Surgical Treatment of Scapholunate Instability

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Scapholunate Instability

Scapholunate instability is the most common carpal instability. The evaluation and treatment of scapholunate instability is controversial and the outcome unpredictable. This article will review the pertinent ligamentous anatomy of the wrist and carpal kinematics. There will be a discussion of the clinical presentation, examination, and diagnostic testing of the patient suspected of having scaph...

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The use of screws in the treatment of scapholunate instability.

Seven patients with chronic scapholunate instability (Geissler grade 2-4) were treated by percutaneous placement of screws across the scapholunate joint after arthroscopic debridement of the remnants of the scapholunate ligament. In all seven cases, the screw caused partial destruction of the lunate and/or scaphoid requiring screw removal within 6 months. We no longer perform this procedure.

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Scapholunate instability--a spectrum of pathology.

Five cases of scapholunate instability are reported. The condition is commonly misdiagnosed in accident and emergency departments. The importance of a complete clinical assessment of the suspected scaphoid injury and the need to measure the scapholunate distance and the scapholunate angle on the radiographs is stressed.

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Blatt's capsulodesis for chronic scapholunate instability.

Nineteen patients underwent a scapholunate interosseous ligament repair combined with a Blatt's capsulodesis for scapholunate instability between 1994 and 1999. The diagnosis was based on clinical, radiographic and arthroscopic assessments. Mean follow-up was 22 months (range: 8 months to 5 years). Fifteen patients were available for follow-up. Most (13 of 15) of the patients presented with pre...

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Surgical Treatment of Patellofemoral Instability

OBJECTIVE To describe functional outcomes following surgical treatment of patients with patellofemoral instability submitted to patellar realignment. METHODS This was a retrospective study evaluating 34 operated knees for patellofemoral instability between 1989 and 2004. The patients were evaluated in the late postoperative period when a functional questionnaire was applied. RESULTS After a...

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ژورنال

عنوان ژورنال: Archives of Hand and Microsurgery

سال: 2018

ISSN: 2586-3290,2586-3533

DOI: 10.12790/ahm.2018.23.3.139