Reconstruction of Radioscaphocapitate Ligament in Treatment of Ulnar Translation

• DOI: 10.1055/s-0038-1668559
• Publication Date: 2018-08-28T18:51:47Z
• Authors: Marcio Aita; Rafael Alves; Daniel Ibanez; Daniel Consoni; Ricardo de Oliveira; Gustavo Ruggiero
• Keywords: Ulnar deviation; Brachioradialis; Numerical digit

Background This article measures the life quality, clinical, and functional outcomes of a patient who had undergone reconstruction radioscaphocapitate ligament (RSL), using brachioradialis tendon in treatment ulnar translation carpus. Case Description We present 36-year-old man with his left, nondominant wrist, after fall accident. Reconstruction RSL was performed. One year later, experienced good evaluation. Wrist flexion 70 degrees, extension 60 radial deviation 20 30 degrees. Forearm pronation 85 degrees supination 90 digit motion full. Disabilities Arm, Shoulder Hand score 5, Visual Analog Scale 0, grip strength 82% were obtained compared unaffected side. radiographic aspects showed radiocarpal joint congruency. The period fixator 8 weeks. Good stability congruency obtained. radiographic, results improving quality patient. Literature Review is difficult complicated. There no consensus to overall management. As there still lack long-term results, indications for surgery, various surgical options, type intervention have been matter controversy literature. Would be stable when obtained? Is it possible reduce an this technique? Clinical Relevance would like suggest that will improve outcome. believe technique make wrist more functional. agree best time perform corrections early. authors prefer first reconstruct then suture or radioscapholunate arthrodesis.