Arthroscopic dorsal capsuloligamentous repair in chronic scapholunate ligament tears.

Abstract

This article discusses the preliminary results of treatment of chronic scapholunate lesions by arthroscopic dorsal capsuloligamentous repair, which does not require open exposure of the wrist capsule. Thirty six patients underwent arthroscopically assisted dorsal capsuloplasties. Sixteen had percutaneous pinning. Mean follow-up was at 11.4 months. The average arc of motion was 105°preoperatively and 120°postoperatively. The average grip strength attained 92% of the contralateral side. Most of the results were excellent-to-good. Seven professional athletes returned to preinjury level. Arthroscopic dorsal capsuloligamentous repair is a promising option, but a longer follow-up is necessary to confirm these results.