Common Pathways of Degenerative Arthritis of the Wrist

Harrington, Robert H.; Lichtman, David M.; Brockmole, Dean M.

doi:10.1016/s0749-0712(21)00767-8

Cited by 39 publications

(11 citation statements)

References 30 publications

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“…Due to altered carpal mechanics, 55% of untreated patients develop SL advanced collapse (SLAC) (Watson et al, 1997). These progressive degenerative changes of the wrist can lead to pancarpal arthritis causing pain and limited ranges of motion (Garcia-Elias et al, 2006;Harrington et al, 1987;Sebald et al, 1974;Watson and Ballet, 1984). The objective of treatment for symptomatic or progressive SL instability treatment is the restoration of normal carpal kinematics to prevent the development of SLAC (Gelbermann et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Outcome of arthroscopic reduction association of the scapholunate joint

Koehler

Guerra

Kim

et al. 2015

J Hand Surg Eur Vol

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This study evaluates the arthroscopic reduction association scapholunate technique and outcomes. A total of 18 patients with chronic scapholunate instability with mean follow-up of 36 months were reviewed. Postoperatively, the mean visual analogue score was 2.5 and the mean DASH score was 8. The grip strength was 27 kg on the operative side compared with 32 kg on the uninjured side. The mean wrist flexion was 46° and extension was 56°. Seven patients had complications. Six patients had scapholunate joint widening, one had windshield-wipering of the screws with loss of reduction, and two demonstrated progression of scapholunate advanced collapse deformity. Four patients underwent revision surgeries: two revision arthroscopic reduction association scapholunates and two proximal row carpectomies. A preoperative scapholunate gap of greater than 5 mm and the presence of scapholunate advanced collapse Grade I were both predictive of a complication or revision surgery. Patients with a scapholunate gap of greater than 5 mm or scapholunate advanced collapse had statistically higher complications rates.Level of Evidence IV.

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Section: Introductionmentioning

confidence: 99%

Outcome of arthroscopic reduction association of the scapholunate joint

Koehler

Guerra

Kim

et al. 2015

J Hand Surg Eur Vol

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“…The natural history of untreated scapholunate interosseus ligament injury is still unclear. Although Harrington et al (1987) and Watson et al (1997) stated that secondary osteoarthritis in the form of SLAC is an inevitable consequence of a scapholunate disruption, there is little supportive evidence. Larsen and Brondum (1993) performed a retrospective review of 18 cases of carpal instability diagnosed by clinical and radiological means, most of which had been treated surgically with either plate fixation or Kirschner wires.…”

Section: Discussionmentioning

confidence: 99%

The Natural History of an Untreated Isolated Scapholunate Interosseus Ligament Injury

O’Meeghan

Stuart

Mamo

et al. 2003

Journal of Hand Surgery

125

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The natural history of an untreated isolated scapholunate interosseus ligament injury remains unclear, although it is commonly assumed that patients continue to suffer with pain, stiffness and weakness of the wrist and ultimately develop secondary osteoarthritis (SLAC wrist). In this study, we evaluated the clinical condition of 11 patients with an arthroscopically proven interosseus scapholunate ligament injury, but without any radiological signs of either DISI deformity or scapholunate gapping, who had declined further treatment at an average follow-up of 7 years. Whilst there was on going pain and functional limitation in all cases, there was no rapid progression to degenerative change (SLAC wrist).

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“…The natural history of an isolated scapholunate ligament injury remains unclear. Although Harrington et al (1987) and Watson et al (1997Watson et al ( , 1999 stated that secondary osteoarthritis in the form of a scapholunate advanced collapse (SLAC) wrist is an inevitable consequence of a scapholunate disruption there is still little conclusive evidence of this. Larsen and Brondum (1993) performed a retrospective review of 18 cases of carpal instability diagnosed by clinical and radiological means, most of which had been treated surgically.…”

Section: What Are the Long-term Effects Of Carpal Instability?mentioning

confidence: 99%