15 and intra-articular fractures often result in insufficiency of secondary stabilizers of the carpus. 3 Subsequently, SL diastasis in distal radius fractures may be related to displacement of these fracture fragments.…”

mentioning

confidence: 99%

Scapholunate Diastasis in Distal Radius Fractures: Fracture Pattern Analysis on CT Scans

et al. 2020

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Objectives Our understanding of distal radius fractures with concomitant scapholunate (SL) diastasis primarily comes from plain radiographs and arthroscopy. The clinical implications of SL diastasis are not clear. The aim of this study is to describe fracture characteristics of distal radius fractures on computed tomography (CT) scans in patients with distal radius fractures and static SL diastasis. Methods We queried our institutional databases to identify patients who were treated for a distal radius fracture, had a CT scan with a wrist-protocol, and static SL diastasis on their CT scan. Our final cohort consisted of 26 patients. We then collected data on their demographics, injury, treatment, evaluated injury patterns, and measured radiographic SL characteristics. Our study cohort consisted of 11 men (42%) and almost half of our cohort (n = 12; 46%) had a high-energy mechanism of injury. The majority of the patients (n = 20; 77%) had operative treatment for their distal radius fracture and two patients (7.7%) had operative treatment of their SL injury. Results The mean SL distance was 3.5 ± 1.1 mm. Twenty patients (77%) had an intra-articular fracture. In these patients, we observed three patterns: (1) scaphoid facet impaction; (2) lunate facet impaction; and (3) no relative impaction. We observed other injury elements including rotation of the radial styloid relative to the lunate facet and partial carpal subluxations. Conclusion Static SL dissociation in the setting of distal radius fractures may be an indication of a complex injury of the distal radius, which may not be directly apparent on plain radiography. If these radiographs do not demonstrate impaction of the lunate or scaphoid facet, a CT scan may be warranted to have a more detailed view of the articular surface. Level of Evidence This is a Level III, diagnostic study.

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Association of Lesions of the Scapholunate Interval With Arthroscopic Grading of Scapholunate Instability Via the Geissler Classification

Cited by 19 publications

References 24 publications

Chronic Scapholunate Interosseous Ligament Disruption: A Systematic Review and Meta-Analysis of Surgical Treatments

Chronic Scapholunate Interosseous Ligament Disruption: A Systematic Review and Meta-Analysis of Surgical Treatments

Scapholunate interosseous ligament injury in professional volleyball players

Scapholunate Diastasis in Distal Radius Fractures: Fracture Pattern Analysis on CT Scans

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