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Arthroscopic Electrothermal Collagen Shrinkage for Symptomatic Laxity of the Scapholunate Interosseous Ligament

From the Division of Hand Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA

Correspondence: Dr Beredjiklian, 39th and Market Streets, 1 Cupp Pavilion, Presbyterian Medical Center, Philadelphia, PA 19104, USA. Tel.: +1 215 349 5735; fax: +1 215 349 5128. E-mail: pedro.beredjiklian{at}uphs.upenn.edu

The medical records, radiographs and operative reports of ten consecutive patients of average age 37 (range 19–67) years with wrist pain secondary to structural disruption of the scapholunate interosseous ligament (Geissler Type 2 injuries) who were treated with wrist arthroscopy and electrothermal collagen shrinkage of the scapholunate interosseous ligament were reviewed. Functional outcomes were assessed using the DASH scoring system at an average follow-up of 28 (range 12–44) months. At latest follow-up, nine patients (90%) were asymptomatic and had returned to their pre-injury functional level. The mean score on the DASH questionnaire was 20 (range 11–48). One patient developed wrist discomfort and mechanical symptoms 7 months postoperatively and required revision surgery. Our preliminary findings suggest that this may be a viable treatment option in the management of patients with symptomatic scapholunate interosseous ligament laxity without complete ligament disruption. Additional study is needed to better understand the role of this treatment modality.

Key Words: electrothermal collagen shrinkage • scapholunate interosseous ligament • wrist

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 6, 643-647 (2005)
DOI: 10.1016/J.JHSB.2005.07.011


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