Scapholunate Stabilization With Dynamic Extensor Carpi Radialis Longus Tendon Transfer

Peterson, Steven L.; Freeland, Alan E.

doi:10.1016/j.jhsa.2010.09.021

Cited by 19 publications

(11 citation statements)

References 22 publications

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“…Rather, like other authors, we recommend a less technically demanding approach offering more consistent and better short- and medium-term functional outcomes such as capsulodesis (Laulan, 2009), preferably intracarpal, despite its weak anti-osteoarthritic protection (more than 25% of osteoarthritis after five years and more than 50% at seven years; Gajendran et al, 2007; Schweizer and Steiger, 2002). Certain authors also recommend dynamic tenodesis (Bleuler et al, 2008; Peterson and Freeland, 2010), and others, arthroscopic capsulodesis (Mathoulin et al, 2011) that provides good short-term functional outcome, but calls for long-term assessment. Since there is no long-term data available for these aggressive surgical procedures, the question of merely monitoring cases of subclinical dynamic instability must be raised.…”

Section: Discussionmentioning

confidence: 99%

The role of three-ligament tenodesis in the treatment of chronic scapholunate instability

Pauchard

Dederichs

Segret

et al. 2013

J Hand Surg Eur Vol

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Restoring ligamentous control in dissociative carpal instability is a major issue in protecting against osteoarthritis. We present clinical and radiological results for 20 patients who underwent flexor carpi radialis three-ligament tenodesis and were prospectively reviewed at a mean follow-up of 25.1 months. Three-ligament tenodesis significantly relieved pain and increased grip strength, wrist function at the expense of joint stiffness. This improvement was not seen in cases of dynamic instability. However, ligamentous loosening did result in rapid recurrence of radiological anomalies and frequent complications. This study challenges the long-term benefit of three-ligament tenodesis in both dynamic and static chronic scapholunate instability.

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Section: Discussionmentioning

confidence: 99%

The role of three-ligament tenodesis in the treatment of chronic scapholunate instability

Pauchard

Dederichs

Segret

et al. 2013

J Hand Surg Eur Vol

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“…A further modification of the original technique was published in 2010, 12 in which the whole tendon is inserted into a hole in the scaphoid and secured with a suture knot over the scaphoid tubercle cortex. This technique requires a second, volar incision, and relies entirely on the knot and the cortex of the tubercle.…”

Section: Discussionmentioning

confidence: 99%

“…7 Several operative techniques have been described, including arthroscopic debridement and thermal shrinkage 9 or extensor carpi radialis longus (ECRL) tenodesis to the dorsum of the scaphoid. [10][11][12] We present our surgical technique for a modified, minimally invasive technique of ECRL tenodesis with a polyetheretherketone (PEEK) anchor for treatment of Geissler grade 2 SLD, with our preliminary results using this method.…”

Section: (►Table 1)mentioning

confidence: 99%

Extensor Carpi Radialis Longus Tenodesis Using a Biotenodesis Screw for Treatment of Symptomatic Geissler 2 Scapholunate Dissociation

Stone

Shahid

Agarwal

et al. 2019

Journal of Hand and Microsurgery

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Treatment of scapholunate dissociation (SLD) depends on the degree of injury. We present our technique of extensor carpi radialis longus (ECRL) tenodesis for Geissler grade 2 SLD and our preliminary results. After arthroscopic confirmation of Geissler grade 2 SLD, we use a single incision and a polyetheretherketone (PEEK) anchor, attaching half of the ECRL tendon to the scaphoid. Preliminary results include improvements in QDASH, QDASH (work) and QDASH (sports/music), a median satisfaction level of 4/5 (satisfied), and a low complication rate. Our method is a safe, reproducible, and effective treatment of symptomatic Geissler grade 2 SLD that has failed nonoperative management, with technical advantages over alternative methods in the literature.

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“…[11][12][13] Similarly, many reconstructions have recreated the dorsal component or some sort of central tethering of the scaphoid and lunate. 1,[14][15][16][17][18][19][20][21] This is based partially on anatomical studies that have shown the dorsal component of the SLIL to be 2 to 5 mm thick and the volar SLIL to be only 1 mm thick, [22][23][24] Waters et al 10 biomechanically studied the relative roles of the dorsal and volar portions of the SLIL in stabilizing the scaphoid and lunate. They tested 16 fresh frozen cadaver wrists in a wrist joint motion simulator with 8 wrists having the dorsal SLIL sectioned first and the other 8 having the volar SLIL sectioned first.…”

Section: Relative Importance Of the Dorsal And Volar Components Of The Slilmentioning

confidence: 99%

Design Requirements for Scapholunate Interosseous Ligament Reconstruction

Werner

2021

J Wrist Surg

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Background As numerous repairs, reconstructions, and replacements have been used following scapholunate interosseous ligament (SLIL) injury, there is a need to define the structural requirements for any reconstruction or replacement. Methods Research has been conducted on the force needed to keep the scaphoid and lunate reduced following simulated injury, the failure force of the native SLIL and various replacements, the stiffness of the SLIL and replacements, and the torsional resistance of the scaphoid relative to the lunate. Results Forces on the order of 50 N are needed to keep the scaphoid and lunate reduced during simple wrist motions in the chronically injured wrist. Even greater forces (up to 110 N) are needed to keep the bones reduced during strenuous activities, such as pushups. The failure force of the entire SLIL has been reported to be as high as 350 N and the failure force of just the dorsal component of the SLIL to be 270 N. Conclusions The design requirements for a reconstruction or repair may vary depending upon the demands of the patient. In a high demand patient, a reconstruction needs to support the above-mentioned forces during cyclic loading (50 N), when performing strenuous activities (110 N), or during a fall (at least 350 N). Any artificial replacement must undergo careful biocompatibility testing.

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Scapholunate Stabilization With Dynamic Extensor Carpi Radialis Longus Tendon Transfer

Cited by 19 publications

References 22 publications

The role of three-ligament tenodesis in the treatment of chronic scapholunate instability

The role of three-ligament tenodesis in the treatment of chronic scapholunate instability

Extensor Carpi Radialis Longus Tenodesis Using a Biotenodesis Screw for Treatment of Symptomatic Geissler 2 Scapholunate Dissociation

Design Requirements for Scapholunate Interosseous Ligament Reconstruction

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