Busse F, Felderhoff J, Krimmer H, Lanz U
Klinik für Handchirurgie, Abteilung I, Bad Neustadt/Saale, Germany.
Handchir Mikrochir Plast Chir. 2002 May;34(3):173-81. doi: 10.1055/s-2002-33690.
Between December 1994 and December 1996, 26 patients with a scapholunate ligament injury (three with SLD 1. degrees, 16 with SLD 2. degrees and 7 with SLD 3. degrees ) underwent an operation for dorsal capsulodesis in the Klinik für Handchirurgie, Bad Neustadt/Saale. Mean follow-up was 24 months (16 to 37 months). Follow-up criteria were range of motion, grip strength, pain relief, and X-ray findings. Clinical outcome was evaluated using a personal questionnaire, the DASH- and a modified Cooney-Score. Although significant reduction of joint mobility compared to the opposite site was found in all cases (E/F 32 %, U/R 19 %), the reduction of pain was 30 %. Grip-strength was not altered. Thus, 86 % of the patients were satisfied with the result obtained. On X-ray, the scapholunate angle was raised in the SLD 3. degrees -group by 12 degrees postoperatively; in the group with dynamic instability, X-ray findings were normal. Overall, 19 % (5/26) needed further operations due to persistent pain.
1994年12月至1996年12月期间，26例舟月韧带损伤患者（3例为1度舟月韧带损伤，16例为2度，7例为3度）在巴特新施塔特/萨勒的手外科诊所接受了背侧关节囊固定术。平均随访时间为24个月（16至37个月）。随访标准包括活动范围、握力、疼痛缓解情况及X线检查结果。使用个人问卷、DASH量表和改良的库尼评分评估临床结果。尽管所有病例与对侧相比关节活动度均有显著降低（腕关节屈伸32%，尺桡关节19%），但疼痛减轻了30%。握力未改变。因此，86%的患者对所取得的结果满意。在X线检查中，3度舟月韧带损伤组术后舟月角升高了12度；在动态不稳定组，X线检查结果正常。总体而言，19%（5/26）的患者因持续疼痛需要进一步手术。
