[Arthroscopic dorsal ligamento capsulodesis results in Geissler grade 2 and 3 scapholunate interosseous ligament injuries].
OBJECTIVE
This study aims to retrospectively evaluate results of arthroscopic dorsal ligamento capsulodesis in Geissler grade 2 and 3 scapholunate ligament injuries.


METHODS
Thirty-two patients (20 males, 12 females; mean age 30.1 years; range 21 to 42 years) who were performed arthroscopic dorsal ligamento capsulodesis due to Geissler grade 2 and 3 scapholunate ligament injuries between February 2011 and July 2013 were included in this study. Mean duration between the onset of complaints and surgery was 13.7 (range 6-20) months. Joint ranges of motion were compared to wrist motions on the healthy side. Patients were evaluated postoperatively by Mayo Wrist Scoring Test. Pain was assessed by visual analog scale (VAS).


RESULTS
Mean follow-up period was 15.12 (range 6-24) months. According to Mayo Wrist Scoring Test, results were excellent in 20 patients, and good in 12 patients. Compared to the healthy extremity, preoperative mean flexion gap range was 2.18° (range 0°-5°), and mean extension gap range was 4.37° (range 0°-15°). Compared to the healthy extremity, postoperative mean flexion gap range was 1.71° (range 0°-5°), and extension gap range was 1.09° (range 0°-10°). Compared to the healthy hand, preoperative and postoperative mean grip strengths were 86% and 94%, respectively. While preoperative VAS score was 6.59 (range 4-9), postoperative VAS score was 1.21 (range 0-6).


CONCLUSIONS
According to the study results, arthroscopic dorsal ligamento capsulodesis is an effective method for the elimination of pain and range of motion limitation, and recovery of grip strength.
Ist-El Hand Surgery, Microsurgery and Rehabilitation Group, 34200 Çapa, Fatih, İstanbul, Turkey. ibozcelik@gmail.com.
İsmail Bülent
İB
Özçelik
Meriç
M
Uğurlar
Fatih
F
Kabakaş
Hüsrev
H
Purisa
D000328:Adult; D001182:Arthroscopy; D050824:Carpal Joints / Q000601:surgery; D005260:Female; D018737:Hand Strength; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery*; D012667:Lunate Bone / Q000601:surgery*; D008297:Male; D010147:Pain Measurement; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D021361:Scaphoid Bone / Q000601:surgery*; D014955:Wrist Joint / Q000502:physiology; D055815:Young Adult