TY - JOUR
T1 - Outcomes of Acute Versus Subacute Scapholunate Ligament Repair
AU - Chen, Raymond E.
AU - Calfee, Ryan P.
AU - Stepan, Jeffrey G.
AU - Osei, Daniel A.
N1 - Funding Information:
This publication was supported by the Institute of Clinical and Translational Sciences Award program of the National Center for Advancing Translational Sciences at the National Institutes of Health (grant numbers UL1 TR000448 and KL2TR000450).
Publisher Copyright:
© 2021 The Authors
PY - 2022/3
Y1 - 2022/3
N2 - Purpose: This study investigated the long-term outcomes of direct scapholunate ligament (SLL) repairs with or without dorsal capsulodesis performed within 6 weeks (acute repair) of a SLL tear versus 6 to 12 weeks following injury (subacute repair). Methods: A review of medical records from April 1996 to April 2012 identified 24 patients who underwent SLL repair (12 acute, 12 subacute). Patients returned to the clinic for radiographic examinations of the injured wrist, standardized physical examinations, and validated questionnaires. Results: The mean follow-up times for the acute and subacute groups were 7.2 and 6.2 years, respectively. At the final examination, patients with acute surgery regained more wrist extension (acute = 55°, subacute = 47°). The total wrist flexion-extension arcs, grip strengths, pinch strengths, and patient-rated outcome scores were found to be similar between groups. The final scapholunate gap, scapholunate angle, and the prevalence of arthritis were also found to be similar between the acute and subacute groups. Conclusions: Although SLL repair is more commonly recommended for treatment of acute SLL injuries, there were no significant long-term differences between acute and subacute SLL surgeries (repair ± capsulodesis). Type of study/level of evidence: Prognostic III.
AB - Purpose: This study investigated the long-term outcomes of direct scapholunate ligament (SLL) repairs with or without dorsal capsulodesis performed within 6 weeks (acute repair) of a SLL tear versus 6 to 12 weeks following injury (subacute repair). Methods: A review of medical records from April 1996 to April 2012 identified 24 patients who underwent SLL repair (12 acute, 12 subacute). Patients returned to the clinic for radiographic examinations of the injured wrist, standardized physical examinations, and validated questionnaires. Results: The mean follow-up times for the acute and subacute groups were 7.2 and 6.2 years, respectively. At the final examination, patients with acute surgery regained more wrist extension (acute = 55°, subacute = 47°). The total wrist flexion-extension arcs, grip strengths, pinch strengths, and patient-rated outcome scores were found to be similar between groups. The final scapholunate gap, scapholunate angle, and the prevalence of arthritis were also found to be similar between the acute and subacute groups. Conclusions: Although SLL repair is more commonly recommended for treatment of acute SLL injuries, there were no significant long-term differences between acute and subacute SLL surgeries (repair ± capsulodesis). Type of study/level of evidence: Prognostic III.
KW - Dorsal capsulodesis
KW - SLL repair
KW - Scapholunate dissociation
KW - Scapholunate ligament
KW - Subacute SLL
UR - http://www.scopus.com/inward/record.url?scp=85121313531&partnerID=8YFLogxK
U2 - 10.1016/j.jhsg.2021.10.007
DO - 10.1016/j.jhsg.2021.10.007
M3 - Article
C2 - 35434576
AN - SCOPUS:85121313531
SN - 2589-5141
VL - 4
SP - 103
EP - 110
JO - Journal of Hand Surgery Global Online
JF - Journal of Hand Surgery Global Online
IS - 2
ER -