PDF(Pubmed)
Abstract：
UNASSIGNED: Injury to the scapholunate (SL) interosseous ligament (SLIL) is a common cause of carpal instability. Internal brace augmentation has been used in various ligament repair procedures; however, further investigation of its outcomes in hand surgery is needed. This study aimed to examine outcomes for patients who underwent SLIL repair with internal brace augmentation.
UNASSIGNED: Patients who underwent SLIL repair with the internal brace technique and had at least 1 year of follow-up were contacted. Available patients returned for an in-person evaluation with new radiographs and physical examination. If patients could not be contacted but had x-rays and physical examinations performed at greater than 1 year after surgery, these data were collected from their medical records. Participating patients completed the QuickDASH and Patient-Rated Wrist Evaluation surveys and rated their satisfaction with the surgery. Outcomes assessed included wrist range of motion, grip strength, scaphoid shift test, SL gap, SL angle, and radiographic evidence of radiocarpal arthritis.
UNASSIGNED: We collected outcomes for 14 SLIL repairs among 13 patients (12 male). Mean length of the follow-up was 41 months (n = 14, 17-64). Mean QuickDASH and Patient-Rated Wrist Evaluation scores were 6.1 (0-43.2) and 9.6 (0-65), respectively. Radiographic measurements remained stable from immediate to latest follow-up, and no radiocarpal arthritic changes were noted. However, SL gap decreased from a mean of 5.33 mm (3.4-6.7) before surgery to 3.34 mm (2-4.6) at the latest follow-up, and SL angle decreased from a mean of 79.5° (67°-97°) before surgery to 67.3° (51°-85°) at the latest follow-up. All scaphoid shift tests were stable.
UNASSIGNED: Therefore, SL internal brace augmentation has favorable short-term results with improvements in pain, function, satisfaction, and carpal alignment at greater than 1 year postoperatively. This technique can be an effective option for the management of SL instability in the short term.
UNASSIGNED: Therapeutic IV.
UNASSIGNED: Patients who underwent SLIL repair with the internal brace technique and had at least 1 year of follow-up were contacted. Available patients returned for an in-person evaluation with new radiographs and physical examination. If patients could not be contacted but had x-rays and physical examinations performed at greater than 1 year after surgery, these data were collected from their medical records. Participating patients completed the QuickDASH and Patient-Rated Wrist Evaluation surveys and rated their satisfaction with the surgery. Outcomes assessed included wrist range of motion, grip strength, scaphoid shift test, SL gap, SL angle, and radiographic evidence of radiocarpal arthritis.
UNASSIGNED: We collected outcomes for 14 SLIL repairs among 13 patients (12 male). Mean length of the follow-up was 41 months (n = 14, 17-64). Mean QuickDASH and Patient-Rated Wrist Evaluation scores were 6.1 (0-43.2) and 9.6 (0-65), respectively. Radiographic measurements remained stable from immediate to latest follow-up, and no radiocarpal arthritic changes were noted. However, SL gap decreased from a mean of 5.33 mm (3.4-6.7) before surgery to 3.34 mm (2-4.6) at the latest follow-up, and SL angle decreased from a mean of 79.5° (67°-97°) before surgery to 67.3° (51°-85°) at the latest follow-up. All scaphoid shift tests were stable.
UNASSIGNED: Therefore, SL internal brace augmentation has favorable short-term results with improvements in pain, function, satisfaction, and carpal alignment at greater than 1 year postoperatively. This technique can be an effective option for the management of SL instability in the short term.
UNASSIGNED: Therapeutic IV.
摘要：
■肩胛骨（SL）骨间韧带（SLIL）的损伤是腕骨不稳定的常见原因。内部支具增强已用于各种韧带修复程序；然而，需要进一步研究其在手外科中的结局.这项研究旨在检查接受SLIL修复并内部支架增强的患者的预后。
■联系了使用内部支撑技术进行SLIL修复且随访至少1年的患者。可用的患者返回以进行新的X射线照片和体格检查。如果无法联系患者，但在手术后1年以上进行了X射线和身体检查，这些数据是从他们的医疗记录中收集的。参与的患者完成了QuickDASH和患者额定腕部评估调查，并评估了他们对手术的满意度。评估的结果包括手腕的活动范围，握力,舟骨移位试验,SL间隙,SL角度,和桡骨关节炎的影像学证据。
■我们收集了13例患者（12例男性）的14例SLIL修复结果。平均随访时间为41个月（n=14，17-64）。平均QuickDASH和患者额定腕部评估得分分别为6.1（0-43.2）和9.6（0-65），分别。从即时到最新的随访，射线照相测量保持稳定，并且没有注意到放射性腕骨关节炎的变化。然而,SL间隙从术前的平均5.33mm（3.4-6.7）减少到最新随访的3.34mm（2-4.6），SL角从手术前的平均79.5°（67°-97°）下降到最新随访的67.3°（51°-85°）。所有舟骨移位测试均稳定。
■因此，SL内部支架增强具有良好的短期效果，改善疼痛，函数,满意,术后大于1年的腕部对齐。这种技术可以是在短期内管理SL不稳定性的有效选择。
■治疗IV。
■联系了使用内部支撑技术进行SLIL修复且随访至少1年的患者。可用的患者返回以进行新的X射线照片和体格检查。如果无法联系患者，但在手术后1年以上进行了X射线和身体检查，这些数据是从他们的医疗记录中收集的。参与的患者完成了QuickDASH和患者额定腕部评估调查，并评估了他们对手术的满意度。评估的结果包括手腕的活动范围，握力,舟骨移位试验,SL间隙,SL角度,和桡骨关节炎的影像学证据。
■我们收集了13例患者（12例男性）的14例SLIL修复结果。平均随访时间为41个月（n=14，17-64）。平均QuickDASH和患者额定腕部评估得分分别为6.1（0-43.2）和9.6（0-65），分别。从即时到最新的随访，射线照相测量保持稳定，并且没有注意到放射性腕骨关节炎的变化。然而,SL间隙从术前的平均5.33mm（3.4-6.7）减少到最新随访的3.34mm（2-4.6），SL角从手术前的平均79.5°（67°-97°）下降到最新随访的67.3°（51°-85°）。所有舟骨移位测试均稳定。
■因此，SL内部支架增强具有良好的短期效果，改善疼痛，函数,满意,术后大于1年的腕部对齐。这种技术可以是在短期内管理SL不稳定性的有效选择。
■治疗IV。
