Arthroscopic dorsal ligamento capsulodesis results in Geissler grade 2 and 3 scapholunate interosseous ligament injuries

ABSTRACT
Objectives: This study aims to retrospectively evaluate
results of arthroscopic dorsal ligamento capsulodesis in
Geissler grade 2 and 3 scapholunate ligament injuries.
Patients and 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 2.18º (range 0º-5º), and mean extension gap range
was 4.37º (range 0º-15º). Compared to the healthy extremity,
postoperative mean flexion gap range was 1.71º (range 0º-5º),
and extension gap range was 1.09º (range 0º-10º). 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).
Conclusion: 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.
Keywords: Carpal instability; ligament injury; scapholunate;
wrist arthroscopy.