SL dis
Alle deler > BILL > Studier > Hånd abs
Finsen V, Borchgrevink G.
POOR RESULTS OF RADIO-SCAPHOID CAPSULODESIS FOR SCAPHOLUNATE DISSOCIATION.
Hand Surgery 2013; 18: 337-41. DOI: 10.1142/S0218810413500366
We reviewed 17 patients 64
(range 29–123) months after dorsal radioscaphoid capsulodesis for scapholunate dissociation.
Mean loss of key pinch was 13%,
grip strength 18%, wrist flexion 22% (p < 0:001), and total wrist ROM 17% (p
< 0:005). VAS (0 = best; 100 = worst) was 30(+-28) for pain, 43(+-30)
for function, and 33(+-33) for general satisfaction with the outcome. Mean
Quick-DASH and PRWE scores were 27 and 34, respectively. The mean scapholunate
gap was 3.5mm before surgery, 1.9mm after surgery, and 3.3 mm at review. The corresponding scapholunate angles were 63o,
46o, and 70o, respectively. The mean radioscaphoid angle
with the wrist maximally flexed was 84o (69–99) for the patients and
was 91o (77–103) in ten wrists of volunteers. Six
patients had changed their jobs because of the wrist. Three patients stated
that they would not have consented to operation if they had known the outcome
in advance. Radioscaphoid capsulodesis does not prevent volar flexion of the
scaphoid.