Del Piñal Francisco, Williams Daniel C, Viegas Rui, Lim Jin Xi, Cerezal Luis
Piñal & Associates, Madrid, Spain.
Piñal & Associates, Madrid, Spain; School of Medicine and Dentistry, Griffith University, Southport, Queensland, Australia.
J Hand Surg Am. 2025 Feb;50(2):241.e1-241.e5. doi: 10.1016/j.jhsa.2023.07.008. Epub 2023 Aug 14.
To report the complication of carpal bone tunnel collapse in scapholunate reconstruction.
The authors present six cases of carpal collapse or bone necrosis after bone tunneling for ligamentous reconstruction, three in the scaphoid bone and three in the lunate.
All six cases were secondary to ligament reconstruction for chronic scapholunate dissociations, none of which had preoperative structural scaphoid or lunate deformities.
Although the incidence of this occurrence is unknown, the consequences could be substantial; therefore, patients should be warned of this possibility when discussing complications of ligament reconstruction for chronic scapholunate instability requiring the creation of a bone tunnel.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic V.
报告舟月关节重建术中腕骨隧道塌陷的并发症。
作者呈现了6例因韧带重建进行骨隧道钻孔后出现腕骨塌陷或骨坏死的病例，其中3例发生于舟骨，3例发生于月骨。
所有6例均继发于慢性舟月关节分离的韧带重建，术前均无舟骨或月骨结构畸形。
尽管这种情况的发生率尚不清楚，但其后果可能很严重；因此，在讨论慢性舟月关节不稳需创建骨隧道进行韧带重建的并发症时，应告知患者有这种可能性。
研究类型/证据水平：治疗性研究V级
