Scapholunate Interosseous Ligament Injury, SLLI
Conditions
Brief summary
The aim of this case series study is to test the efficacy of arthroscopic assisted volar, dorsal or combined scapholunate capsulodesis in the management of scapholunate ligament injuries.
Detailed description
The aim of this case series study is to test the efficacy of arthroscopic assisted volar, dorsal or combined scapholunate capsulodesis in the management of scapholunate ligament injuries. All patients will be assessed preoperatively by careful history taking , full general and local examination and radiological evaluation using wrist plain X-rays (Standard PA, clenched-fist PA , PA in ulnar deviation , lateral projection in neutral ,flexion and extension ) and wrist Magnetic resonance imaging.an informed written consent was taken before any surgery. The procedure starts with a standard radiocarpal and then midcarpal arthroscopy. During the arthroscopic examination ,several factors are assessed, including the location of the SLIL injury (volar, membranous, dorsal, or complete), the condition of the cartilage, the reducibility of the carpus, and other associated pathologies like TFCC injury. Classification is done using Geissler Classification, Garcia Elias Classification and EWAS classification.Volar capsulodesis using Hayman Lui et al or Del Pinal et al method and/or dorsal capsulodesis using original Mathoulin technique or combined capsulodesis were done.
Interventions
PROCEDUREarthroscopic assisted volar scapholunate capsulodesis
arthroscopic assisted volar scapholunate capsulodesis using PDS 2.00 sutures
PROCEDUREarthroscopic assisted dorsal scapholunate capsulodesis
arthroscopic assisted dorsal scapholunate capsulodesis using PDS 2.00 sutures
PROCEDUREarthroscopic assisted combined volar and dorsal scapholunate capsulodesis
arthroscopic assisted combined volar and dorsal scapholunate capsulodesis using PDS 2.00 sutures
Sponsors
Ain Shams University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Sex: both sexes. * Age: above 18 years * Lesion: subacute or chronic scapholunate ligament injury * partial and complete SLIL tears
Exclusion criteria
* Acute scapholunate ligament injury * irreducible carpal malalignment * posttraumatic arthritis * associated fractures that could affect the functional outcome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| wrist range of motion | preoperative and postoperative after 3months , 6months , 9months and 12months | wrist range of motion degrees in flexion , extension, radial deviation and ulnar deviation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| scapholunate gap | preoperative and postoperative scapholunate gaps after 3months , 6months , 9months and 12months | scapholunate gap in PA wrist plain Xray is the distance between middle of scaphoid and middle of lunate bones in PA wrist plain Xray in millimeters |
Countries
Egypt
Outcome results
None listed