International Wrist Center, Bizet Clinic, Paris, France.
Hand Surgery and Limb Reconstructive Surgery Department, La Timone Adult Hospital, Aix Marseille University, Marseille, France.
Bone Joint J. 2024 Mar 1;106-B(3):262-267. doi: 10.1302/0301-620X.106B3.BJJ-2023-0608.R3.
Patients with midcarpal instability are difficult to manage. It is a rare condition, and few studies have reported the outcomes of surgical treatment. No prospective or retrospective study has reported the results of arthroscopic palmar capsuloligamentous suturing. Our aim was to report the results of a prospective study of arthroscopic suture of this ligament complex in patients with midcarpal instability.
This prospective single-centre study was undertaken between March 2012 and May 2022. The primary outcome was to evaluate the functional outcomes of arthroscopic palmar midcarpal suture. The study included 12 patients, eight male and four female, with a mean age of 27.5 years (19 to 42). They were reviewed at three months, six months, and one year postoperatively.
There was a significant improvement in flexion, extension, grip strength, abbreviated version of the Disabilities of the Arm, Shoulder and Hand questionnaire score, and pain, in all patients. After telephone contact with all patients in March 2023, at a mean follow-up of 3.85 years (2.2 to 6.25), no patient had a persistent or recurrent clunk.
Arthroscopic suture of the midcarpal capsuloligamentous complex represents a minimally invasive, easy, and reproducible technique for the management of patients with midcarpal instbility, with a clear improvement in function outcomes and no complications.
腕中不稳定的患者较难处理。这种情况较为罕见，鲜有研究报告手术治疗的结果。尚无前瞻性或回顾性研究报告过腕中关节镜下掌侧囊韧带缝合的结果。我们的目的是报告前瞻性研究腕中关节镜下缝合该韧带复合体治疗腕中不稳定患者的结果。
这项前瞻性单中心研究于 2012 年 3 月至 2022 年 5 月进行。主要结局是评估腕中关节镜下掌侧缝合的功能结果。该研究纳入了 12 名患者，8 名男性，4 名女性，平均年龄 27.5 岁（19 岁至 42 岁）。他们在术后 3 个月、6 个月和 1 年进行了随访。
所有患者的屈曲、伸展、握力、简化的上肢残疾问卷评分以及疼痛均有显著改善。2023 年 3 月通过电话联系所有患者，平均随访 3.85 年（2.2 年至 6.25 年），无患者出现持续性或复发性弹响声。
腕中囊韧带复合体的关节镜下缝合是一种微创、简单且可重复的治疗腕中不稳定患者的方法，功能结果明显改善，且无并发症。
