Dorsal intercarpal ligament capsulodesis: a retrospective study of 120 patients according to types of chronic scapholunate instability

Micicoi, Grégoire; Micicoi, Lolita; Dreant, Nicolas

doi:10.1177/1753193420911338

Cited by 9 publications

(9 citation statements)

References 31 publications

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“…1 ). 1 37 38 39 40 41 42 43 44 45 46 47 48 49 Substantial inter-reviewer agreement was obtained for both the title and abstract screening (κ = 0.899; 95% confidence interval [CI]: 0.874–0.923) and for full-text screening (κ = 0.777; 95% CI: 0.604–0.950). There was one level III evidence case–control study 48 and 13 level IV evidence case series studies ( Table 1 ).…”

Section: Resultsmentioning

confidence: 97%

“…There were three studies included in the AC group 42 43 44 consisting of 138 patients with an average age of 32.2 ± 3.8 years, the percentage of patients that was female averaged 38.1% ± 1.1, and the average follow-up period was 15.2 ± 0.4 months. There were 32 wrists graded Geissler II or III, 5 wrists graded Messina-EWAS II, 5 wrists graded Messina-EWAS IIIB, 48 wrists graded predynamic by Watson clinical grading, and 48 wrists graded dynamic by Watson clinical grading ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…The pre- and postintervention VAS pain scores were reported in four studies in the ES group (one study only reported postintervention), 37 38 39 40 three studies in the AC group (one study only reported postintervention), 42 43 44 three studies in the OC group, 45 47 49 and one study in the NT group. 1 For the ES group the postintervention VAS averaged 1.4 ± 0.5 (preintervention 5.7 ± 1.8), for the AC group the VAS averaged 3.2 ± 1.3 (preintervention 6.6 ± 0), for the OC group the VAS averaged 2.3 ± 2.1 (preintervention 5.6 ± 1.6), and for the NT group the average was 3.2 (preintervention 7.6) ( Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…The preintervention and postintervention PRWE scores were reported in one study in the ES group (only reported postintervention), 38 one study in the AC group (only reported postintervention), 43 and four studies in the OC group. 45 46 48 49 The average postintervention PRWE score for the ES group was 14, the average PRWE score for the AC group was 27, and the average PRWE score for the OC group was 37.3 ± 14.3 (preintervention 72.9 ± 25.2).…”

Section: Resultsmentioning

confidence: 99%

“…There were three studies included in the AC group [42][43][44] consisting of 138 patients with an average age of 32.…”

Section: Arthroscopic Capsuloplastymentioning

confidence: 99%

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Partial Scapholunate Interosseous Ligament Injuries: A Systematic Review of Treatment Options

et al. 2023

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Purpose This systematic review summarizes the existing evidence on treatment options and outcomes for partial scapholunate interosseous ligament (pSLIL) injuries. Methods A systematic electronic search of Medline, Embase, and CINAHL was performed from inception through to February 13, 2022. All primary research articles addressing the treatment of pSLIL tears were eligible for inclusion regardless of timing of surgery, surgical technique, or rehabilitation. The PRISMA Checklist guided the reporting and data abstraction. Descriptive statistics and forest plots are presented. Results A total of 14 studies with 342 patients were included for analysis. Treatments were categorized into four groups: electrothermal shrinkage (ES), arthroscopic capsuloplasty (AC), open capsulodesis (OC), and no treatment (NT). There were five studies in the ES group (N = 69, mean age = 34.3 ± 3.3 years), three studies in the AC group (N = 138, mean age = 32.2 ± 3.8 years), five studies in the OC group (N = 123, mean age of 30.7 ± 7.8 years), and one study in the NT group (N = 12, mean age = 43 years, range = 28–67 years). The average postintervention visual analog scale pain score for the ES group was 1.4 ± 0.5 (from 5.7 ± 1.8), for the AC group was 3.2 ± 1.3 (from 6.6 ± 0), for the OC group was 2.3 ± 2.1 (from 5.6 ± 1.6), and for the NT group was 3.2 (from 7.6). The wrist extension range of motion improved postoperatively for all intervention groups (ES = 66.3°–70.7°; AC = 67°–74.5°; and OC = 48.9°–63.5°), whereas it remained unchanged for the NT group (46°–45°). Grip strength also improved in all intervention groups (ES = 17.9–29.9 kg; AC = 24.0–32.2 kg; and OC = 15.8–26.6 kg), while the NT group remained unchanged (25–24 kg). The radiographic scapholunate gap improved postoperatively in all groups that reported pre- and postintervention (ES = 2.2–1.9 mm; OC = 2.5–1.8 mm) and slightly worsened in the NT group (2.5–2.7 mm). In the ES group, there were three complications (11.5%, no major complications), in the AC group there was one major complication (0.9%, complex regional pain syndrome [CRPS]), and in the OC group there were six complications (15.4%, four major complications—CRPS). Conclusion All interventional treatment options (ES, AC, and OC) provided significant improvements in patient-reported pain, range of motion, grip strength, and radiographic parameters, with low complication rates. In comparison, no improvement in range of motion or grip strength was noted in the NT group. Therefore, surgical management of pSLIL injuries is an effective and relatively safe treatment option. Further studies comparing the outcomes of specific surgical treatments are warranted to further elucidate the optimal management option for pSLIL tears. Level of Evidence Level III, systematic review of Level III–IV studies.

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