Scapholunate Ligament Tear
Conditions
Brief summary
The investigators hypothesize that there is no relationship between in vivo kinematic abnormalities and patient-rated outcomes for scapholunate interosseous ligament injuries (SLIL) The secondary null hypotheses are that: There are no kinematic differences between subjects with unilateral, symptomatic, full thickness scapholunate ligament tears in comparison to the contralateral wrist without scapholunate ligament injury. The investigators aim to answer to the below questions: * What are baseline validated outcomes for subjects with SLIL injury? * What are baseline physical measures (range of motion, Jamar Dynamometry)?
Detailed description
In vivo kinematics of the normal wrist has been studied previously, but few studies have characterized the wrist with a SLIL injury. There are few studies evaluating validated patient-rated outcomes for patients with SLIL injury. The goal of this study would be to evaluate to what degree kinematic abnormalities affect patient-rated outcomes.
Interventions
DEVICECT scan
A CT scan of the wrist
DEVICEFluoroscopy Scan
A fluoroscopy scan of the wrist.
Sponsors
Massachusetts General Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients with a unilateral full thickness scapholunate ligament tear diagnosed by radiographs or advanced imaging
Exclusion criteria
* Patients with a partial thickness scapholunate ligament tear * Patients with radiographic arthrosis * Patients with prior wrist injury * Pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Rated Wrist Evaluation (PRWE) | at enrollment | The questionnaire will help the investigators determine how much difficulty the subject has had with the injured wrist in the past week. |
| SF-12 Patient Questionnaire | at enrollment | The SF-12 questionnaire will help the investigators determine how well subjects are able to do usual activities |
| DASH Questionnaire | at enrollment | The DASH questionnaire will help the investigators determine the level of disability subjects face from the wrist injury. |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Participants With Unilateral Scapholunate Tear All subjects with a full scapholunate (SL) tear will have a CT scan and fluoroscopy images taken. The injured wrist will enroll in the SL tear group and the uninjured wrist as the control wrist.
CT scan: A CT scan of the wrist
Fluoroscopy Scan: A fluoroscopy scan of the wrist. | 1 |
| Total | 1 |
Baseline characteristics
| Characteristic | Participants With Unilateral Scapholunate Tear |
|---|---|
| Age, Continuous | 47 years |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 1 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 1 Participants |
| Region of Enrollment United States | 1 participants |
| Sex: Female, Male Female | 0 Participants |
| Sex: Female, Male Male | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 1 | 0 / 1 |
| other Total, other adverse events | 0 / 1 | 0 / 1 |
| serious Total, serious adverse events | 0 / 1 | 0 / 1 |
Outcome results
Primary
DASH Questionnaire
The DASH questionnaire will help the investigators determine the level of disability subjects face from the wrist injury.
Time frame: at enrollment
Population: The paper-based questionnaire was not scored and tallied, thus not analyzed.
Primary
Patient Rated Wrist Evaluation (PRWE)
The questionnaire will help the investigators determine how much difficulty the subject has had with the injured wrist in the past week.
Time frame: at enrollment
Population: The paper-based questionnaire was not scored and tallied, thus not analyzed.
Primary
SF-12 Patient Questionnaire
The SF-12 questionnaire will help the investigators determine how well subjects are able to do usual activities
Time frame: at enrollment
Population: The paper-based questionnaire was not scored and tallied, thus not analyzed.