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Tensioning of the radioscaphocapitate and long radio-lunate ligaments for dynamic radiocarpal instability
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
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

Available from: 2018-05-30 Created: 2018-05-30 Last updated: 2018-05-30

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Rubensson, CarinJohansson, TorstenAdolfsson, Lars
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Department of Clinical and Experimental MedicineFaculty of Medicine and Health SciencesDepartment of Hand and Plastic SurgeryDivision of Surgery, Orthopedics and OncologyDepartment of Orthopaedics in Linköping
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Journal of Hand Surgery, European Volume
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