RSS-Feed abonnieren
DOI: 10.1055/s-0033-1343016
Arthroscopic Volar Capsuloligamentous Repair
Publikationsverlauf
Publikationsdatum:
21. Mai 2013 (online)
![](https://www.thieme-connect.de/media/jws/201302/lookinside/thumbnails/10.1055-s-0033-1343016-1.jpg)
Abstract
Background The palmar aspect of the capsuloligamentous complex of the wrist is relatively inaccessible to surgery through an open approach. An all-inside arthroscopic suturing technique is presented that allows suturing of the palmar scapholunate or lunotriquetral ligaments or plication of the space of Poirier.
Methods Eight palmar scapholunate ligaments and four major tears of the volar capsuloligamentous complex of the wrist due to a perilunate dislocation have been repaired.
Results No complications occurred during or after the procedure. It was not possible to separate the effects of the palmar repair from the disparate treatment of the associated pathology.
Conclusions The technique described allows one to suture the palmar aspects of the SL and LT ligaments safely and to repair the space of Poirier structures without need for any special equipment.
-
References
- 1 del Piñal F, Studer A, Thams C, Glasberg A. An all-inside technique for arthroscopic suturing of the volar scapholunate ligament. J Hand Surg Am 2011; 36 (12) 2044-2046
- 2 del Piñal F, García-Bernal FJ, Pisani D, Regalado J, Ayala H, Studer A. Dry arthroscopy of the wrist: surgical technique. J Hand Surg Am 2007; 32 (1) 119-123
- 3 del Piñal F. Dry arthroscopy and its applications. Hand Clin 2011; 27 (3) 335-345
- 4 del Piñal F, García-Bernal FJ, Cagigal L, Studer A, Regalado J, Thams C. A technique for arthroscopic all-inside suturing in the wrist. J Hand Surg Eur Vol 2010; 35 (6) 475-479
- 5 del Piñal F. Appendix: All-inside technique. In: del Piñal F, Mathoulin C, Nakamura T, , eds. Arthroscopic Management of Ulnar Pain. Berlin: Springer Verlag; 2012: 349-364
- 6 Mathoulin CL, Dauphin N, Wahegaonkar AL. Arthroscopic dorsal capsuloligamentous repair in chronic scapholunate ligament tears. Hand Clin 2011; 27 (4) 563-572 , xi