Arthroscopic Suture Anchor Scapholunate Capsulodesis

Abstract

Background A retrospective review was performed of 15 adult patients who underwent arthroscopic suture anchor scapholunate capsuloligamentous repair between 2021 and 2023.

Materials and Methods There were 12 male and 3 female patients, with a mean age of 44.9 years. Eight patients had European Wrist Arthroscopy Society (EWAS) II (Geissler II), four patients had EWAS IIIC (Geissler III), and three patients had EWAS IV (Geissler IV). After a follow-up of 12 months (12–26), the mean grip strength significantly improved by 131% compared with presurgery. There was a significant improvement in the visual analog scale score from 6 to 1.2, the Mayo Wrist Score from 43.5 to 86.5, and the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire score from 65.9 to 6.5. Two EWAS IV patients had recurrent symptomatic scapholunate diastasis requiring scapholunate ligamentoplasty.

Conclusion The arthroscopic dorsal scapholunate capsuloligamentous repair with suture anchors is a reliable and safe technique with minimal complications. It is recommended for reducible acute or chronic injury to the scapholunate ligament complex with suspected avulsion injury.

Level of Evidence Level IV

Keywords

wrist - arthroscopy - scapholunate interosseous ligament - arthroscopic suture anchor - scapholunate capsulodesis

Authors' Contributions

All authors were actively involved in the planning, enactment, and writing up of the study.

Ethical Approval

This study was approved by the Ethics Committee of the Hospital Quironsalud Valencia.

Patients' Consent

Informed patient consent was obtained for this study.

Publikationsverlauf

Eingereicht: 02. Juli 2024

Angenommen: 30. August 2024

Artikel online veröffentlicht:
03. Oktober 2024

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