Arthroscopic treatment of acute scapholunate and lunotriquetral ligament injuries

2003 ◽  
Vol 13 (1) ◽  
pp. 48-55 ◽  
Author(s):  
Mark Henry
Keyword(s):  
Arthroscopic Treatment ◽  
Ligament Injuries ◽  
Lunotriquetral Ligament

Outcomes Following Surgical Treatment of Hamate Arthrosis Lunotriquetral Ligament Injuries

Hand ◽  
2021 ◽  
pp. 155894472110432
Author(s):  
Jesse Meaike ◽  
Joshua Meaike ◽  
Sanjeev Kakar
Keyword(s):  
Surgical Treatment ◽  
Treatment Group ◽  
Combined Treatment ◽  
Additional Treatment ◽  
Ligament Injuries ◽  
Interosseous Ligament ◽  
Institutional Review ◽  
Lunotriquetral Ligament ◽  
Treatment Plans ◽  
And Function

Background: An institutional review board–approved study of the functional outcomes of patients after surgical treatment of hamate arthrosis lunotriquetral ligament tear (HALT) lesions was conducted. Methods: In all, 21 wrists in 19 patients underwent arthroscopic, open, or combined treatment of HALT lesions. Seven patients underwent isolated hamate debridement and 14 had concomitant procedures to address lunotriquetral pathology. Nineteen wrists underwent procedures to address additional pathology, including triangular fibrocartilage complex, ulnotriquetral ligament split, and scapholunate ligament injuries. Results: Mayo wrist scores increased from 54 to 71. Sixteen patients had no or mild pain postoperatively, compared with none preoperatively. When stratified by lunotriquetral interosseous ligament management, 75% of the limited treatment group (none or debridement) and 78% of the additional treatment group reported improved pain. Three patients underwent additional surgeries for persistent pain. Conclusion: Resection of the proximal pole of the hamate can improve pain and function for patients with ulnar-sided wrist pain secondary to a HALT lesion. Concomitant wrist pathologies should be considered when determining treatment plans.

Chronic Lunotriquetral Ligament Injuries: Arthrodesis or Capsulodesis

2005 ◽  
Vol 105 (1) ◽  
pp. 79-81 ◽  
Author(s):  
L. De Smet ◽  
I. Janssens ◽  
W. Van De Sande
Keyword(s):  
Ligament Injuries ◽  
Lunotriquetral Ligament

Arthroscopic dorsal capsulodesis for isolated lunotriquetral interosseous ligament injuries

2021 ◽  
pp. 175319342098368
Author(s):  
Mehmet A. Acar ◽  
Ali Özdemir ◽  
Ebubekir Eravsar
Keyword(s):  
Wrist Flexion ◽  
Ligament Injuries ◽  
Level Of Evidence ◽  
Interosseous Ligament ◽  
Pain Scores ◽  
Lunotriquetral Ligament ◽  
Flexion Extension ◽  
Patient Reported ◽  
Contralateral Hand ◽  
Patient Pain

We assessed the outcomes of isolated lunotriquetral ligament injuries in ten patients who underwent arthroscopic dorsal capsulodesis. Data from patient records, radiologic images and arthroscopic video records were evaluated. The patients were evaluated for ulnar-sided wrist pain with history and physical examination. Preoperative radiographs and MRIs for pain aetiology were assessed. The patients underwent arthroscopic dorsal capsulodesis and were evaluated 29 months (range 19–45) after surgery. Nine patients returned to their original jobs. In one patient pain was aggravated with heavy activities. Mean scapholunate angle was 44°. There were significant improvements postoperatively in pinch and grip strength and MAYO wrist, patient-reported wrist evaluation and pain scores. The wrist flexion–extension and the radial ulnar deviation were significantly improved compared with the contralateral hand. We conclude that arthroscopic dorsal capsulodesis offers effective management for isolated lunotriquetral interosseous ligament injuries. Level of evidence: IV

Diagnosis and Treatment of Chronic Lunotriquetral Ligament Injuries

Hand Clinics ◽  
2015 ◽  
Vol 31 (3) ◽  
pp. 477-486 ◽  
Author(s):  
Eric R. Wagner ◽  
Bassem T. Elhassan ◽  
Marco Rizzo
Keyword(s):  
Diagnosis And Treatment ◽  
Ligament Injuries ◽  
Lunotriquetral Ligament

Arthroscopic Treatment of Intrinsic Ligament Injuries of the Wrist

2014 ◽  
pp. 1-24
Author(s):  
Christophe L. Mathoulin ◽  
Mathilde Gras ◽  
Abhijeet L. Wahegaonkar
Keyword(s):  
Arthroscopic Treatment ◽  
Ligament Injuries

Carpal Ligament Injuries with Acute Scaphoid Fractures – A Combined Wrist Injury

2005 ◽  
Vol 30 (4) ◽  
pp. 415-418 ◽  
Author(s):  
T. C. WONG ◽  
T. H. YIP ◽  
W. C. WU
Keyword(s):  
Ligament Injury ◽  
Wrist Arthroscopy ◽  
Median Score ◽  
Scapholunate Ligament ◽  
Wrist Injury ◽  
Ligament Injuries ◽  
Percutaneous Screw Fixation ◽  
Scaphoid Fractures ◽  
Lunotriquetral Ligament

Fifty-two consecutive patients with acute scaphoid fractures were treated by closed reduction and percutaneous screw fixation. In addition, all underwent a wrist arthrogram and 22 patients also underwent a wrist arthroscopy. Eighteen patients (34%) had an associated carpal ligament injury (four scapholunate ligament, eight lunotriquetral ligament, two combined, three TFCC and one minor leak from the distal carpal row). These patients had worse Mayo wrist scores (no ligament injury median score = 95: ligament injury median score = 85) at a mean final follow-up of 61 weeks. We advocate that scaphoid fractures with associated carpal ligament injuries should be defined as a combined wrist injury.

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