Tensioning of the radioscaphocapitate and long radio-lunate ligaments for dynamic radiocarpal instability
2018 (English)In: Journal of Hand Surgery, European Volume, ISSN 1753-1934, E-ISSN 2043-6289, Vol. 43, no 4, p. 369-374Article in journal (Refereed) Published
Abstract [en]
During 1994-2003, we treated 20 patients with post-traumatic radial-sided wrist pain and dynamic radiocarpal instability. After arthroscopy confirmed no disruption of the radioscaphocapitate ligament and an increased laxity of the ligament, we passed a strip of the radioscaphocapitate ligament through the long radio-lunate ligament. The rationale of this procedure was to increase tension of the two ligaments and to close the space of Poirier. Eighteen patients were assessed after 1-3.7 years (mean 2.5 years). Four patients were symptom-free and 11 patients were markedly improved. Fourteen patients were followed for 11-15 years; four patients were symptom-free and eight patients were markedly improved. Two reported unchanged symptoms and none was worse in the follow-up. Based on our findings, we suggest a cause of post-traumatic radial-sided wrist pain is laxity of the radiocarpal joint. We conclude that our surgical procedure increases tension in the radioscaphocapitate and long radio-lunate ligaments and decreases wrist pain at rest and during activity. Level of Evidence: IV
Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2018. Vol. 43, no 4, p. 369-374
Keywords [en]
Radioscaphocapitate ligament; post-traumatic wrist pain; surgery; follow-up
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-148112DOI: 10.1177/1753193418756805ISI: 000432087500003PubMedID: 29448916OAI: oai:DiVA.org:liu-148112DiVA, id: diva2:1211291
Note
Funding Agencies|Department of Hand Surgery, Plastic Surgery and Burns, Linkoping University
2018-05-302018-05-302018-05-30