Scapholunate Ligament Insufficiency in a Patient with Scaphocapitate Coalition.

1 例患者的肩胛骨韧带功能不全。

• 发表时间: 2023 Sep
• 来源期刊: J Hand Microsurg
• DOI: 10.1055/s-0042-1744210
• PMID: 37701306
• 文章类型: Case Reports
• 作者列表: Arenas-Prat J

关键词: scaphocapitate coalition; scapholunate advanced collapse; scapholunate ligament

Abstract

We report a case of chronic scapholunate ligament insufficiency in a patient with scaphocapitate coalition. After more than 4 years of mild symptoms, there was no radiological evidence of progression to scapholunate advanced collapse in spite of minimal load-bearing repetitive physical activities undertaken by the patient as a professional guitarist. We believe that scaphocapitate coalition could contribute to mitigate the progression to scapholunate advanced collapse by preventing abnormal flexion of the scaphoid once the ligament is not competent anymore. The biomechanical and surgical implications of this type of carpal coalition are also discussed.

摘要

我们报告了1例肩胛骨联合患者的慢性肩胛骨韧带功能不全。经过4年多的轻微症状，尽管患者作为专业吉他手进行了最少的承重重复性体育活动，但没有放射学证据表明进展为肩capholunate晚期塌陷。我们认为，一旦韧带不再胜任，通过防止舟骨的异常屈曲，肩cap骨联合可以减轻向肩cap骨晚期塌陷的进展。还讨论了这种腕骨联盟的生物力学和手术意义。