Department of Orthopedy and Traumatology, Selcuk University, Selçuklu/Konya, Turkey.
Department of Hand Surgery, Gazi Yaşargil Educational and Resarh Hospital, Diyarbakır, Turkey.
J Hand Surg Eur Vol. 2021 Jun;46(5):510-515. doi: 10.1177/1753193420983687. Epub 2021 Jan 17.
We assessed the outcomes of isolated lunotriquetral ligament injuries in ten patients who underwent arthroscopic dorsal capsulodesis. Data from patient records, radiologic images and arthroscopic video records were evaluated. The patients were evaluated for ulnar-sided wrist pain with history and physical examination. Preoperative radiographs and MRIs for pain aetiology were assessed. The patients underwent arthroscopic dorsal capsulodesis and were evaluated 29 months (range 19-45) after surgery. Nine patients returned to their original jobs. In one patient pain was aggravated with heavy activities. Mean scapholunate angle was 44°. There were significant improvements postoperatively in pinch and grip strength and MAYO wrist, patient-reported wrist evaluation and pain scores. The wrist flexion-extension and the radial ulnar deviation were significantly improved compared with the contralateral hand. We conclude that arthroscopic dorsal capsulodesis offers effective management for isolated lunotriquetral interosseous ligament injuries. IV.
我们评估了 10 例接受关节镜下背侧囊紧缩术治疗的孤立性月三角骨间韧带损伤患者的结局。评估了患者病历、影像学图像和关节镜视频记录中的数据。通过病史和体格检查评估尺侧腕部疼痛的患者。评估了术前影像学和 MRI 以确定疼痛病因。患者接受关节镜下背侧囊紧缩术，术后随访 29 个月（19-45 个月）。9 例患者返回原工作岗位。1 例患者在重体力活动时疼痛加重。平均舟月角为 44°。术后握力和捏力、腕关节 MAYO 评分、患者报告的腕关节评估和疼痛评分均显著改善。与对侧手相比，腕关节屈伸和桡尺偏均有显著改善。我们得出结论，关节镜下背侧囊紧缩术为孤立性月三角骨间韧带损伤提供了有效的治疗方法。IV。
