Double Dorsal Capsulodesis in the Treatment of Chronic Scapholunate Instability: Description of a New Surgical Technique and Case Report

Authors

  • Niceas da Silva Gusmão Filho Hospital Memorial Arthur Ramos
  • Ricardo Kaempf de Oliveira Santa Casa de Misericórdia de Porto Alegre
  • Givaldo Trindade Rios Hospital Memorial Arthur Ramos
  • Gudson Gleyton Queirós de Sousa Move Rehabilitation Center

DOI:

https://doi.org/10.25214/28056272.1486

Keywords:

Wrist Injuries, Wrist Joint, Intercarpal Joints

Abstract

Introduction: The scapholunate ligament (SLL) injury can cause wrist pain and instability. There is a wide variety of surgical techniques used for the treatment of this lesion, such as dorsal capsulodeses, tenodeses with flexor or extensor tendons, and bone-ligament-bone graft.

Objective: To describe a new technique for the treatment of SLL injury aiming to stabilize the dissociated carpus with a double dorsal capsulodesis.

Materials and methods: By presenting the case of a 36-year-old male security officer who injured his left wrist in a motorcycle accident, a procedure to align the carpus is proposed. The long-term outcome of this procedure is also described

Results: The proposed surgery was successfully performed; it had excellent clinical and functional results, with no complications. Long-term restoration of carpal alignment observed in wrist radiographs was evidenced after two years of follow-up, the patient was asymptomatic and with full functional recovery.

Conclusion: The proposed technique appears to be reproducible, effective and easy to perform. Unlike the technique described by Blatt, the aim of this one is to restore the physiological position of the lunate bone by adding a second capsulodesis, as it is believed to be an essential factor in the maintenance of carpal kinematics.

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References

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Published

2022-07-19

How to Cite

Gusmão Filho, Niceas da Silva, et al. “Double Dorsal Capsulodesis in the Treatment of Chronic Scapholunate Instability: Description of a New Surgical Technique and Case Report”. Cirugía De Mano Y Microcirugía, vol. 2, no. 1, July 2022, doi:10.25214/28056272.1486.

Issue

Vol. 2 No. 1 (2022): Resultados de liberación endoscópica del túnel del carpo

Section

Artículos originales

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Copyright (c) 2022 Cirugía de Mano y Microcirugía

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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