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Journal of the Korean Society for Surgery of the Hand 2006;11(1):20-24.
Published online March 1, 2006.
Arthroscopic Treatment for Scapholunate Ligament Injury on Wrist Arthroscopic Finding of Wrist Trauma Patients
Byung-Sung Kim, Eung-Ha Kim, Soo-Kyoon Rah, Jun Bum Kim, Whan-Il Sung
수근 관절 외상 환자의 수근 관절경에서 발견된 주상 월상 인대 손상의 치료
김병성, 김응하, 나수균, 김준범, 성환일
Abstract
Purpose
To analyze the results of treatment of scapholunate ligament injuries detected by wrist arthroscopy. Materials and Methods: Seventeen cases were analyzed clinically and radiographically. We treated 15 cases by arthroscopic reduction and percutaneous k-wire fixation, and 1 case by arthroscopic debridement, and 1 case by arthroscopic reduction and percutaneous screw fixation. For functional evaluation, Green and O’Brien scores were used. For radiological evaluation, scapholunate angle and gap were analyzed. Results: Functional results were excellent or good in 14 patients according to the modified system of Green and O’Brien. Scapholunate dissociation was not observed at last follow up, and scapholunate angle and gap was not different. Most of scapholunate injuries were associated with distal radius fracture. Fourteen cases had the grade 2 of scapholunate laxity. Conclusion: Arthroscopic treatment for scapholunate ligament injuries detected by wrist arthroscopy is simple and valuable method.
 


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