Journal of Wrist Surgery最新文献_第2页

Retinaculum Grafts in Scapholunate Ligament Reconstruction: A Systematic Review 肩胛韧带重建中的网状移植：系统回顾

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-06-04 DOI: 10.1055/s-0044-1787180

Lea Estermann, Melodi Yong, Blair S. York, Christopher Y. Tham, James Onggo, S. Tham

{"title":"Retinaculum Grafts in Scapholunate Ligament Reconstruction: A Systematic Review","authors":"Lea Estermann, Melodi Yong, Blair S. York, Christopher Y. Tham, James Onggo, S. Tham","doi":"10.1055/s-0044-1787180","DOIUrl":"https://doi.org/10.1055/s-0044-1787180","url":null,"abstract":"\u0000 Background Several surgical techniques for the treatment of the irreparable chronic scapholunate (SL) ligament disruption, without arthritis, have been described using tendon grafts. An alternative technique is the use of retinaculum grafts. A systematic review of the biomechanical and histological properties of the bone–retinaculum–bone (BRB) graft and the clinical results of its use in SL ligament reconstruction was performed.\u0000 Materials and Methods After abstract screening of 353 articles, a total of eight studies (five laboratory and three clinical) were included.\u0000 Results Five cadaveric studies showed a lower load to failure and lower stiffness of the BRB compared with the scapholunate interosseous ligament. In patients with dynamic SL instability, treatment with BRB graft resulted in pain relief and an improvement in grip strength but with a reduced range of motion. Radiologically, no SL widening was found 18 months after surgery but with a slight increase after 12 years. The three clinical studies in this review have a level of evidence of 4. There were no studies on graft incorporation and remodeling.\u0000 Conclusion There is insufficient clinical, histological, and biomechanical data available on the use of BRB grafts for SL ligament reconstruction.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Topology-Optimized Splints: A Novel Approach for Management of Distal Radial Fractures 拓扑优化夹板：治疗桡骨远端骨折的新方法

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Journal of Wrist Surgery Pub Date : 2024-06-04 DOI: 10.1055/s-0044-1787182

Muhammad Talha, Muhammad Hamza Awais Khalid

引用次数: 0

Traumatic Ulnar Carpal Translocation, Distal Radioulnar Joint Subluxation with Occult Perilunate Injury 外伤性尺侧腕关节移位、桡骨远端关节脱位伴隐性腕周损伤

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-04-24 DOI: 10.1055/s-0044-1786160

Timothy Visser, Mikayla Borusiewicz, A. Payatakes

{"title":"Traumatic Ulnar Carpal Translocation, Distal Radioulnar Joint Subluxation with Occult Perilunate Injury","authors":"Timothy Visser, Mikayla Borusiewicz, A. Payatakes","doi":"10.1055/s-0044-1786160","DOIUrl":"https://doi.org/10.1055/s-0044-1786160","url":null,"abstract":"\u0000 Background Perilunate injuries pose a significant treatment challenge, particularly when initially missed or underestimated. These injuries have a multitude of variations as propagation of the injury may be through ligaments and/or bone, with more recent appreciation given to nondislocated perilunate injuries.\u0000 Case Description We present a new variant of perilunate injuries, not dislocated (PLIND). This occult ligamentous perilunate injury was associated with ulnar carpal translocation, radiocarpal subluxation, and distal radioulnar subluxation. The extent of injury was fully appreciated intraoperatively, with only subtle clues present on preoperative exam and imaging, emphasizing the high index of suspicion required to identify these injuries. Clinical outcome at 1-year follow-up was very satisfactory.\u0000 Literature Review PLIND consist a distinct subset within the spectrum of perilunate injuries in which there is no observed disruption of the capitolunate relationship. Based on few cases reported in the literature (attributable to their rare occurrence and likely additional lack of awareness surrounding the injury pattern), current recommendations for surgical management include arthroscopic or open approach to appropriately address osseous and ligamentous injuries.\u0000 Clinical Relevance Recognition of PLIND injuries is challenging given the lack of frank dislocation of the capitate head on the lunate, as observed in classic perilunate injuries. Heightened clinical suspicion in patients with consistent mechanism and presentation, followed by timely surgical management, may limit sequelae of persistent instability and arthritis. Our case contributed to relevant literature by presenting a previously undescribed PLIND variant combined with radiocarpal instability, ulnar carpal translocation, and distal radioulnar subluxation.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140662785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Natural History of Non-operatively Treated Traumatic Triangular Fibrocartilage Complex Tears: A Systematic Review 非手术治疗创伤性三角纤维软骨复合体撕裂的自然史：系统回顾

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-04-24 DOI: 10.1055/s-0044-1786164

Seung Il Choi, Simon MacLean, Shabhaz Malik

{"title":"The Natural History of Non-operatively Treated Traumatic Triangular Fibrocartilage Complex Tears: A Systematic Review","authors":"Seung Il Choi, Simon MacLean, Shabhaz Malik","doi":"10.1055/s-0044-1786164","DOIUrl":"https://doi.org/10.1055/s-0044-1786164","url":null,"abstract":"\u0000 Purpose Operative treatment of triangular fibrocartilage complex (TFCC) tears has been well researched; however, data regarding nonoperative management is mixed and scarce. Our review aimed to utilize available data to formulate conclusions regarding treatment algorithms for this heterogeneous injury group.\u0000 Methods A thorough literature review was performed in Medline (OVID), Embase, Cochrane Library, and PubMed databases with search terms including “triangular fibrocartilage complex” and variations on the full term including “triangular fibrocartilage” or “TFCC,” alongside “non-operative” and “conservative.” Results were then subject to inclusion criteria, ultimately identifying eight studies.\u0000 Results The studies involved a total of 425 patients and 427 wrists for analysis. The mean age ranged from 30.7 years to 60.4 years. 53.6% of patients were male. The mean follow-up ranged from 12 months to 7 years, with an overall mean follow-up period of 27 months. Primary endpoints focused on various functional outcome scores, range of motion, grip strength, and pain. The nonoperative management of TFCC tears resulted in noninferior and comparable outcomes to operative management.\u0000 Conclusion Our review identified that the nonoperative management of Palmer-type IB tears with a short period of above-elbow immobilization was an effective treatment option with good functional outcome scores. The nonoperative management of general TFCC tears resulted in comparable functional outcomes when viewed alongside results from other systematic reviews. Risk factors for developing a poor functional outcome or requiring operative management included distal radioulnar joint subluxation, short-arm immobilization, and full tears of the foveal attachment. However, further randomized controlled trials with homogenous data collection are required to make further conclusions regarding the management of this condition.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cuboid Bone for Distal Radius Reconstruction: An Anatomical Cadaver Study 用于桡骨远端重建的立方体骨：尸体解剖研究

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-04-16 DOI: 10.1055/s-0044-1786031

Pedro Alvedro-Ruiz, Ana Trapero-Ovejero, J. Ferràs-Tarragó, A. Pérez-García, Alfonso Valverde-Navarro, A. Thione

{"title":"Cuboid Bone for Distal Radius Reconstruction: An Anatomical Cadaver Study","authors":"Pedro Alvedro-Ruiz, Ana Trapero-Ovejero, J. Ferràs-Tarragó, A. Pérez-García, Alfonso Valverde-Navarro, A. Thione","doi":"10.1055/s-0044-1786031","DOIUrl":"https://doi.org/10.1055/s-0044-1786031","url":null,"abstract":"\u0000 Background The cuboid bone (CB) of the foot has been suggested as a potential source of autologous reconstruction of the distal radius (DR). This study sought to examine the feasibility of harvesting the CB as a vascularized bone transfer for DR reconstruction.\u0000 Purposes We evaluated the feasibility of a vascularized bone transfer of the CB by performing the flap dissection, analyzing its pedicle and demonstrating its perfusion using indocyanine green (ICG) fluorescence angiography.\u0000 Methods Ten feet from five fresh-frozen cadaver specimens were dissected. The lateral tarsal artery (LTA) mean diameter, length, and emerging point were described. The CB mean length and the mean length of the bone segment harvested were reported. ICG injection was used to demonstrate its blood supply.\u0000 Results The average length of the pedicle was 68.26 ± 3.12 mm. The mean diameter was 1.43 ± 0.15 mm. The CB had a mean anterior–posterior length of 40.81 ± 5.05 mm. The harvested bone had a mean length of 15.05 ± 2.03 mm. All CBs showed enhancement after ICG injection.\u0000 Conclusion The CB presented reasonable anatomical similarities with the DR and a long and consistent pedicle with an adequate blood supply observed during ICG injection.\u0000 Clinical Relevance This study supports the possibility of using the CB as a vascularized bone transfer for autologous reconstruction of the articular surface of the DR. Further study is warranted.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140698031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Reliability of Dynamic Scapholunate Distance Measured on 4D CT-Acquired Images 评估在四维 CT 采集图像上测量的动态肩胛骨间距的可靠性

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-04-16 DOI: 10.1055/s-0044-1786161

S. Goeminne, Emiel Salaets, Walter Coudyzer, Darshan Shah, Ilse Degreef, Lennart Scheys

{"title":"Evaluation of Reliability of Dynamic Scapholunate Distance Measured on 4D CT-Acquired Images","authors":"S. Goeminne, Emiel Salaets, Walter Coudyzer, Darshan Shah, Ilse Degreef, Lennart Scheys","doi":"10.1055/s-0044-1786161","DOIUrl":"https://doi.org/10.1055/s-0044-1786161","url":null,"abstract":"\u0000 Purpose A technique to measure scapholunate distance based on four-dimensional computed tomography (4D CT)-acquired images is presented.\u0000 Methods Intra-observer variability was evaluated through a repeated-measures study. A 4D CT of seven patients suspected of scapholunate lesion was performed. Anatomical landmarks were identified on a three-dimensional reconstructed model of the wrist. All 4D CT datasets were evaluated thrice by two observers. Standard deviation of the differences between two measurements, interclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal detectable change (MDC) were calculated.\u0000 Results Intra-observer variability for the expert observer (ICC > 0.95) was lower than that of the novice observer (ICC > 0.77) and interobserver variability was low (ICC > 0.85). For the expert observer, measurement error (SEM < 0.13 mm and MDC < 0.36 mm) was smaller than that of the novice observer (SEM < 0.45 mm and MDC < 1.24 mm). Both SEM and MDC values were low, compared to the scan resolution and the absolute value of intervals.\u0000 Conclusion The proposed assessment results in a reproducible and reliable measurement of scapholunate distance.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cuboid Bone for Distal Radius Reconstruction: An Anatomical Study by 3D Models 用于桡骨远端重建的立方体骨：三维模型解剖学研究

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-04-15 DOI: 10.1055/s-0044-1785499

Pedro Alvedro-Ruiz, Ana Trapero-Ovejero, J. Ferràs-Tarragó, A. Pérez-García, A. Thione

{"title":"Cuboid Bone for Distal Radius Reconstruction: An Anatomical Study by 3D Models","authors":"Pedro Alvedro-Ruiz, Ana Trapero-Ovejero, J. Ferràs-Tarragó, A. Pérez-García, A. Thione","doi":"10.1055/s-0044-1785499","DOIUrl":"https://doi.org/10.1055/s-0044-1785499","url":null,"abstract":"\u0000 Background Distal radius (DR) reconstruction due to high-energy trauma, degenerative processes, and oncologic resections can be a challenge when the articular surface is destroyed or resected. This study investigates the possibility of using the cuboid bone of the foot to replace the osteoarticular surface of DR.\u0000 Purposes We compared the three-dimensional (3D) morphology of the articular surface of three foot bones with that of the DR to analyze which one would be the most suitable to replace it.\u0000 Methods 3D bone models were created from a computed tomography (CT) scan database. The articular surfaces of calcaneus, cuboid bone, and lateral cuneiform bone were compared with that of the DR using the Hausdorff-Besicovitch morphometry analysis. Mean, maximum, and minimum differences were obtained and statistically analyzed.\u0000 Results The cuboid bone had a mean overall area difference with the DR of 0.72 mm (standard deviation [SD], 0.03 mm). The lateral cuneiform bone showed 0.89 mm (SD, 0.08 mm). The calcaneus presented 1.04 mm (SD, 0.06 mm). The differences and the variability of the articular surface were statistically lower in the cuboid bone.\u0000 Conclusion The articular surface of the cuboid bone has many similarities to the articular surface of the DR and had the most similarities to the DR of the foot bones study. The cuboid bone could be considered as a replacement for the DR in cases where there is a need for osteoarticular replacement or reconstruction. Further investigations are warranted.\u0000 Clinical Relevance A vascularized transfer of the cuboid bone may be a suitable option to replace a DR given the anatomical similarities reported.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140701440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complex Axial Carpal Dislocation with Scapholunate Ligament Injury 复杂轴性腕关节脱位伴肩胛韧带损伤

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-04-15 DOI: 10.1055/s-0044-1785500

Sathya Vamsi Krishna, Nikunj Gondaliya

{"title":"Complex Axial Carpal Dislocation with Scapholunate Ligament Injury","authors":"Sathya Vamsi Krishna, Nikunj Gondaliya","doi":"10.1055/s-0044-1785500","DOIUrl":"https://doi.org/10.1055/s-0044-1785500","url":null,"abstract":"\u0000 Background Axial carpal dislocations (ACDs) are high-impact injuries, involving both proximal and distal carpal rows, adding complexity to the diagnostic and treatment challenges. This article explores a distinctive case of axial radial carpal dislocation, highlighting an irreducible second carpometacarpal joint (CMCJ) and concomitant scapholunate (SL) ligament injury. Understanding the background of axial carpal injuries is crucial for recognizing and addressing these complex cases effectively.\u0000 Description A 27-year-old man presented with a left wrist injury following a motorcycle accident, revealing an irreducible second CMCJ with a unique ligamentous injury pattern. Despite unsuccessful closed reduction attempts, the surgical intervention involved a dorsal midline incision, fixation of the second CMCJ and SL interval, and ligament repair. Postoperative assessment demonstrated proper alignment with a mild gap in the SL interval, revealing the intricate nature of the injury.\u0000 Literature Review Existing studies describe a type of axial dislocation starting at the third webspace, traveling through capitate–hamate intervals leading to scaphoid dislocation. However, in the article, we describe a variant of ACD through second CMCJ causing an SL interval instability.\u0000 Clinical Relevance Recognizing and comprehensively addressing axial radial carpal dislocations are crucial for optimal patient outcomes. The case report contributes valuable insights into the rare pattern of ACD involving SL instability that was missed on initial radiographs but detected through computed tomography scan and thereby managed appropriately. Any CMCJ dislocation should raise a suspicion of axial dislocation unless proved otherwise.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140703549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radiocarpal Osteochondral Allografts for Wrist Pain Postproximal Row Carpectomy 桡骨骨软骨异体移植治疗近端行骨切除术后的腕痛

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-04-11 DOI: 10.1055/s-0044-1781429

Kazimir Bagdady, Cedar Slovacek, Peter K. Firouzbakht, Brian A. Mailey

{"title":"Radiocarpal Osteochondral Allografts for Wrist Pain Postproximal Row Carpectomy","authors":"Kazimir Bagdady, Cedar Slovacek, Peter K. Firouzbakht, Brian A. Mailey","doi":"10.1055/s-0044-1781429","DOIUrl":"https://doi.org/10.1055/s-0044-1781429","url":null,"abstract":"\u0000 Background Surgical options for patients with recurrent wrist pain after salvage procedures, such as proximal row carpectomy (PRC), are limited and primarily result in total wrist arthrodesis (TWA). Osteochondral allografting (OCA) offers an additional option to address refractory wrist pain due to arthritis while preserving some range of motion.\u0000 Case Description A 65-year-old, right hand dominant male developed chronic wrist pain, secondary to untreated scapholunate and triangular fibrocartilage complex ligament tears. The patient underwent a PRC, radial styloidectomy, and partial wrist denervation with good initial pain relief. Two years later, symptoms returned with radiographs demonstrating capitate sclerosis. A salvage arthroplasty with OCA produced relief of symptoms.\u0000 Literature Review Refractory wrist pain after salvage procedures have traditionally been managed with TWA or less commonly, wrist arthroplasty. Capitate resurfacing and interposition have expanded indications for PRC. OCA is a chondral replacement procedure that utilizes cadaveric cartilage allograft plugs to replace damaged cartilage in various articular joint surfaces. Although OCA used in the lower extremity and shoulder has demonstrated improved pain relief and return of function, it has not been reported in the wrist.\u0000 Clinical Relevance There are limited options for refractory wrist pain after salvage procedures. We present an additional alternative to TWA, by resurfacing the radiocarpal joint affected by chondromalacia after a PRC. This option offers another treatment modality for recurrent wrist pain while still preserving some element of range of motion.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dorsal Intercarpal Ligament Tears: An Arthroscopic Classification and Clinical Outcomes Study 背侧腕间韧带撕裂：关节镜分类和临床结果研究

IF 0.7

Journal of Wrist Surgery Pub Date : 2024-03-30 DOI: 10.1055/s-0044-1785505

L. Merlini, Sze Ryn Chung, M. Caloia

{"title":"Dorsal Intercarpal Ligament Tears: An Arthroscopic Classification and Clinical Outcomes Study","authors":"L. Merlini, Sze Ryn Chung, M. Caloia","doi":"10.1055/s-0044-1785505","DOIUrl":"https://doi.org/10.1055/s-0044-1785505","url":null,"abstract":"\u0000 Background The dorsal intercarpal (DIC) ligament plays a significant role in carpal stability and is often associated with other carpal ligament injuries. Isolated DIC ligament injuries are rare and can present as a ligament avulsion, bony avulsion, or attenuation due to chronic injury. Previously, we described the first isolated DIC ligament avulsion and proposed an arthroscopic repair technique. This article presents an arthroscopic classification of DIC ligament complex injuries and outcomes in a larger series of patients.\u0000 Methods A retrospective review was conducted on 16 patients who had undergone arthroscopic repair of the DIC ligament from 2018 to 2022. Intraoperative arthroscopic findings were documented, leading to the proposal of a classification system for DIC ligament tears. Pre- and postoperative outcomes, including the range of motion, grip strength, visual analog scale (VAS) pain scores, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH) outcomes, were assessed in this cohort.\u0000 Results At a mean follow-up of 17.8 months, there was a statistically significant improvement in wrist flexion (65.3 to 74.3 degrees), wrist extension (77.8 to 84.5 degrees), comparative grip strength (46.4 to 87% compared with contralateral wrist), VAS score (6.3 to 0.6), and QuickDASH score (54.8 to 4.5). Four out of 16 patients (25%) had isolated DIC ligament tears, and the remaining 12 (75%) had concomitant intercarpal ligament injuries.\u0000 Conclusion The study highlights the critical role of the DIC ligament in carpal stability and introduces an arthroscopic classification for evaluating this lesion. Surgical options for different types of DIC ligament tears were also discussed.\u0000 Level of Evidence Level III, Retrospective study.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140363537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0