gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Chronic Scapholunate Instability in Carpal Anomaly: Proposed Surgery Treatment

Meeting Abstract

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  • presenting/speaker Pier Luigi Bonucci - Hesperia Hospital, Hand Surgery Unit, Modena, Italy
  • Emanuele Gerace - Università di Ferrara, Orthopaedic Clinic, Ferrara, Italy
  • Marcello Marcialis - Hesperia Hospital, Hand Surgery Unit, Modena, Italy
  • Emmanuelle Richard - Department of Orthopedics and Traumatology Center of Nimes, Nimes, France
  • Guido Cristiani - Hesperia Hospital, Hand Surgery Unit, Modena, Italy

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-474

doi: 10.3205/19ifssh0331, urn:nbn:de:0183-19ifssh03319

Veröffentlicht: 6. Februar 2020

© 2020 Bonucci et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: A 47-year-old man presented to Hand Unit, Hesperia Hospital with right wrist pain after recent fall injury at work. Standard X-ray, MRI and physical examination were consistent with scapholunate instability and surgery confirmed carpal dissociation in presence of a luno-triquetral coalition (complete osseous fusion os luno-triquetrum) (Figure 1 [Fig. 1]). Right hand (traumatized hand) presented a type 3 coalition (classification by Devilliers Minnaar 1952) and the left hand had type 1 coalition (incomplete fusion resembling pseudo-arthrosis (fibro-cartilage coalition)). Widening of the scapholunate joint space is a common finding in patients with lunotriquetral coalition. This condition poses difficulty in diagnosis scapholunate instability.

Methods: This patient was treated surgically with horizontal proximal carpal row retightening. (Capsulodesis with scapholunate fibrodesis) [1]. This unusual case emphasizes the need to reconstruct the carpal alignment and scapho-lunate linkage (Figure 2 [Fig. 2]).

Results and Conclusions: At 2 years follow up, the function of the right wrist was normal. X-ray confirmed a normal scapholunate joint space.

Gliederung

References

1.
Delattre O, Joulie S, Vogels J, Alexieva C, Stratan L, Duroux F. The Capsulo-Fibrodesis: Horizontal Proximal Carpal Row Retightening Capsulodesis with Scapholunate Fibrodesis – A New Surgical Option for Scapholunate Dissociation. Carpal Ligament Surgery. 2013:243-50.