Arthroscopic Treatment of Partial Scapholunate Ligament Tears in Children with Chronic Wrist Pain

Earp, Brandon E.; Waters, Peter M.; Wyzykowski, Richard J.
November 2006
Journal of Bone & Joint Surgery, American Volume;Nov2006, Vol. 88-A Issue 11, p2488
Academic Journal
Background: Scapholunate ligament injury is rare in the adolescent and pediatric population, and the results of treatment have not been well described. The purpose of the present study was to review the outcomes of arthroscopic management of patients with persistent wrist pain and scapholunate ligament injury as documented on arthroscopic examination who had had a failure of at least six months of nonoperative management. Methods: The medical records of thirty-two pediatric and adolescent patients who underwent arthroscopic treatment of scapholunate ligament injuries were retrospectively reviewed to obtain preoperative and postoperative modified Mayo wrist scores, radiographic data, and intraoperative findings, including the classifications of interosseous ligament injury, chondral injury, and other abnormalities. Patients were contacted after a minimum of two years of follow-up for reevaluation of the Mayo wrist scores. Results: Arthroscopic evaluation revealed thirty Geissler type-II tears and two Geissler type-III tears. In addition to these scapholunate ligament injuries, seven of the thirty-two patients had partial tears of the short radiolunate ligament that appeared to be at the site of impaction from carpal subluxation, twelve had a triangular fibrocartilage complex injury, and twenty-seven had a chondral injury. The modified Mayo wrist scores showed improvement following arthroscopic débridement of partial-thickness tears and associated chondral injuries. The average wrist score was 66.3 preoperatively and 91.6 at an average of forty-three months of follow-up. Eight patients required subsequent surgery because of deterioration in their clinical status. After a mean duration of follow-up of 30.8 months, the average wrist score was 87.1. Conclusions: The majority of pediatric and adolescent patients with wrist pain who have a failure of nonoperative management and who have a Geissler type-II scapholunate ligament tear on arthroscopic examination can have substantial long-term improvement following arthroscopic débridement of the tear combined with treatment of other associated injuries.


Related Articles

  • Arthroscopic debridement of massive rotator cuff tears: negative prognostic factors. Klinger, Hans-Michael; Steckel, Hanno; Ernstberger, Thorsten; Baums, Mike; Baums, Mike H // Archives of Orthopaedic & Trauma Surgery;May2005, Vol. 125 Issue 4, p261 

    Introduction: The purpose of this study was to identify the factors that may lead to poor outcomes after arthroscopic debridement in massive rotator cuff tears. Materials and Methods: Thirty-three patients (10 women and 23 men) with massive, irreparable rotator cuff...

  • Arthroscopy alone or in association with open cystectomy: in treatment of lateral meniscal cysts. El-Assal, M.; Mostafa, M.; Abdel-Aal, A.; El-Shafee, M. // Knee Surgery, Sports Traumatology, Arthroscopy;Jan2003, Vol. 11 Issue 1, p30 

    We retrospectively the results in 27 knees (26 patients) with cysts of the lateral meniscus. All patients had a meniscal tear (20 horizontal, 7 transverse) and pain over the lateral joint line with a palpable mass. The pathology was in the middle or anterior one-third of the meniscus....

  • Arthroscopic reduction and suture fixation of displaced tibial intercondylar eminence fractures in adults. Shan-Wei Yang; Yih-Chau Lu; Hsiu-Peng Teng; Chi-Yin Wong // Archives of Orthopaedic & Trauma Surgery;May2005, Vol. 125 Issue 4, p272 

    Introduction Tibial intercondylar eminence fractures are uncommon. In a review of the literature, most authors agreed that conservative treatment was suggested for non-displaced fractures. Displaced fractures were considered an indication for surgery. Materials and methods Between April 2000 and...

  • Joint Distraction May Be Unnecessary in Ankle Arthroscopy. Sun, Yan Q.; Slesarenko, Yury A. // Orthopedics;Feb2006, Vol. 29 Issue 2, p118 

    Presents a technique to avoid joint distraction during ankle arthroscopy. Materials and methods for performing ankle arthroscopy without joint distractions; Complications of invasive and non-invasive joint distractions; Examples of ankle arthroscopic procedures; Issues to consider in ankle...

  • Symptomatic infrapatellar plica. Demirag, Burak; Ozturk, Cagatay; Karakayali, Mehmet // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2006, Vol. 14 Issue 2, p156 

    To assess the clinical outcomes of a group of patients who underwent arthroscopic infrapatellar plica (IPP) excision and to determine, whether the IPP was symptomatic or not, to identify the symptoms or signs in the patient's clinical presentation and to study the correlations between...

  • Early Diagnosis and Repair of Popliteal Artery and Vein Injuries Occurring During Arthroscopy of the Knee. Fogerty, Mary D.; Hines, George L.; Sutaria, Maganlal // Vascular Surgery;Nov/Dec1995, Vol. 29 Issue 6, p501 

    Injuries to the popliteal vessels during arthroscopic procedures of the knee are rare but may lead to amputation of the extremity. Early recognition and repair of such injuries is essential to avoid this complication. Two cases of patients who sustained injuries to the popliteal artery and vein...

  • The value of knee arthroscopy in patients with severe radiological osteoarthritis. Bohnsack, Michael; Lipka, Wolfram; Rühmann, Oliver; Peters, Gabriela; Schmolke, Stefan; Wirth, Carl Joachim // Archives of Orthopaedic & Trauma Surgery;Aug2002, Vol. 122 Issue 8, p451 

    Background. This study was performed to assess the value of knee arthroscopy in patients with radiological signs of severe osteoarthritis. Methods. A total of 104 patients (50 men, 54 women, average age 60 years) with radiological knee osteoarthritis grade III/IV were followed up after knee...

  • Functional outcome and general health status in patients after arthroscopic release in adhesive capsulitis. Baums, M.; Spahn, G.; Nozaki, M.; Steckel, H.; Schultz, W.; Klinger, H.-M. // Knee Surgery, Sports Traumatology, Arthroscopy;Jul2007, Vol. 15 Issue 5, p638 

    Frozen shoulder is said to be a self-limiting entity but full recovery often takes more than 2 years. For that, most patients are unwilling to tolerate painful restriction while awaiting resolution. We prospectively investigated 30 patients (16 women, 14 men) for the outcome of arthroscopic...

  • Is the transglenoid suture technique recommendable for recurrent shoulder dislocation? A minimum 5-year follow-up in 59 non-athletic shoulders. Sung-Jae Kim; Min Jung; Hong-Kyo Moon; Woo-Hyuk Chang; Sul-Gee Kim; Yong-Min Chun // Knee Surgery, Sports Traumatology, Arthroscopy;Dec2009, Vol. 17 Issue 12, p1458 

    The aim of this retrospective study is to compare the clinical outcomes following arthroscopic Bankart repair employing the transglenoid technique versus suture anchors in non-athletic shoulders of patients 30 years or older at the time of surgery. Fifty-nine consecutive patients who were...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics