Preoperative and Postoperative Imaging of Scapholunate Ligament Primary Repair and Modified Brunelli Reconstruction

Radiographics ◽  
2021 ◽  
Author(s):  
Andrew R. Palisch ◽  
Stephen J. Leinfelder ◽  
Sara M. Bahouth ◽  
Anthony R. Balzer ◽  
Thomas R. Hunt
Keyword(s):  
Primary Repair ◽  
Scapholunate Ligament ◽  
Postoperative Imaging

Primary Repair of the Scapholunate Ligament

1998 ◽  
Vol 2 (4) ◽  
pp. 269-273 ◽  
Author(s):  
PEDRO K. BEREDJIKLIAN ◽  
JEFFREY DUGAS ◽  
MICHELLE GERWIN
Keyword(s):  
Primary Repair ◽  
Scapholunate Ligament

scholarly journals Arthroscopic Reinsertion of Acute Injuries of the Scapholunate Ligament Technique and Results

2020 ◽  
Vol 09 (04) ◽  
pp. 328-337
Author(s):  
Vicente Carratalá ◽  
Francisco Javier Lucas ◽  
Ignacio Miranda ◽  
Alfonso Prada ◽  
Eva Guisasola ◽  
...  
Keyword(s):  
Grip Strength ◽  
Soft Tissues ◽  
Primary Repair ◽  
Acute Injury ◽  
Prospective Clinical Study ◽  
Scapholunate Ligament ◽  
Dorsal Approach ◽  
Perilunate Dislocation ◽  
Acute Injuries ◽  
Aggressive Interventions

Abstract Objective To describe a technique for treating acute injuries of the scapholunate ligament (SLL) by performing an arthroscopic reinsertion of the SLL and dorsal capsulodesis and to present the results obtained. Methods The study deals with an analytical, prospective clinical study that included 19 consecutive patients with acute injury of the SLL. The range of joint motion, grip strength, pain according to the visual analog scale, functional outcomes according to the Mayo Wrist Score (MWS), and the QuickDASH Score were studied preoperatively and 6 and 12 months postoperatively. The complications and necessary reinterventions were recorded. Results Nineteen patients with acute injury of the SLL were studied; mean age was 44 ± 2 years, 74% males, 58% complete rupture, and 42% partial rupture, treated with the above-mentioned technique. Thirty-seven percent also had a distal radius fracture and there was one case of perilunate dislocation. Improvement in pain, grip strength, joint balance, and functionality was observed 6 and 12 months postoperatively, with 79% of the cases with good or excellent results Conclusion The arthroscopic reinsertion and dorsal capsular reinforcement of the SLL, allow a reliable and stable primary repair of the dorsal aspect of the ligament in acute or subacute SL injuries where there is tissue that can potentially be repaired, thus achieving an anatomical repair similar to that obtained with open surgery, but without the complications and stiffness secondary to aggressive interventions on the soft tissues that are inherent to the open dorsal approach.

scholarly journals Modern approaches to the treatment of scapholunate interosseous ligament injuries (literature review)

2020 ◽  
Vol 26 (4) ◽  
pp. 593-599
Author(s):  
O.G. Shershneva ◽  
◽  
I.V. Kirpichev ◽  
Keyword(s):  
Primary Repair ◽  
Clinical Manifestations ◽  
Tendon Graft ◽  
Open Approach ◽  
Scapholunate Ligament ◽  
Ligament Injuries ◽  
Chronic Instability ◽  
Interosseous Ligament ◽  
Acute Injuries ◽  
Arthroscopically Assisted

Introduction The scapholunate interosseous ligament binds the scaphoid and lunate together, and is the primary stabilising ligament between these two bones. Scapholunate injuries lead to chronic instability and degenerative arthritis of the wrist. Scapholunate injuries are graded based on the acuity and the severity of the injury. Purpose The paper is a review of various techniques used to repair or reconstruct the scapholunate ligament according to the clinical manifestations, anatomic and pathologic findings. Methods A review of the literature covering this topic is presented. Results Conservative treatment is primarily indicated in stable and partial ligament tears. Arthroscopic treatment is used when immobilization is unsuccessful. Arthroscopically assisted scapholunate reduction and K-wire fixation is commonly used for acute injuries. Primary repair of scapholunate injuries are performed in all tear types using an open approach. Surgical indications depend on the severity of the instability, time after trauma and the presence of degenerative changes. Acute repair of scapholunate ligament injuries remains the gold standard as an earlier intervention provides better results. Acute injuries to the scapholunate ligament require two-four weeks before surgery. Within this period the ligament is often still repairable itself both with or without supplementary capsulodesis procedures; ligament reconstruction is generally preferable in patients with chronic injures. There are many arthroscopic techniques to treat chronic scapholunate injures such as scapholunate ligament primary repair using various types of capsulodesis, tendon graft reconstruction, bone-ligament-bone procedure, various intercarpal fusions and proximal row carpectomy, total wrist fusion and arthroplasty. Conclusion Early diagnosis and management of scapholunate ligament tears are necessary to preserve wrist functions.

544: Can a Complete Primary Repair Approach be Applied to Cloacal Exstrophy?

2004 ◽  
Vol 171 (4S) ◽  
pp. 145-145
Author(s):  
Richard S. Lee ◽  
Richard W. Grady ◽  
Byron D. Joyner ◽  
Pasquale Casale ◽  
Michael E. Mitchell
Keyword(s):  
Primary Repair ◽  
Cloacal Exstrophy

Feasability of a valveless RV-PA connection in primary repair of common arterial trunk

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
E Kusmenkov ◽  
J Hörer ◽  
J Cleuziou ◽  
J Kasnar-Samprec ◽  
M Vogt ◽  
...  
Keyword(s):  
Primary Repair ◽  
Common Arterial Trunk ◽  
Arterial Trunk

Esophageal Atresia and Associated Duodenal Atresia: A Cohort Study and Review of the Literature

2020 ◽  
Author(s):  
Maria Enrica Miscia ◽  
Giuseppe Lauriti ◽  
Dacia Di Renzo ◽  
Angela Riccio ◽  
Gabriele Lisi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Esophageal Atresia ◽  
Primary Repair ◽  
English Literature ◽  
Delayed Diagnosis ◽  
Case Series ◽  
Primary Treatment ◽  
Duodenal Atresia ◽  
Staged Approach ◽  
Missed Diagnosis

Abstract Introduction Esophageal atresia (EA) is associated with duodenal atresia (DA) in 3 to 6% of cases. The management of this association is controversial and literature is scarce on the topic. Materials and Methods We aimed to (1) review the patients with EA + DA treated at our institution and (2) systematically review the English literature, including case series of three or more patients. Results Cohort study: Five of seventy-four patients with EA had an associated DA (6.8%). Four of five cases (80%) underwent primary repair of both atresia, one of them with gastrostomy placement (25%). One of five cases (20%) had a delayed diagnosis of DA. No mortality has occurred. Systematic Review: Six of six-hundred forty-five abstract screened were included (78 patients). Twenty-four of sixty-eight (35.3%) underwent primary correction of EA + DA, and 36/68 (52.9%) underwent staged correction. Nine of thirty-six (25%) had a missed diagnosis of DA. Thirty-six of sixty-eight underwent gastrostomy placement. Complications were observed in 14/36 patients (38.9 ± 8.2%). Overall mortality reported was 41.0 ± 30.1% (32/78 patients), in particular its incidence was 41.7 ± 27.0% after a primary treatment and 37.0 ± 44.1% following a staged approach. Conclusion The management of associated EA and DA remains controversial. It seems that the staged or primary correction does not affect the mortality. Surgeons should not overlook DA when correcting an EA.

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