Dynamic scapholunate instability: Results of operative treatment with dorsal capsulodesis

摘要: Nineteen patients underwent 20 dorsal capsulodeses for dynamic scapholunate instability. Seventeen (18 wrists) were evaluated by a questionnaire and physical examination after mean postoperative follow-up period of 34 months (range, 12–65). The diagnosis was based on combination characteristic symptoms instability findings consisting wrist tenderness at the interval positive scaphoid shift test. Following surgery, significant decrease noted in pain clunking. Functional status improved postoperatively; most gains seen opening jars, sweeping, shoveling, throwing. Fifteen 17 returned to their original occupations, although 7 those who occupations did so with some restrictions. Objective evaluation revealed improvement stability as determined test, an average loss 12° flexion. (16 18 stated that they would undergo surgery again if faced same choice. Our data demonstrate radioscaphoid capsulodesis provides substantial over preoperative status.