Radiological evaluation of scapholunate intercarpal ligamentoplasty for chronic scapholunate dissociation in cadavers. 2018

Lionel Athlani, and Nicolas Pauchard, and Gilles Dautel
Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé CHU de Nancy, Nancy, France.

We performed a cadaveric study to evaluate radiological performance of a technique for scapholunate intercarpal ligamentoplasty designed for treating reducible scapholunate dissociation. We created scapholunate instability in 12 fresh adult cadaveric forearms by sectioning the dorsal scapholunate interosseous ligament and the dorsal intercarpal ligament. All wrists showed scapholunate diastasis, dorsal intercalated segmental instability and posterior scaphoid subluxation. We performed scapholunate intercarpal ligamentoplasty in six wrists and Garcia-Elias three-ligament tenodesis in another six. Wrists were examined radiographically both after ligament sectioning and after ligamentoplasty to compare static and dynamic scapholunate gaps and scapholunate and capitolunate angles. Improvement was statistically significant in all measurements, reflecting a return to normal values. Posterior scaphoid subluxation was also corrected. There was no significant difference between the two treatment groups. Our findings suggest that ligamentoplasty can restore scapholunate joint stability and normal carpal anatomy.

UI MeSH Term Description Entries
D007593 Joint Instability Lack of stability of a joint or joint prosthesis. Hypermobility, Joint,Instability, Joint,Laxity, Joint,Hypermobilities, Joint,Instabilities, Joint,Joint Hypermobilities,Joint Hypermobility,Joint Instabilities,Joint Laxities,Joint Laxity,Laxities, Joint
D008023 Ligaments, Articular Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint. Articular Ligament,Articular Ligaments,Ligament, Articular
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012667 Lunate Bone A moon-shaped carpal bone which is located between the SCAPHOID BONE and TRIQUETRUM BONE. Semilunar Bone,Os Lunatum,Bone, Lunate,Bone, Semilunar,Bones, Lunate,Bones, Semilunar,Lunate Bones,Semilunar Bones
D021361 Scaphoid Bone The bone which is located most lateral in the proximal row of CARPAL BONES. Navicular Bone of Hand,Os Naviculare Manus,Os Scaphoideum,Bone, Scaphoid,Bones, Scaphoid,Hand Navicular Bone,Hand Navicular Bones,Scaphoid Bones

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