{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:49:56Z","timestamp":1740167396344,"version":"3.37.3"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Various wrist arthroscopy techniques can be used in the management of scapholunate ligament (SLL) partial tears but their success has not been proven. Arthroscopic techniques including thermal shrinkage are becoming more popular in the management of partial SLL injuries. We hypothesized that arthroscopic ligament-sparing capsular tightening yields reliable and satisfactory results for the management of partial SLL tears.<\/jats:p><jats:p>\n          Methods\u2003A prospective cohort study was conducted on adult (age \u226518 years) patients with chronic partial SLL tears. All patients failed a trial of conservative management consisting of scapholunate strengthening exercises. Patients underwent an arthroscopic dorsal capsular tightening of the radiocarpal joint capsule radial to the origin of the dorsal radiocarpal ligament and proximal to the dorsal intercarpal ligament by either thermal shrinkage or dorsal capsule abrasion. Demographic data, radiological outcomes, patient-rated outcome measures and objective measures of wrist range of motion (ROM), and grip and pinch strength were recorded. Postoperative outcome scores were collected at 3, 6, 12, and 24 months. Data are reported as median and interquartile range, and comparisons were drawn between baseline and last follow-up. Clinical outcome data were analyzed using a linear mixed model method, while radiographic outcomes were assessed with nonparametric analysis with p\u2009&lt;\u20090.05 indicating statistical significance.<\/jats:p><jats:p>\n          Results\u2003Twenty-three wrists (22 patients) underwent SLL treatment by thermal capsular shrinkage (19 wrists) or dorsal capsular abrasion (4 wrists). Median age at surgery was 41 years (range: 32\u201348) and median follow-up time was 12 months (range: 3\u201324). Pain significantly decreased from 62 (45\u201376) to 18 (7\u201341) and satisfaction significantly increased from 2 (0\u201324) to 86 (52\u201392). Patient-Rated Wrist and Hand Evaluation and Quick Disabilities of the Arm, Shoulder, and Hand significantly improved from 68 (38\u201378) to 34 (13\u201349) and from 48 (27\u201355) to 36 (4\u201358), respectively. Median grip and tip pinch strength significantly increased at final review. Range of movement and lateral pinch strength were satisfactory and maintained. Four patients required further surgery for ongoing pain or reinjury. All were successfully managed with partial wrist fusion or wrist denervation.<\/jats:p><jats:p>\n          Conclusion\u2003Arthroscopic ligament-sparing dorsal capsular tightening is a safe and effective treatment for partial SLL tears. Dorsal capsular tightening demonstrates good pain relief and patient satisfaction while improving patient-reported outcomes, grip strength, and maintaining ROM. Longer term studies are required to determine the longevity of these results.<\/jats:p>","DOI":"10.1055\/s-0042-1757441","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T22:50:15Z","timestamp":1665183015000},"page":"218-224","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of Arthroscopic Ligament-Sparing Dorsal Capsulodesis for Partial Scapholunate Ligament Tear"],"prefix":"10.1055","volume":"12","author":[{"given":"Matthew W. T.","family":"Curran","sequence":"additional","affiliation":[{"name":"Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Australia"},{"name":"Department of Orthopaedics, The Princess Alexandra Hospital, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Wieschollek","sequence":"additional","affiliation":[{"name":"Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Australia"},{"name":"Department of Orthopaedics, The Princess Alexandra Hospital, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6926-1802","authenticated-orcid":false,"given":"Ruby","family":"Strauss","sequence":"additional","affiliation":[{"name":"Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5294-7082","authenticated-orcid":false,"given":"Silvia","family":"Manzanero","sequence":"additional","affiliation":[{"name":"Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Hope","sequence":"additional","affiliation":[{"name":"Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Australia"},{"name":"Department of Orthopaedics, The Princess Alexandra Hospital, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Couzens","sequence":"additional","affiliation":[{"name":"Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Australia"},{"name":"Department of Orthopaedics, The Princess Alexandra Hospital, Brisbane, Australia"},{"name":"Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4624-787X","authenticated-orcid":false,"given":"Mark","family":"Ross","sequence":"additional","affiliation":[{"name":"Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Australia"},{"name":"Department of Orthopaedics, The Princess Alexandra Hospital, Brisbane, Australia"},{"name":"School of Medicine, The University of Queensland, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"key":"ref1","first-page":"119","volume-title":"Management of scapholunate ligament pathology","author":"M Ross","year":"2015"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.hcl.2015.04.008","article-title":"Open treatment of acute 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Good","year":"2007","journal-title":"Arthroscopy"},{"issue":"09","key":"ref18","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1177\/1753193420927882","article-title":"Arthroscopic thermal stabilization for distal radioulnar joint instability: 3 to 19 years follow-up","volume":"45","author":"E A Helsper","year":"2020","journal-title":"J Hand Surg Eur Vol"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1055\/s-0034-1384838","article-title":"Arthroscopic thermal capsular shrinkage for palmar midcarpal instability","volume":"3","author":"D G Hargreaves","year":"2014","journal-title":"J Wrist Surg"},{"issue":"10","key":"ref20","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1177\/1071100717718139","article-title":"Arthroscopic capsular shrinkage for treatment of chronic lateral ankle instability","volume":"38","author":"G Vuurberg","year":"2017","journal-title":"Foot Ankle 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Am"},{"issue":"02","key":"ref33","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1055\/s-0033-1341960","article-title":"Scapholunate instability: proprioception and neuromuscular control","volume":"2","author":"G Salva-Coll","year":"2013","journal-title":"J Wrist Surg"},{"issue":"08","key":"ref34","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1016\/j.jhsa.2009.05.007","article-title":"Sensory innervation of the subregions of the scapholunate interosseous ligament in relation to their structural composition","volume":"34","author":"G Mataliotakis","year":"2009","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Wrist 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