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Ligamentous Reconstruction of Scapholunate Dislocation through a Double Dorsal and Palmar Approach

From the Unit of Hand Surgery and Microsurgery, Policlinico of Modena, Italy

Correspondence: Dr A. Marcuzzi, MD, Unit of Hand Surgery and Microsurgery, Policlinico of Modena, L.go del Pozzo, 71, 41100 Modena, Italy. Tel.: +39 059 4224494; fax: +39 059 4222818. E-mail: marcuzzi.a{at}policlinico.mo.it

Six patients, were treated for scapholunate dissociation by reconstruction of both the palmar and dorsal parts of the scapholunate interosseous ligament through a combined palmar and dorsal approach. The mean active range of motion of the wrist at final follow-up was 44° of flexion and 58° of extension and the mean hand grip strengths was 88% of that of the contralateral hand. The average time to return to work was 105 days and the mean DASH score at a mean follow-up of 32 months was 18. At follow-up, radiographs showed maintenance of the anatomical reduction of the scapholunate articulation in all cases and the scapholunate angle was normal in five patients.

Key Words: scapholunate • dislocation • reconstruction

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 4, 445-449 (2006)
DOI: 10.1016/J.JHSB.2006.02.009


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