{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:46:35Z","timestamp":1790657195030,"version":"4.1.0"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The dorsal intercarpal (DIC) ligament plays a significant role in carpal stability and is often associated with other carpal ligament injuries. Isolated DIC ligament injuries are rare and can present as a ligament avulsion, bony avulsion, or attenuation due to chronic injury. Previously, we described the first isolated DIC ligament avulsion and proposed an arthroscopic repair technique. This article presents an arthroscopic classification of DIC ligament complex injuries and outcomes in a larger series of patients.<\/jats:p><jats:p>\n          Materials and Methods\u2003A retrospective review was conducted on 16 patients who had undergone arthroscopic repair of the DIC ligament from 2018 to 2022. Intraoperative arthroscopic findings were documented, leading to the proposal of a classification system for DIC ligament tears. Pre- and postoperative outcomes, including the range of motion, grip strength, visual analog scale (VAS) pain scores, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH) outcomes, were assessed in this cohort.<\/jats:p><jats:p>\n          Results\u2003At a mean follow-up of 17.8 months, there was a statistically significant improvement in wrist flexion (65.3 to 74.3\u2009degrees), wrist extension (77.8 to 84.5\u2009degrees), comparative grip strength (46.4 to 87% compared with contralateral wrist), VAS score (6.3 to 0.6), and QuickDASH score (54.8 to 4.5). Four out of 16 patients (25%) had isolated DIC ligament tears, and the remaining 12 (75%) had concomitant intercarpal ligament injuries.<\/jats:p><jats:p>\n          Conclusion\u2003The study highlights the critical role of the DIC ligament in carpal stability and introduces an arthroscopic classification for evaluating this lesion. Surgical options for different types of DIC ligament tears were also discussed.<\/jats:p><jats:p>\n          Level of Evidence\u2003Level III, Retrospective study.<\/jats:p>","DOI":"10.1055\/s-0044-1785505","type":"journal-article","created":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T23:35:12Z","timestamp":1711841712000},"page":"246-254","source":"Crossref","is-referenced-by-count":1,"title":["Dorsal Intercarpal Ligament Tears: An Arthroscopic Classification and Clinical Outcomes Study"],"prefix":"10.1055","volume":"14","author":[{"given":"Lorenzo","family":"Merlini","sequence":"first","affiliation":[{"name":"Institut de la Main, International Wrist Center, Clinique Bizet, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0500-8864","authenticated-orcid":false,"given":"Sze Ryn","family":"Chung","sequence":"first","affiliation":[{"name":"Institut de la Main, International Wrist Center, Clinique Bizet, Paris, France"},{"name":"Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Caloia","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Austral University Hospital, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,3,30]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1053\/jhsu.1999.0953","article-title":"Constraint and material properties of the subregions of the scapholunate interosseous ligament","volume":"24","author":"R A Berger","year":"1999","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1053\/jhsu.1999.0456","article-title":"The dorsal ligaments of the wrist: anatomy, mechanical properties, and function","volume":"24","author":"S F Viegas","year":"1999","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1055\/s-0033-1338256","article-title":"Anatomical description of the dorsal capsulo-scapholunate septum (DCSS)-arthroscopic staging of scapholunate instability after DCSS sectioning","volume":"2","author":"L V Overstraeten","year":"2013","journal-title":"J Wrist Surg"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1055\/s-0036-1597922","article-title":"The anatomy of the dorsal capsulo-scapholunate septum: a cadaveric study","volume":"6","author":"M Tommasini Carrara de Sambuy","year":"2017","journal-title":"J Wrist Surg"},{"issue":"15","key":"ref5","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.2106\/JBJS.18.01419","article-title":"Role of ligament stabilizers of the proximal carpal row in preventing dorsal intercalated segment instability: a cadaveric study","volume":"101","author":"A J P\u00e9rez","year":"2019","journal-title":"J Bone Joint Surg Am"},{"issue":"08","key":"ref6","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/j.jhsa.2019.03.003","article-title":"Dorsal extrinsic ligament injury and static scapholunate diastasis on magnetic resonance imaging scans","volume":"44","author":"S \u00d6zkan","year":"2019","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"119","DOI":"10.2214\/ajr.161.1.8517289","article-title":"Dorsal carpal ligaments of the wrist: normal appearance on multiplanar reconstructions of three-dimensional Fourier transform MR imaging","volume":"161","author":"D K Smith","year":"1993","journal-title":"AJR Am J Roentgenol"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"480.e1","DOI":"10.1016\/j.jhsa.2021.06.003","article-title":"The dorsal ligament complex: a cadaveric, histology, and imaging study","volume":"47","author":"L E Wessel","year":"2022","journal-title":"J Hand Surg Am"},{"issue":"11","key":"ref9","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1016\/j.jhsa.2023.05.013","article-title":"Scapholunate instability: diagnosis and management - anatomy, kinematics, and clinical assessment - part I","volume":"48","author":"L E Wessel","year":"2023","journal-title":"J Hand Surg Am"},{"key":"ref10","first-page":"166","article-title":"The mechanical anatomy of the carpus and its bearings on some surgical problems","volume":"75","author":"M A Macconaill","year":"1941","journal-title":"J Anat"},{"issue":"03","key":"ref11","first-page":"611","article-title":"In vivo three-dimensional kinematics of the midcarpal joint of the wrist","volume":"88","author":"H Moritomo","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/j.hcl.2011.07.003","article-title":"Arthroscopic dorsal capsuloligamentous repair in chronic scapholunate ligament tears","volume":"27","author":"C L Mathoulin","year":"2011","journal-title":"Hand Clin"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.main.2011.04.007","article-title":"Arthroscopic dorsal capsuloplasty in chronic scapholunate ligament tears: a new procedure; preliminary report","volume":"30","author":"C Mathoulin","year":"2011","journal-title":"Chir Main"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.jhsg.2022.01.007","article-title":"Minimum 5-year outcomes of dorsal intercarpal ligament capsulodesis with scapholunate interosseous ligament repair for subacute and chronic static scapholunate instability: a clinical series of 5 patients","volume":"4","author":"H Shibayama","year":"2022","journal-title":"J Hand Surg Glob Online"},{"issue":"09","key":"ref15","doi-asserted-by":"crossref","first-page":"575","DOI":"10.5435\/00124635-201209000-00004","article-title":"Carpal instability nondissociative","volume":"20","author":"S W Wolfe","year":"2012","journal-title":"J Am Acad Orthop Surg"},{"issue":"04","key":"ref16","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.jhsa.2017.11.002","article-title":"Dorsal wrist plication for midcarpal instability","volume":"43","author":"H P von Schroeder","year":"2018","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1055\/s-0041-1728803","article-title":"Arthroscopic repair of the dorsal intercarpal ligament detachment from the scaphoid","volume":"10","author":"L Merlini","year":"2021","journal-title":"J Wrist Surg"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1177\/17531934097321","article-title":"Re: levels of experience of surgeons in clinical studies","volume":"34","author":"J B Tang","year":"2009","journal-title":"J Hand Surg Eur Vol"},{"key":"ref20","first-page":"33","volume-title":"Ligament injury and carpal instability. In: Carpal Ligament Injuries and Instability: FESSH Instructional Course Book","author":"Z Heras-Pulou","year":"2023"},{"issue":"06","key":"ref21","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.hansur.2016.09.002","article-title":"Treatment of dynamic scapholunate instability dissociation: Contribution of arthroscopy","volume":"35","author":"C Mathoulin","year":"2016","journal-title":"Hand Surg Rehabil"},{"issue":"02","key":"ref22","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1054\/JHSB.1998.0183","article-title":"Blatt's capsulodesis for chronic scapholunate dissociation","volume":"24","author":"S C Deshmukh","year":"1999","journal-title":"J Hand Surg [Br]"},{"issue":"08","key":"ref23","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.2106\/00004623-197254080-00003","article-title":"Traumatic instability of the wrist. diagnosis, classification, and pathomechanics","volume":"54","author":"R L Linscheid","year":"1972","journal-title":"J Bone Joint Surg Am"},{"issue":"05","key":"ref24","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1177\/1753193420983687","article-title":"Arthroscopic dorsal capsulodesis for isolated lunotriquetral interosseous ligament injuries","volume":"46","author":"M A Acar","year":"2021","journal-title":"J Hand Surg Eur Vol"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/S0278-5919(05)70252-0","article-title":"Arthroscopic capsulodesis of the lunotriquetral joint","volume":"20","author":"M J Moskal","year":"2001","journal-title":"Clin Sports Med"},{"issue":"03","key":"ref26","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1142\/S2424835522500485","article-title":"Arthroscopic dorsal ligamentocapsulodesis in the treatment of isolated lunotriquetral interosseous ligamentous injury: a retrospective case series of 22 patients","volume":"27","author":"\u0130B \u00d6z\u00e7elik","year":"2022","journal-title":"J Hand Surg Asian Pac Vol"},{"issue":"03","key":"ref27","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1007\/s11552-008-9155-6","article-title":"The floating lunate: arthroscopic treatment of simultaneous complete tears of the scapholunate and lunotriquetral ligaments","volume":"4","author":"A Badia","year":"2009","journal-title":"Hand (N Y)"},{"issue":"04","key":"ref28","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1055\/s-0033-1358548","article-title":"Perilunate injuries, not dislocated (PLIND)","volume":"2","author":"G Herzberg","year":"2013","journal-title":"J Wrist Surg"},{"issue":"03","key":"ref29","doi-asserted-by":"crossref","first-page":"285.e1","DOI":"10.1016\/j.jhsa.2021.04.024","article-title":"Traumatic nondissociative carpal instability: a case series","volume":"47","author":"F Loisel","year":"2022","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref30","doi-asserted-by":"crossref","first-page":"608","DOI":"10.2214\/AJR.12.8736","article-title":"Dorsal fractures of the triquetrum: MRI findings with an emphasis on dorsal carpal ligament injuries","volume":"200","author":"F Becce","year":"2013","journal-title":"AJR Am J Roentgenol"},{"issue":"02","key":"ref31","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/S0363-5023(87)80285-X","article-title":"Dorsal fractures of the triquetrum-avulsion or compression fractures?","volume":"12","author":"M Garcia-Elias","year":"1987","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref32","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/S0363-5023(80)80007-4","article-title":"Carpal dislocations: pathomechanics and progressive perilunar instability","volume":"5","author":"J K Mayfield","year":"1980","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1785505.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T22:44:30Z","timestamp":1747694670000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1785505"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,30]]},"references-count":31,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,5,19]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1785505","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,30]]}}}