J Wrist Surg 2013; 02(02): 116-125
DOI: 10.1055/s-0033-1343092
Special Focus: The Schapholunate Ligament Complex
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Current Role of Open Reconstruction of the Scapholunate Ligament

Riccardo Luchetti
1   Rimini Hand Surgery and Rehabilitation Center, Rimini, Italy
,
Andrea Atzei
2   Fenice Hand Surgery and Rehabilitation Team, Treviso, Pordenone, Italy
,
Roberto Cozzolino
1   Rimini Hand Surgery and Rehabilitation Center, Rimini, Italy
,
Tracy Fairplay
3   Studio Fairplay, Hand Rehabilitation Private Center, Bologna, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
21 May 2013 (online)

Abstract

This paper is a review of the various surgical techniques used in repair or reconstruction of the scapholunate ligament according to the clinical stages and anatomic-pathologic findings. Arthroscopy permits a direct evaluation of the scapholunate injury and the status of the articular surfaces. Specific indications for each type of scapholunate ligament tear are proposed, from the different types of dorsal capsulodesis to bone–ligament–bone techniques and tenodesis procedures. The authors' preferred techniques and literature review of the expected outcomes are presented.

Note

Work was done at the Rimini Hand Surgery and Rehabilitation Center.


 
  • References

  • 1 Watson H, Ottoni L, Pitts EC, Handal AG. Rotary subluxation of the scaphoid: a spectrum of instability. J Hand Surg [Br] 1993; 18 (1) 62-64
  • 2 Geissler WB, Haley TH. Arthroscopy management of scapholunate instability. Atlas Hand Clin 2001; 6: 253-274
  • 3 Garcia-Elias M. Carpal instability dissociative. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, . eds. Green's Operative Hand Surgery, 6th ed. New York, NY: Churchill Livingstone; 2011
  • 4 Messina J, Dreant N, Van Overstraeten L, Luchetti R, Mathoulin C. Evolution of arthroscopic classification in scapholunate complex lesions. J Hand Surg [Br] 2012; 37: S85-S86
  • 5 Taleisnik J. Scapholunate dissociation. In: Strickland JW, Steichen JB, , eds. Difficult Problems in Hand Surgery. St Louis: Mosby; 1982: 341-348
  • 6 Linscheid RL. Scapholunate ligamentous instabilities (dissociations, subdislocations, dislocations). Ann Chir Main 1984; 3 (4) 323-330
  • 7 O'Brien ET. Acute fractures and dislocations of the carpus. Orthop Clin North Am 1984; 15 (2) 237-258
  • 8 Short WH, Werner FW, Green JK, Masaoka S. Biomechanical evaluation of ligamentous stabilizers of the scaphoid and lunate. J Hand Surg Am 2002; 27 (6) 991-1002
  • 9 Bickert B, Sauerbier M, Germann G. Scapholunate ligament repair using the Mitek bone anchor. J Hand Surg [Br] 2000; 25 (2) 188-192
  • 10 Weil C, Ruby LK. The dorsal approach to the wrist revisited. J Hand Surg Am 1986; 11 (6) 911-912
  • 11 Potts H, Noble J. Surgical approaches to the dorsum of the wrist: brief report. J Bone Joint Surg Br 1988; 70 (2) 328-329
  • 12 Berger RA, Bishop AT, Bettinger PC. New dorsal capsulotomy for the surgical exposure of the wrist. Ann Plast Surg 1995; 35 (1) 54-59
  • 13 Wyrick JD, Youse BD, Kiefhaber TR. Scapholunate ligament repair and capsulodesis for the treatment of static scapholunate dissociation. J Hand Surg [Br] 1998; 23 (6) 776-780
  • 14 Linscheid RL, Dobyns JH. Treatment of scapholunate dissociation. Rotatory subluxation of the scaphoid. Hand Clin 1992; 8 (4) 645-652
  • 15 Lavernia CJ, Cohen MS, Taleisnik J. Treatment of scapholunate dissociation by ligamentous repair and capsulodesis. J Hand Surg Am 1992; 17 (2) 354-359
  • 16 Blatt G. Capsulodesis in reconstructive hand surgery. Dorsal capsulodesis for the unstable scaphoid and volar capsulodesis following excision of the distal ulna. Hand Clin 1987; 3 (1) 81-102
  • 17 Luchetti R, Zorli IP, Atzei A, Fairplay T. Dorsal intercarpal ligament capsulodesis for predynamic and dynamic scapholunate instability. J Hand Surg Eur Vol 2010; 35 (1) 32-37
  • 18 Slater Jr RR, Szabo RM, Bay BK, Laubach J. Dorsal intercarpal ligament capsulodesis for scapholunate dissociation: biomechanical analysis in a cadaver model. J Hand Surg Am 1999; 24 (2) 232-239
  • 19 Pomerance J. Outcome after repair of the scapholunate interosseous ligament and dorsal capsulodesis for dynamic scapholunate instability due to trauma. J Hand Surg Am 2006; 31 (8) 1380-1386
  • 20 Deshmukh SC, Givissis P, Belloso D, Stanley JK, Trail IA. Blatt's capsulodesis for chronic scapholunate dissociation. J Hand Surg [Br] 1999; 24 (2) 215-220
  • 21 Moran SL, Ford KS, Wulf CA, Cooney WP. Outcomes of dorsal capsulodesis and tenodesis for treatment of scapholunate instability. J Hand Surg Am 2006; 31 (9) 1438-1446
  • 22 Gajendran VK, Peterson B, Slater Jr RR, Szabo RM. Long-term outcomes of dorsal intercarpal ligament capsulodesis for chronic scapholunate dissociation. J Hand Surg Am 2007; 32 (9) 1323-1333
  • 23 Cuénod P. Osteoligamentoplasty and limited dorsal capsulodesis for chronic scapholunate dissociation. Ann Chir Main Memb Super 1999; 18 (1) 38-53
  • 24 Cuénod P, Charrière E, Papaloïzos MY. A mechanical comparison of bone-ligament-bone autografts from the wrist for replacement of the scapholunate ligament. J Hand Surg Am 2002; 27 (6) 985-990
  • 25 Atzei A, Calderara D, Pangallo L , et al. Long term results of bone-ligament-bone reconstruction of dynamic scapholunate instability. J Hand Surg Eur Vol 2010; ; 35E Supplement 1
  • 26 Coe M, Spitellie P, Trumble TE, Tencer AF, Kiser P. The scapholunate allograft: a biomechanical feasibility study. J Hand Surg Am 1995; 20 (4) 590-596
  • 27 Harvey EJ, Hanel D, Knight JB, Tencer AF. Autograft replacements for the scapholunate ligament: a biomechanical comparison of hand-based autografts. J Hand Surg Am 1999; 24 (5) 963-967
  • 28 Hofstede DJ, Ritt MJ, Bos KE. Tarsal autografts for reconstruction of the scapholunate interosseous ligament: a biomechanical study. J Hand Surg Am 1999; 24 (5) 968-976
  • 29 Shin SS, Moore DC, McGovern RD, Weiss APC. Scapholunate ligament reconstruction using a bone-retinaculum-bone autograft: a biomechanic and histologic study. J Hand Surg Am 1998; 23 (2) 216-221
  • 30 Schuind FA. Scapholunate reconstruction using a vascularized flap of the interosseous membrane. Orthop Surg Tech 1995; 9: 21-26
  • 31 Weiss APC. Scapholunate ligament reconstruction using a bone-retinaculum-bone autograft. J Hand Surg Am 1998; 23 (2) 205-215
  • 32 Brunelli GA, Brunelli GR. Une nouvelle intervention pour la dissociation scapholunaire. Proposition d'une nouvelle technique chirurgicale pour l'instabilité carpienne avec dissociation scapholunaire (11 cas). [in French]. Ann Chir Main Memb Super 1995; 14 (4-5) 207-213
  • 33 Garcia-Elias M, Lluch AL, Stanley JK. Three-ligament tenodesis for the treatment of scapholunate dissociation: indications and surgical technique. J Hand Surg Am 2006; 31 (1) 125-134
  • 34 Goldner JL. Treatment of carpal instability without joint fusion—current assessment. J Hand Surg Am 1982; 7 (4) 325-326
  • 35 Dobyns JH, Linscheid RL, Chao EYS, Weber ER, Swanson GE. Traumatic instability of the wrist. Instr Course Lect 1975; 24: 189-199
  • 36 Brunelli GA, Brunelli GR. A new technique to correct carpal instability with scaphoid rotary subluxation: a preliminary report. J Hand Surg Am 1995; 20 (3 Pt 2) S82-S85
  • 37 Van Den Abbeele KLS, Loh YC, Stanley JK, Trail IA. Early results of a modified Brunelli procedure for scapholunate instability. J Hand Surg [Br] 1998; 23 (2) 258-261
  • 38 Chabas JF, Gay A, Valenti D, Guinard D, Legre R. Results of the modified Brunelli tenodesis for treatment of scapholunate instability: a retrospective study of 19 patients. J Hand Surg Am 2008; 33 (9) 1469-1477
  • 39 Bain GI, Watts AC, McLean J, Lee YC, Eng K. Cable-augmented, quad ligament tenodesis scapholunate reconstruction: rationale, surgical technique, and preliminary results. Tech Hand Up Extrem Surg 2013; 17 (1) 13-19
  • 40 Brunelli F, Spalvieri C, Bremner-Smith A, Papalia I, Pivato G. Dynamique d'une instabilité statique scapholunaire par transfert tendineux actif du muscle court extenseur du carpe: rapport préliminaire [in French]. Chir Main 2004; 23 (5) 249-253
  • 41 Herbert TJ, Hargreaves IC, Clarke AM. A new surgical technique for treating rotatory instability of the scaphoid. Hand Surg 1996; 1: 75-77
  • 42 Rosenwasser MP, Miyasajsa KC, Strauch RJ. The RASL procedure: reduction and association of the scaphoid and lunate using the Herbert screw. Tech Hand Up Extrem Surg 1997; 1 (4) 263-272
  • 43 White NJRD, Crow SA, Swart E, Rosenwasser MP. Reduction and association of the scaphoid and lunate (RASL): long-term follow-up of a reconstruction technique for chronic scapholunate dissociation. J Hand Surg Am 2010; 35: 16-17
  • 44 Filan SL, Herbert TJ. Herbert screw fixation for the treatment of scapholunate ligament rupture. Hand Surg 1998; 3: 47-55
  • 45 Fernandez DL. Scapholunate ligament reconstruction and temporary screw fixation for scapholunate instability. . Paper presented at: Eurohand 2008, Federation of European Societies for Surgery of the Hand 13th Congress and European Federation of Societies for Hand Therapy 9th Congress, June 19–24, 2008, Lausanne, Switzerland. [Abstract] http://www.congress-info.ch/eurohand2008/sc_prgr_fessh.php?id=707 . Accessed March 17, 2013.
  • 46 Cognet JM, Levadoux M, Martinache X. The use of screws in the treatment of scapholunate instability. J Hand Surg Eur Vol 2011; 36 (8) 690-693