Arthroscopic dorsal ligamento capsulodesis results in Geissler grade 2 and 3 scapholunate interosseous ligament injuries
İsmail Bülent Özçelik1, Meriç Uğurlar2, Fatih Kabakaş1, Hüsrev Purisa1
1İST-EL El Cerrahi Mikrocerrahi ve Rehabilitasyon Grubu, İstanbul, Türkiye
2Kartal Yavuz Selim Devlet Hastanesi Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye
Keywords: Carpal instability; ligament injury; scapholunate; wrist arthroscopy.
Objectives: This study aims to retrospectively evaluate results of arthroscopic dorsal ligamento capsulodesis in Geissler grade 2 and 3 scapholunate ligament injuries.
Patients and methods: Thirty-two patients (20 males, 12 females; mean age 30.1 years; range 21 to 42 years) who were performed arthroscopic dorsal ligamento capsulodesis due to Geissler grade 2 and 3 scapholunate ligament injuries between February 2011 and July 2013 were included in this study. Mean duration between the onset of complaints and surgery was 13.7 (range 6-20) months. Joint ranges of motion were compared to wrist motions on the healthy side. Patients were evaluated postoperatively by Mayo Wrist Scoring Test. Pain was assessed by visual analog scale (VAS).
Results: Mean follow-up period was 15.12 (range 6-24) months. According to Mayo Wrist Scoring Test, results were excellent in 20 patients, and good in 12 patients. Compared to the healthy extremity, preoperative mean flexion gap range was 2.18º (range 0º-5º), and mean extension gap range was 4.37º (range 0º-15º). Compared to the healthy extremity, postoperative mean flexion gap range was 1.71º (range 0º-5º), and extension gap range was 1.09º (range 0º-10º). Compared to the healthy hand, preoperative and postoperative mean grip strengths were 86% and 94%, respectively. While preoperative VAS score was 6.59 (range 4-9), postoperative VAS score was 1.21 (range 0-6).
Conclusion: According to the study results, arthroscopic dorsal ligamento capsulodesis is an effective method for the elimination of pain and range of motion limitation, and recovery of grip strength.