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

Article

Send article

Wrist traction interferes with the arthroscopic evaluation and surgical repair of the scapholunate misalignement. A kinetic study in cadavers

Meeting Abstract

Search Medline for

  • presenting/speaker Mireia Esplugas - Institut Kaplan Barcelona, Barcelona, Spain
  • Alex Lluch-Bergada - Institut Kaplan Barcelona, Hospital Vall d´Hebrķn, Barcelona, Spain
  • Marc Garcia-Elias - Institut Kaplan Barcelona, Barcelona, Spain
  • Dirck Aņaņos - Fellow at Institut Kaplan Barcelona, Barcelona, Spain
  • Guillem Salva-Coll - Hospital Son Espases, IBACMA, Mallorca, Spain
  • Alfonso Rodriguez-Baeza - Cātedra de Anatomia Universitat Autōnoma de Barcelona, Bellaterra, Spain
  • Nuria Fernandez - Hospital Universitari Josep Trueta, Girona, Spain
  • Inma Puig De La Bellacasa - Hospital Universitari Mutua Terrassa, Terrassa, Spain

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. DocIFSSH19-1222

doi: 10.3205/19ifssh0964, urn:nbn:de:0183-19ifssh09644

Published: February 6, 2020

© 2020 Esplugas et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: Axial loading of a wrist with deficient scapholunate ligament (SLL) induces scaphoid flexion and pronation, the radioscaphoid peak pressure displacing dorsoradially.

This study was designed to document the alignment of the scaphoid and the lunate under axial traction as opposed as what we know for axial compression.

Methods: The changes in the alignment of both, scaphoid and the tandem lunate-triquetrum, were assessed in 5 fresh normal cadaver wrists, axially loaded first and then axially tractioned, using an electromagnetic motion tracking device. The experiment was subsequently repeated after complete scapholunate ligament (SLL) sectioning and the results assessed using ANOVA with repeated measures. Significance was set at p<0.05.

Results and Conclusions:

Table 1 [Tab. 1]

Wrist traction substantially modifies the scaphoid misalignment typically found in the axially loaded SLL deficient wrists.

Consequently, it is mandatory to completely release the arthroscopic traction in three circumstances:

1.
when testing the scapholunate gap from the midcarpal joint,
2.
when checking the dorsoradial radioscaphoid impingement in the radiocarpal joint, and
3.
when fixing percutaneously the scaphoid flexion-pronation misalignement, to avoid an uncomplete scaphoid supination restoration.