Article

Scapholunate ligament tears give chronic instability leading in SLAC. The wrist
arthroscopy allows to see the lesions, even in early stage, and to treat them,
with a simple K-Wires fixation in acute cases. The patients were operated on in
outpatient basis with tourniquet and local general anaesthesia. In acute cases,
the scapholunate dissociation was reduced by external and internal manoeuvres.
The fixation was done with two pins under arthroscopic and fluoroscopic controls.
We report a series of 66 acute cases (less than 45 days after trauma). Forty-four
patients were males and 22 females. The average age was 39 years old (range
19-46). Our average follow-up in acute cases was 36 months (range 14-61).
According the "Mayo Wrist Score", we obtained 92 % of good or excellent results.
The wrist arthroscopy is the best technique for early diagnosis, guarantee of
best functional results.
CI - Copyright 2010 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS