The Use of Temporary Screw Augmentation for the Treatment of Scapholunate Injuries

  title={The Use of Temporary Screw Augmentation for the Treatment of Scapholunate Injuries},
  author={Timothy B Larson and R. G. Gaston and R. C. Chadderdon},
  journal={Techniques in Hand \& Upper Extremity Surgery},
Introduction: Injuries to the scapholunate (SL) interosseous ligament can have devastating consequences to carpal stability. The purpose of this study is to provide a technique for screw augmentation to SL reconstruction, while comparing radiographic outcomes to a traditional Kirschner wire fixation cohort. Methods: A retrospective review of all patients treated by screw fixation for SL ligament injuries was cross-matched to a cohort of patients treated with pin fixation for age and length of… Expand
Chronic scapholunate instability treated with temporary screw fixation.
Temporary SL screw fixation together with arthroscopic debridement, ligament repair, or reconstruction provided a stable closure of the SL interval and satisfactory clinical and functional results along with a low incidence of complication. Expand
Chronic Scapholunate Interosseous Ligament Disruption: A Systematic Review and Meta-Analysis of Surgical Treatments
Comparing preoperative and postoperative radiographic measurements, tenodesis reconstruction demonstrated significantly improved SLG and SLA relative to capsulodesis and showed improvement in grip strength and Disabilities of the Arm, Shoulder and Hand scores. Expand
Surgical outcomes of chronic isolated scapholunate interosseous ligament injuries: a systematic review of 805 wrists
Compared to overall preoperative values, modest improvements in pain score, grip strength and functional outcome scores were obtained from a range of reconstructive procedures performed for chronic isolated SLIL injuries. Expand
Biomechanics of an Articulated Screw in Acute Scapholunate Ligament Disruption
The findings suggest that the articulating screw may be effective for protecting a SLIL repair while allowing the physiological rotation to occur between the scaphoid and lunate. Expand
Injuries of the Scapholunate Interosseous Ligament: An Update
Thorough understanding of the anatomy, biomechanics, and pathophysiology of the wrist is important in treating injuries to the scapholunate ligament, both a key ligament in the stability of the carpus and one of the most frequently injured. Expand
Radiographic evaluation of the modified Brunelli technique versus a scapholunotriquetral transosseous tenodesis technique for scapholunate dissociation.
In this cadaveric model, both MBT and SLT reconstructions restored anatomic parameters in the SL joint, with correction of SL diastasis and SL angle with a central biologic tether along the SL axis and dorsal reinforcement. Expand
Chronic Scapholunate Ligament Injuries: Treatment with Supplemental Fixation.
The role of supplemental fixation in the management of chronic scapholunate instability is evaluated and may allow more robust stabilization of the scap holunate reconstruction. Expand
Current Techniques in Scapholunate Ligament Reconstruction.
The relevant anatomy, biomechanics, and classification system is described, and an up-to-date literature-based review of treatment options, including acute repair and various reconstruction techniques are provided. Expand
JAAOS-D-14-00254 691..703
    The scapholunate ligament is both a key ligament in the stability of the carpus andoneof themost frequently injured. Thoroughunderstanding of the anatomy, biomechanics, and pathophysiology of theExpand


    Dorsal scapholunate ligament reconstruction using a periosteal flap of the iliac crest
    The technique enables reduction of the SL angle and SL gap in patients with static reducible scapholunate instability, using a periosteal flap of the iliac crest, and initial results are quite encouraging. Expand
    Scapholunate Ligament Repair Using the Mitek™ Bone Anchor
    A retrospective study was done to assess the outcome after repair of completely ruptured scapholunate interosseous ligaments using the Mitek™ Mini G2 bone anchor and found the technique described proved to be simpler than conventional procedures in the hands, and yields similar functional results. Expand
    Capsulodesis for the treatment of chronic scapholunate instability.
    Dorsal capsulodesis provided pain relief for patients with both dynamic and static SL instability and from a radiographic perspective dorsal capsulodeis did not provide maintenance of carpal alignment in cases of chronic SL dissociation. Expand
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    • Medicine
    • The Journal of hand surgery
    • 1998
    Reconstruction of the SL ligament using a bone-retinaculum-bone autograft is predictable in patients with dynamic instability but use of this technique with static SL instability is questionable; these patients may require a stronger construct to prevent recurrence of theSL gap. Expand
    Scapholunate ligament repair with capsulodesis reinforcement.
    • R. Szabo
    • Medicine
    • The Journal of hand surgery
    • 2008
    D dorsal capsulodesis can be useful to reinforce the scapholunate interosseous ligament repair in the subacute setting (>3 weeks old) and originally advocated for the treatment of some forms of chronic scap holunate dislocations. Expand
    Early Results of a Modified Brunelli Procedure for Scapholunate Instability
    The overall results of this short follow-up study showed that a majority of patients had relief of pain and a majority felt subjective improvement and would have the operation again. Expand
    A survey of the surgical management of acute and chronic scapholunate instability.
    Evaluating the pattern of practice among specialized hand surgeons in the management of both acute and chronic scapholunate instability confirms a consensus for the early soft tissue surgical management of acute scapolunate Stability using a scap holunate ligament repair with or without a capsulodesis. Expand
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    The anatomy, kinematics, and biomechanical properties of the scapholunate articulation are discussed and an algorithm for treatment based on the stage of injury, degree of secondary ligamentous damage, and arthritic change is proposed. Expand
    Primary repair of the scapholunate ligament.
    The disruption of the linkage between these two elements of the proximal carpal row can have deleterious effects on normal wrist biomechanics and is believed to lead to a sequential pattern of arthrosis of the radiocarpal and midcarpal articulations and eventual midCarpal collapse (SLAC wrist). Expand
    [A new surgical technique for carpal instability with scapho-lunar dislocation. (Eleven cases)].
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    • Annales de chirurgie de la main et du membre superieur : organe officiel des societes de chirurgie de la main = Annals of hand and upper limb surgery
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    A new operation for correcting carpal instability with scapholunate dissociation is presented and the fibrous sheath of the F.C.R. Expand