Arthroscopic Assisted Volar, Dorsal or Combined Capsulodesis in Scapholunate Ligament Injury. (case series)

Arthroscopic Assisted Volar, Dorsal or Combined Capsulodesis in Scapholunate Ligament Injury

The aim of this case series study is to test the efficacy of arthroscopic assisted volar, dorsal or combined scapholunate capsulodesis in the management of scapholunate ligament injuries.

Study Overview

• Status: Completed
• Conditions: Scapholunate Interosseous Ligament Injury; SLLI
• Intervention / Treatment: Procedure: arthroscopic assisted volar scapholunate capsulodesis; Procedure: arthroscopic assisted dorsal scapholunate capsulodesis; Procedure: arthroscopic assisted combined volar and dorsal scapholunate capsulodesis

Detailed Description

The aim of this case series study is to test the efficacy of arthroscopic assisted volar, dorsal or combined scapholunate capsulodesis in the management of scapholunate ligament injuries. All patients will be assessed preoperatively by careful history taking , full general and local examination and radiological evaluation using wrist plain X-rays (Standard PA, clenched-fist PA , PA in ulnar deviation , lateral projection in neutral ,flexion and extension ) and wrist Magnetic resonance imaging.an informed written consent was taken before any surgery. The procedure starts with a standard radiocarpal and then midcarpal arthroscopy. During the arthroscopic examination ,several factors are assessed, including the location of the SLIL injury (volar, membranous, dorsal, or complete), the condition of the cartilage, the reducibility of the carpus, and other associated pathologies like TFCC injury. Classification is done using Geissler Classification, Garcia Elias Classification and EWAS classification.Volar capsulodesis using Hayman Lui et al or Del Pinal et al method and/or dorsal capsulodesis using original Mathoulin technique or combined capsulodesis were done.

• Study Type: Interventional
• Enrollment (Actual): 14
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Abbassia
    • Cairo, Abbassia, Egypt, 00000
      • Ain Shams University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Sex: both sexes.
• Age: above 18 years
• Lesion: subacute or chronic scapholunate ligament injury
• partial and complete SLIL tears

Exclusion Criteria:

• Acute scapholunate ligament injury
• irreducible carpal malalignment
• posttraumatic arthritis
• associated fractures that could affect the functional outcome

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Other: arthroscopic assisted volar scapholunate capsulodesis; arthroscopic assisted combined volar capsulodesis using PDS 2.00 sutures

Procedure: arthroscopic assisted volar scapholunate capsulodesis; arthroscopic assisted volar scapholunate capsulodesis using PDS 2.00 sutures; Other Names: volar scapholunate capsuloligamentodesis; Procedure: arthroscopic assisted dorsal scapholunate capsulodesis; arthroscopic assisted dorsal scapholunate capsulodesis using PDS 2.00 sutures; Procedure: arthroscopic assisted combined volar and dorsal scapholunate capsulodesis; arthroscopic assisted combined volar and dorsal scapholunate capsulodesis using PDS 2.00 sutures

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
wrist range of motion	wrist range of motion degrees in flexion , extension, radial deviation and ulnar deviation.	preoperative and postoperative after 3months , 6months , 9months and 12months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
scapholunate gap	scapholunate gap in PA wrist plain Xray is the distance between middle of scaphoid and middle of lunate bones in PA wrist plain Xray in millimeters	preoperative and postoperative scapholunate gaps after 3months , 6months , 9months and 12months

Collaborators and Investigators

• Sponsor: Ain Shams University

Study record dates

Study Major Dates

• Study Start (Actual): March 15, 2023
• Primary Completion (Actual): March 10, 2025
• Study Completion (Actual): March 10, 2025

Study Registration Dates

• First Submitted: April 6, 2025
• First Submitted That Met QC Criteria: April 6, 2025
• First Posted (Actual): April 13, 2025

Study Record Updates

• Last Update Posted (Actual): April 13, 2025
• Last Update Submitted That Met QC Criteria: April 6, 2025
• Last Verified: April 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: MD 61/2023

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No