K Eichler1, C Striebich, I Marzi, S Zangos, T J Vogl, J Frank. 1. Institut für Diagnostische und Interventionelle Radiologie Universitätsklinikum, Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Deutschland, k.eichler@em.uni-frankfurt.de.
Abstract
BACKGROUND: The purpose of this work was to retrospectively evaluate clinical and radiological results after surgical treatment for scapholunate ligament ruptures. MATERIALS AND METHODS: Measurements of range of motion, strength, and angles, as well as postoperative score assessments were performed in 32 patients. RESULTS: The average mobility in the operated wrist was 52° for flexion, extension 57°, radial 24°, ulnar deviation 31° and forearm rotation outward 88° and inward 89°. The recovery of force was 89% compared with the healthy hand. It showed an average skapholunar angle of 63°, a radioulnar angle of 22° and an average carpal height according to Nattrass of 1.49. Our patients rated the operation result with a median DASH score of 11 points (range 0-70.8 points). The median objective Mayo Wrist Score was 80 points (range 45-100 points). CONCLUSION: Surgical treatment of scapholunate ligament rupture, especially against the background of carpal collapse, is a very satisfactory method with very good results in the objective function and strength, and a high level of patient satisfaction.
BACKGROUND: The purpose of this work was to retrospectively evaluate clinical and radiological results after surgical treatment for scapholunate ligament ruptures. MATERIALS AND METHODS: Measurements of range of motion, strength, and angles, as well as postoperative score assessments were performed in 32 patients. RESULTS: The average mobility in the operated wrist was 52° for flexion, extension 57°, radial 24°, ulnar deviation 31° and forearm rotation outward 88° and inward 89°. The recovery of force was 89% compared with the healthy hand. It showed an average skapholunar angle of 63°, a radioulnar angle of 22° and an average carpal height according to Nattrass of 1.49. Our patients rated the operation result with a median DASH score of 11 points (range 0-70.8 points). The median objective Mayo Wrist Score was 80 points (range 45-100 points). CONCLUSION: Surgical treatment of scapholunate ligament rupture, especially against the background of carpal collapse, is a very satisfactory method with very good results in the objective function and strength, and a high level of patient satisfaction.
Authors: Patrick J Pollock; Ryan N Sieg; Martin F Baechler; Danielle Scher; Neal B Zimmerman; Norman H Dubin Journal: J Hand Surg Am Date: 2010-10 Impact factor: 2.230