Long-term results of arthroscopic debridement and percutaneous pinning for chronic dynamic scapholunate instability

J Hand Surg Eur Vol. 2019 Jun;44(5):475-478. doi: 10.1177/1753193418822680. Epub 2019 Jan 20.

Abstract

There are various treatments for chronic dynamic scapholunate instability and there is still much debate about the best method of treatment. We retrospectively analysed 42 patients who had been treated by arthroscopic debridement and percutaneous pinning for chronic dynamic scapholunate instability. All patients were clinically improved without radiographic changes after surgery and were still satisfied at a mean follow-up of 68 months. Arthroscopic debridement and percutaneous pinning may be a good option for treating chronic dynamic scapholunate instability. Level of evidence: IV.

Keywords: Chronic scapholunate instability; arthroscopic debridement; percutaneous pinning.

MeSH terms

  • Adult
  • Arthroscopy*
  • Bone Nails*
  • Carpal Joints / diagnostic imaging
  • Carpal Joints / surgery*
  • Casts, Surgical
  • Debridement*
  • Exercise Therapy
  • Female
  • Follow-Up Studies
  • Hand Strength
  • Humans
  • Joint Instability / diagnostic imaging
  • Joint Instability / surgery*
  • Ligaments, Articular / diagnostic imaging
  • Ligaments, Articular / injuries
  • Ligaments, Articular / surgery*
  • Lunate Bone / diagnostic imaging
  • Lunate Bone / surgery
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Radiography
  • Range of Motion, Articular
  • Retrospective Studies
  • Scaphoid Bone / diagnostic imaging
  • Scaphoid Bone / surgery
  • Splints
  • Young Adult