Outcomes of Acute Versus Subacute Scapholunate Ligament Repair

Raymond E. Chen, Ryan P. Calfee, Jeffrey G. Stepan, Daniel A. Osei

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)103-110
Number of pages8
JournalJournal of Hand Surgery Global Online
Volume4
Issue number2
DOIs
StatePublished - Mar 2022

Keywords

  • Dorsal capsulodesis
  • SLL repair
  • Scapholunate dissociation
  • Scapholunate ligament
  • Subacute SLL

Fingerprint

Dive into the research topics of 'Outcomes of Acute Versus Subacute Scapholunate Ligament Repair'. Together they form a unique fingerprint.

Cite this