{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T07:32:18Z","timestamp":1793431938113,"version":"4.5.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T00:00:00Z","timestamp":1765065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Scapholunate ligament injury may cause carpal instability leading to pain, dysfunction and risk of scapholunate advanced collapse (SLAC) if untreated. Chronic dissociation is challenging to manage, with no clear reference standard reconstruction technique. This study aimed to evaluate the outcomes of scapholunate ligament reconstruction using an extensor carpi radialis brevis autograft and internal brace augmentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We prospectively enrolled 12 patients with symptomatic chronic scapholunate (SL) dissociation treated between 2020 and 2024. Clinical outcomes included a visual analogue scale for pain, Mayo Wrist Score, QuickDASH, grip strength, range of motion and patient satisfaction. Radiographic outcomes included scapholunate gap, scapholunate angle and carpal height ratio. Patients were followed for a mean of 27.1\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The median pain visual analogue score improved from 7 preoperatively to 2 at final follow-up (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). QuickDASH decreased from 43 to 6 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and Mayo score improved from 37 to 75 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Grip strength increased from 35 to 40.8\u2009kg (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), approaching values of the contralateral hand. Radiographs showed reduction of the SL gap and correction of SL angle to near-normal values, with no loss of carpal height. No patient showed progression of SLAC during the study period. All patients returned to pre-injury work or sport.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Scapholunate reconstruction using extensor carpi radialis brevis autograft with internal brace augmentation provides reliable mid-term outcomes, restoring stability, function and strength. This technique proved effective even in patients with early degenerative changes, offering postoperative satisfaction and potentially delaying arthritis progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934251403421","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T05:37:34Z","timestamp":1765172254000},"page":"438-442","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Mid-term outcomes of scapholunate ligament reconstruction with internal brace augmentation"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1377-7826","authenticated-orcid":false,"given":"Theodoros","family":"Mylonas","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, University of Thessaly, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Stefanou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, University of Thessaly, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandros","family":"Koskiniotis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, University of Thessaly, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5924-5868","authenticated-orcid":false,"given":"Efstratios D","family":"Athanaselis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, University of Thessaly, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleftheria","family":"Adaktylidou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, University of Thessaly, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sokratis E","family":"Varitimidis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, University of Thessaly, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,7]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.2.170016"},{"key":"e_1_3_3_3_1","article-title":"Dorsal scapholunate ligament injury: a classification of clinical forms","volume":"2013","author":"Andersson JK","unstructured":"Andersson JK, Garcia-Elias M. Dorsal scapholunate ligament injury: a classification of clinical forms. J Hand Surg Eur. 2013, 38: 165\u20139.","journal-title":"J Hand Surg Eur"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199309000-00002"},{"key":"e_1_3_3_5_1","article-title":"Une nouvelle intervention pour la dissociation scapho-lunaire. Proposition d\u2019une nouvelle technique chirurgicale pour l\u2019instabilit\u00e9 carpienne avec dissociation scapho-lunaire (11 cas)","volume":"14","author":"Brunelli GA","year":"1995","unstructured":"Brunelli GA, Brunelli GR. Une nouvelle intervention pour la dissociation scapho-lunaire. Proposition d\u2019une nouvelle technique chirurgicale pour l\u2019instabilit\u00e9 carpienne avec dissociation scapho-lunaire (11 cas). Ann Chir Main Memb Sup\u00e9r. 1995, 14: 207\u201313.","journal-title":"Ann Chir Main Memb Sup\u00e9r"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.09.009"},{"key":"e_1_3_3_7_1","article-title":"Cadaveric study to analyse the influence of distal radial malunion on muscle control of carpal rotational alignment","volume":"2025","author":"Fern\u00e1ndez-Noguera N","unstructured":"Fern\u00e1ndez-Noguera N, Garcia-Elias Cos M, Llus\u00e1-P\u00e9rez M, Esplugas M, Lluch \u00c0. Cadaveric study to analyse the influence of distal radial malunion on muscle control of carpal rotational alignment. J Hand Surg Eur. 2025, 50: 1170\u20136.","journal-title":"J Hand Surg Eur"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.10.011"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.103B5.BJJ-2020-1964.R2"},{"key":"e_1_3_3_10_1","article-title":"Scapholunate ligament reconstruction without immobilization is safe and leads to better functional results","volume":"12","author":"Kemler MA","year":"2023","unstructured":"Kemler MA, Bootsman JJ, van den Berg J. Scapholunate ligament reconstruction without immobilization is safe and leads to better functional results. J Wrist Surg. 2023, 12: 23\u20137.","journal-title":"J Wrist Surg"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000451"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2003.11.004"},{"key":"e_1_3_3_13_1","first-page":"394","article-title":"The management of chronic non-arthritic scapholunate dissociation: a systematic review","volume":"2018","author":"Naqui Z","unstructured":"Naqui Z, Khor WS, Mishra A, Lees V, Muir L. The management of chronic non-arthritic scapholunate dissociation: a systematic review. J Hand Surg Eur. 2018, 43: 394\u2013401.","journal-title":"J Hand Surg Eur"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-013-9499-4"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2020.03.017"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.12.013"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934241265086"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200201000-00006"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(98)80115-9"},{"key":"e_1_3_3_20_1","article-title":"Preliminary outcomes of scapholunate ligament augmentation with internal brace technique","volume":"6","author":"Wu M","year":"2024","unstructured":"Wu M, Plusch K, Ilyas AM, Rivlin M, Jones CM. Preliminary outcomes of scapholunate ligament augmentation with internal brace technique. 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