Henry Mark
Hand and Wrist Center of Houston, Houston, TX 77004, USA.
J Hand Surg Am. 2013 Aug;38(8):1625-34. doi: 10.1016/j.jhsa.2013.05.026.
Complete scapholunate interosseous ligament deficiency can lead to pain, reduced functional performance, and scapholunate advanced collapse arthritis. Efforts to restore carpal stability began with procedures to tether scaphoid motion. Techniques evolved to include multiple differing strategies of linking the scaphoid to the lunate dorsally in the transverse plane. Actually restoring stability has proven elusive owing to the impossibility of truly replicating the original anatomy and the multidirectional forces to which the scapholunate interface is subjected. The described surgical technique differs from others by reconstructing both the volar and dorsal limbs of the scapholunate ligament and accounting for the multiple force vectors involved in scapholunate instability.
舟月骨间韧带完全缺失可导致疼痛、功能表现下降以及舟月骨晚期塌陷性关节炎。恢复腕关节稳定性的努力始于限制舟骨活动的手术。技术不断发展，包括在横平面将舟骨与月骨背侧连接的多种不同策略。由于无法真正复制原始解剖结构以及舟月骨界面所承受的多向力，实际恢复稳定性已被证明难以实现。所描述的手术技术与其他技术不同，它重建了舟月韧带的掌侧和背侧分支，并考虑了舟月骨不稳定所涉及的多个力向量。
