Arthroscopic Assisted Volar, Dorsal or Combined Capsulodesis in Scapholunate Ligament Injury.

Not Applicable

Completed

• Conditions: Scapholunate Interosseous Ligament Injury; SLLI

• Registration Number: NCT06925230
• Lead Sponsor: Ain Shams University

Brief Summary

The aim of this case series study is to test the efficacy of arthroscopic assisted volar, dorsal or combined scapholunate capsulodesis in the management of scapholunate ligament injuries.

Detailed Description

The aim of this case series study is to test the efficacy of arthroscopic assisted volar, dorsal or combined scapholunate capsulodesis in the management of scapholunate ligament injuries. All patients will be assessed preoperatively by careful history taking , full general and local examination and radiological evaluation using wrist plain X-rays (Standard PA, clenched-fist PA , PA in ulnar deviation , lateral projection in neutral ,flexion and extension ) and wrist Magnetic resonance imaging.an informed written consent was taken before any surgery. The procedure starts with a standard radiocarpal and then midcarpal arthroscopy. During the arthroscopic examination ,several factors are assessed, including the location of the SLIL injury (volar, membranous, dorsal, or complete), the condition of the cartilage, the reducibility of the carpus, and other associated pathologies like TFCC injury. Classification is done using Geissler Classification, Garcia Elias Classification and EWAS classification.Volar capsulodesis using Hayman Lui et al or Del Pinal et al method and/or dorsal capsulodesis using original Mathoulin technique or combined capsulodesis were done.

Study Timeline

• Study Start: 2023-03-15
• Primary Completion: 2025-03-10
• Study Completion: 2025-03-10
• Status Verified: 2025-04
• Study First Submitted: 2025-04-06
• Study First Submitted QC: 2025-04-06
• Last Update Submitted: 2025-04-06
• Study First Posted: 2025-04-13
• Last Update Posted: 2025-04-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 14

Inclusion Criteria

• Sex: both sexes.
• Age: above 18 years
• Lesion: subacute or chronic scapholunate ligament injury
• partial and complete SLIL tears

Exclusion Criteria

• Acute scapholunate ligament injury
• irreducible carpal malalignment
• posttraumatic arthritis
• associated fractures that could affect the functional outcome

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
wrist range of motion	preoperative and postoperative after 3months , 6months , 9months and 12months	wrist range of motion degrees in flexion , extension, radial deviation and ulnar deviation.

Secondary Outcome Measures

Name	Time	Method
scapholunate gap	preoperative and postoperative scapholunate gaps after 3months , 6months , 9months and 12months	scapholunate gap in PA wrist plain Xray is the distance between middle of scaphoid and middle of lunate bones in PA wrist plain Xray in millimeters

Trial Locations

Locations (1)

Ain Shams University; 🇪🇬 Cairo, Abbassia, Egypt