Evaluation of Wrist Cartilage With and Without Scapholunate Ligament Injury in Pre and Post Operation Subjects

2011 ◽  
Author(s):  
Dannica L. Sturgeon ◽  
Sang-Pil Lee ◽  
Terence E. McIff ◽  
E. Bruce Toby ◽  
Kenneth J. Fischer
Keyword(s):  
Positive Impact ◽  
Ligament Injury ◽  
Wrist Injuries ◽  
Scapholunate Ligament ◽  
Scapholunate Dissociation ◽  
Scapholunate Ligament Injury ◽  
Assessment And Treatment ◽  
Post Operation ◽  
Slac Wrist

Hand and wrist injuries commonly occur and can be debilitating. Scapholunate dissociation generally requires surgery, and if left untreated, can lead to scapholunate advanced collapse (SLAC wrist) and associated osteoarthritis [1]. The overall goal of this research is to make a positive impact on the assessment and treatment of wrist injuries and on prevention of osteoarthritis as a result of injury.

Impact of scapholunate dissociation on human wrist kinematics

2015 ◽  
Vol 43 (2) ◽  
pp. 179-186 ◽  
Author(s):  
J. P. Stromps ◽  
J. Eschweiler ◽  
M. Knobe ◽  
H. O. Rennekampff ◽  
K. Radermacher ◽  
...  
Keyword(s):  
Ligament Injury ◽  
Electromagnetic Tracking ◽  
Scapholunate Ligament ◽  
Scapholunate Dissociation ◽  
Ulnar Deviation ◽  
Complete Transection ◽  
Scapholunate Ligament Injury ◽  
Before And After ◽  
Almost All ◽  
Flexion And Extension

Neither the complex motions of the scapholunate joint, nor the kinematic changes that occur as a result of injury to it, are fully understood. We used electromagnetic tracking within affected bones to evaluate the physiologic motions in the planes of flexion and extension, and of radial and ulnar deviation of human cadaver wrists, before and after complete transection of the scapholunate ligaments. Despite individual variance between each wrist, we were able to establish a pattern in the changes that occurred after scapholunate ligament injury. During the motions examined, the scaphoid showed an increase in translational deviation in almost all motion axes. In contrast, the movement of the lunate seemed to be impaired, especially in radial-ulnar deviation.

Scapholunate Ligament Injury

2019 ◽  
pp. 201-234
Author(s):  
Jonathan Adamthwaite ◽  
Sina Babazadeh ◽  
Marc Garcia-Elias
Keyword(s):  
Ligament Injury ◽  
Scapholunate Ligament ◽  
Scapholunate Ligament Injury

The Natural History of an Untreated Isolated Scapholunate Interosseus Ligament Injury

2003 ◽  
Vol 28 (4) ◽  
pp. 307-310 ◽  
Author(s):  
C. J. O’MEEGHAN ◽  
W. STUART ◽  
V. MAMO ◽  
J. K. STANLEY ◽  
I. A. TRAIL
Keyword(s):  
Natural History ◽  
Degenerative Change ◽  
Functional Limitation ◽  
Ligament Injury ◽  
Rapid Progression ◽  
Secondary Osteoarthritis ◽  
Scapholunate Ligament Injury ◽  
History Of ◽  
Slac Wrist

The natural history of an untreated isolated scapholunate interosseus ligament injury remains unclear, although it is commonly assumed that patients continue to suffer with pain, stiffness and weakness of the wrist and ultimately develop secondary osteoarthritis (SLAC wrist). In this study, we evaluated the clinical condition of 11 patients with an arthroscopically proven interosseus scapholunate ligament injury, but without any radiological signs of either DISI deformity or scapholunate gapping, who had declined further treatment at an average follow-up of 7 years. Whilst there was on going pain and functional limitation in all cases, there was no rapid progression to degenerative change (SLAC wrist).

Comparison of Normal Capitate Mid-Carpal Joint Mechanics With the Effects of Scapholunate Dissociation Injury

2011 ◽  
Author(s):  
Madhan Sai Kallem ◽  
Sang-Pil Lee ◽  
Terence E. McIff ◽  
E. Bruce Toby ◽  
Kenneth J. Fischer
Keyword(s):  
Contact Mechanics ◽  
Surgical Techniques ◽  
Ligament Injury ◽  
Joint Mechanics ◽  
Scapholunate Dissociation ◽  
Carpal Collapse ◽  
Contact Patterns ◽  
Carpal Joint ◽  
Slac Wrist

The wrist is one of the most complicated multibody joints in the human body. It can be subject to many injuries. Scapholunate (SL) dissociation is a relatively common injury that is particularly difficult to diagnose and treat. Without treatment, SL dissociation is known to progress to scapholunate advance collapse (SLAC wrist) and associated osteoarthritis (OA) [1]. Traumatic arthropathy of the wrist due to scapholunate dissociation has a definitive pattern from onset to severe bone and joint degeneration. The altered radiocarpal and SL mechanics with SL dissociation may be accompanied by a secondary carpal collapse between the capitate and lunate [2]. The initial SL disruption causes apparent changes in joint kinematics and contact patterns. Thus, understanding normal and abnormal in vivo contact mechanics as a result of SL ligament injury may lead to more effective treatments that may even prevent the onset of OA. In addition, in vivo contact mechanics data after surgical treatment may help determine the effectiveness of various surgical techniques which are used to correct SL injury.

Scapholunate Ligament Injury: Reviewing the Concept and the Challenges Ahead

2020 ◽  
Author(s):  
Farzad Vosoughi ◽  
Rohollah Khajeh ◽  
Seyed Mohammad Javad Mortazavi
Keyword(s):  
Ligament Injury ◽  
Scapholunate Ligament ◽  
Scapholunate Ligament Injury

The article's abstract is no available.  

scholarly journals Radiographic Diagnosis of Scapholunate Diastasis in Distal Radius Fractures: Implications for Surgical Practice

2018 ◽  
Vol 07 (04) ◽  
pp. 312-318
Author(s):  
Sezai Özkan ◽  
Julian Korteweg ◽  
Frank Bloemers ◽  
Nicholas DiGiovanni ◽  
Chaitanya Mudgal
Keyword(s):  
Distal Radius ◽  
The United States ◽  
Distal Radius Fractures ◽  
Ligament Injury ◽  
Scapholunate Ligament ◽  
Radius Fractures ◽  
Level Of Evidence ◽  
Radiographic Diagnosis ◽  
Urban City ◽  
Scapholunate Ligament Injury

Background Radiographic diagnosis of scapholunate ligament injury (SLI) in the setting of distal radius fractures (DRFs) is challenging. It remains unclear to what extent radiographic diagnosis of SLI by a radiologist influences surgical decision-making regarding treatment of SLI. Purpose We aimed to (1) identify the number of times that concerns for the possibility of concurrent SLI in the setting of a DRF had been raised by the radiologists, (2) identify how often the radiologist's diagnosis was confirmed by the treating surgeon, and (3) how many of the patients with a radiographic concern for SLI by the radiologist received operative treatment for the SLI. Patients and Methods Based on Current Procedural Terminology codes, we identified 2,923 patients that were operatively treated for their DRF in 1 of 3 participating institutions in an urban city in the United States. We reviewed the medical charts of 654 patients who had a mention of scapholunate ligament (SL) distance in their radiography, surgery, or clinical notes. We then measured the SL distance and recorded patient, diagnosis, and treatment characteristics of all these patients. Results A total of 200 out of 2,923 patients (6.8%) received a radiological diagnosis of SLI. In seven of these patients (3.5%), the surgeon confirmed the diagnosis of the radiologist. Four patients (2%) had operative repair of their SLI. Conclusion Radiologists demonstrate a low threshold to identify SLI in the setting of DRFs, while the number of SLIs identified by the treating surgeon is a remarkably smaller number. Level of Evidence Level II, prognostic study.

Scapholunate Ligament Injury Occurring with Scaphoid Fracture – A Rare Coincidence?

2005 ◽  
Vol 30 (2) ◽  
pp. 137-142 ◽  
Author(s):  
M. SCHÄDEL-HÖPFNER ◽  
A. JUNGE ◽  
G. BÖHRINGER
Keyword(s):  
Retrospective Study ◽  
Dynamic Instability ◽  
Scaphoid Fracture ◽  
Ligament Injury ◽  
Scapholunate Ligament ◽  
Interosseous Ligament ◽  
Scaphoid Fractures ◽  
Scapholunate Ligament Injury ◽  
Complete Disruption

In a retrospective study the results of a series 34 wrist arthroscopies in 189 acute scaphoid fractures were analysed. Scapholunate ligament tears were found in 13 cases. In 10 cases there was complete disruption of scapholunate interosseous ligament causing dynamic instability. Partial ligament tears without instability were seen in three cases. Despite the limitations of this series we conclude that occurrence of scapholunate ligament injury with a scaphoid fracture may be more common than generally thought.

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