腕关节舟月骨韧带损伤和关节炎发展的外科治疗：系统综述

Q3 Medicine

Journal of Hand Surgery Global Online Pub Date : 2025-09-13 DOI:10.1016/j.jhsg.2025.100827

Eiden Lami MS , Jack Kramer BA , Majd Mzeihem MD , Farid Amirouche PhD

{"title":"腕关节舟月骨韧带损伤和关节炎发展的外科治疗：系统综述","authors":"Eiden Lami MS , Jack Kramer BA , Majd Mzeihem MD , Farid Amirouche PhD","doi":"10.1016/j.jhsg.2025.100827","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>The scapholunate ligament (SLL) is the most injured carpal ligament; however, surgeons do not agree on the best management. Several studies have reported on the after surgery functional outcomes of different surgical techniques, with varying results. However, there is little literature on the development of arthritis in the context of a SLL injury. The goal of this review was to examine the current literature to investigate the relationship between an SLL injury and the development of arthritis in the wrist and hand.</div></div><div><h3>Methods</h3><div>We performed a systematic literature review on surgical treatments for SLL injuries. This review included 37 studies that met the inclusion criteria for treatment outcomes and arthritis development. We reported both demographic and radiological results, which included arthritis prevalence and pattern. Methodological quality was assessed using the Downs and Black checklist.</div></div><div><h3>Results</h3><div>In total, 784 injured wrists were analyzed across the 37 studies, and postoperative arthritis occurrences across treatment types were as follows, capsulodesis (10.6%), tenodesis (13.6%), ligamentoplasty (14.6%), bone-ligament-bone (31.5%), and debridement (5.3%), with scapholunate advanced collapse III being the most common arthritic pattern. The mean age of patients was 39.8 years. The delay between injury and treatment averaged 13.2 months.</div></div><div><h3>Conclusions</h3><div>Our systematic review highlights the variability in arthritis patterns following SLL injuries and underscores the lack of consensus regarding management strategies. We observed the highest rates of arthritis using the bone-ligament-bone method and the lowest rates using the debridement technique.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic IIA.</div></div>","PeriodicalId":36920,"journal":{"name":"Journal of Hand Surgery Global Online","volume":"7 6","pages":"Article 100827"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Surgical Treatments for Scapholunate Ligament Injuries and Development of Arthritis in the Wrist: A Systematic Review\",\"authors\":\"Eiden Lami MS , Jack Kramer BA , Majd Mzeihem MD , Farid Amirouche PhD\",\"doi\":\"10.1016/j.jhsg.2025.100827\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>The scapholunate ligament (SLL) is the most injured carpal ligament; however, surgeons do not agree on the best management. Several studies have reported on the after surgery functional outcomes of different surgical techniques, with varying results. However, there is little literature on the development of arthritis in the context of a SLL injury. The goal of this review was to examine the current literature to investigate the relationship between an SLL injury and the development of arthritis in the wrist and hand.</div></div><div><h3>Methods</h3><div>We performed a systematic literature review on surgical treatments for SLL injuries. This review included 37 studies that met the inclusion criteria for treatment outcomes and arthritis development. We reported both demographic and radiological results, which included arthritis prevalence and pattern. Methodological quality was assessed using the Downs and Black checklist.</div></div><div><h3>Results</h3><div>In total, 784 injured wrists were analyzed across the 37 studies, and postoperative arthritis occurrences across treatment types were as follows, capsulodesis (10.6%), tenodesis (13.6%), ligamentoplasty (14.6%), bone-ligament-bone (31.5%), and debridement (5.3%), with scapholunate advanced collapse III being the most common arthritic pattern. The mean age of patients was 39.8 years. The delay between injury and treatment averaged 13.2 months.</div></div><div><h3>Conclusions</h3><div>Our systematic review highlights the variability in arthritis patterns following SLL injuries and underscores the lack of consensus regarding management strategies. We observed the highest rates of arthritis using the bone-ligament-bone method and the lowest rates using the debridement technique.</div></div><div><h3>Type of study/level of evidence</h3><div>Therapeutic IIA.</div></div>\",\"PeriodicalId\":36920,\"journal\":{\"name\":\"Journal of Hand Surgery Global Online\",\"volume\":\"7 6\",\"pages\":\"Article 100827\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hand Surgery Global Online\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2589514125001471\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hand Surgery Global Online","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2589514125001471","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

目的舟月骨韧带（SLL）是损伤最严重的腕韧带；然而，外科医生对最佳治疗方法意见不一。一些研究报道了不同手术技术的术后功能结果，结果不同。然而，在SLL损伤的背景下，很少有关于关节炎发展的文献。本综述的目的是检查当前的文献，以研究SLL损伤与手腕和手部关节炎发展之间的关系。方法对SLL损伤的外科治疗进行系统的文献回顾。本综述纳入了37项符合治疗结果和关节炎发展纳入标准的研究。我们报告了人口统计学和放射学结果，包括关节炎的患病率和类型。使用Downs和Black检查表评估方法学质量。结果37项研究共分析了784例手腕损伤，不同治疗类型的术后关节炎发生率分别为：关节囊固定术（10.6%）、肌腱固定术（13.6%）、韧带成形术（14.6%）、骨-韧带-骨（31.5%）和清创术（5.3%），舟月骨晚期塌陷III型是最常见的关节炎类型。患者平均年龄39.8岁。从受伤到治疗的平均延迟时间为13.2个月。我们的系统综述强调了SLL损伤后关节炎模式的可变性，并强调了在治疗策略方面缺乏共识。我们观察到使用骨-韧带-骨方法的关节炎发病率最高，而使用清创技术的关节炎发病率最低。研究类型/证据水平：治疗性IIA。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Surgical Treatments for Scapholunate Ligament Injuries and Development of Arthritis in the Wrist: A Systematic Review

Purpose

The scapholunate ligament (SLL) is the most injured carpal ligament; however, surgeons do not agree on the best management. Several studies have reported on the after surgery functional outcomes of different surgical techniques, with varying results. However, there is little literature on the development of arthritis in the context of a SLL injury. The goal of this review was to examine the current literature to investigate the relationship between an SLL injury and the development of arthritis in the wrist and hand.

Methods

We performed a systematic literature review on surgical treatments for SLL injuries. This review included 37 studies that met the inclusion criteria for treatment outcomes and arthritis development. We reported both demographic and radiological results, which included arthritis prevalence and pattern. Methodological quality was assessed using the Downs and Black checklist.

Results

In total, 784 injured wrists were analyzed across the 37 studies, and postoperative arthritis occurrences across treatment types were as follows, capsulodesis (10.6%), tenodesis (13.6%), ligamentoplasty (14.6%), bone-ligament-bone (31.5%), and debridement (5.3%), with scapholunate advanced collapse III being the most common arthritic pattern. The mean age of patients was 39.8 years. The delay between injury and treatment averaged 13.2 months.

Conclusions

Our systematic review highlights the variability in arthritis patterns following SLL injuries and underscores the lack of consensus regarding management strategies. We observed the highest rates of arthritis using the bone-ligament-bone method and the lowest rates using the debridement technique.