PDF herunterladen
CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(01): 056-060
DOI: 10.1055/s-0040-1708462
Case Reports | Casos Clinicos
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Arthroscopic Repair of Dorsal Radiocarpal Ligament Tear – Report of Three Cases

Artikel in mehreren Sprachen: English | español
Catarina Neto Pereira 
1   Orthopedics Service, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal
,
Inês Pedro 
2   Orthopedics Service, Hospital da Cruz Vermelha Portuguesa, Lisboa, Portugal
3   Orthopedics Service, Hospital Ortopédico de Sant’Ana, Parede, Portugal
,
Carla Ricardo Nunes 
2   Orthopedics Service, Hospital da Cruz Vermelha Portuguesa, Lisboa, Portugal
4   Orthopedics Service, Hospital de São Francisco Xavier, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
› Institutsangaben
Weitere Informationen

Publikationsverlauf

29. September 2019

14. Januar 2020

Publikationsdatum:
29. Mai 2020 (online)

   Lizenzen und Reprints

Abstract

The dorsal radiocarpal ligament (DRCL) is a dorsal capsular ligament with a significant role in carpal stability. We should consider the arthroscopic repair of the DRCL in cases of isolated DRCL tear or when the DCRL tear is the only clinically evident injury. Arthroscopic view of the DRCL tear is better through the volar radial portal. The purpose of the present article is to describe three cases of uncommon DRCL tear in patients with chronical dorsal wrist pain that were treated by arthroscopic repair. This condition can easily be unrecognized by the orthopedic surgeon if it is not specifically searched for. Good results are expected following the arthroscopic repair of an isolated DRCL tear; however, the contribution of the DRCL to the final outcome in combined repairs is difficult to isolate.

Keywords

dorsal radiocarpal ligament - ligament tear - arthroscopic repair
 

  • References

  • 1 Short WH, Werner FW, Green JK, Weiner MM, Masaoka S. The effect of sectioning the dorsal radiocarpal ligament and insertion of a pressure sensor into the radiocarpal joint on scaphoid and lunate kinematics. J Hand Surg Am 2002; 27 (01) 68-76
    CrossrefPubMedGoogle Scholar
  • 2 Viegas SF, Yamaguchi S, Boyd NL, Patterson RM. The dorsal ligaments of the wrist: anatomy, mechanical properties, and function. J Hand Surg Am 1999; 24 (03) 456-468
    PubMedGoogle Scholar
  • 3 Slutsky DJ. Incidence of dorsal radiocarpal ligament tears in the presence of other intercarpal derangements. Arthroscopy 2008; 24 (05) 526-533
    CrossrefPubMedGoogle Scholar
  • 4 Slutsky DJ. The incidence of dorsal radiocarpal ligament tears in patients having diagnostic wrist arthroscopy for wrist pain. J Hand Surg Am 2008; 33 (03) 332-334
    CrossrefPubMedGoogle Scholar
  • 5 Slutsky DJ. Arthroscopic Dorsal Radiocarpal Ligament Repair. Principles and Practice of Wrist Surgery 2010. Chapter 46: 492-497
  • 6 Slutsky DJ. Arthroscopic repair of dorsal radiocarpal ligament tears. Arthroscopy 2002; 18 (09) E49
    PubMedGoogle Scholar
  • 7 Slutsky DJ. Arthroscopy portals: volar and dorsal. In Budoff J, Slade JF, Trumble TE: Master's Techniques in Wrist and Elbow Arthroscopy. Chicago: American Society for Surgery of the Hand, 2006
  • 8 Slutsky DJ. Wrist arthroscopy through a volar radial portal. Arthroscopy 2002; 18 (06) 624-630
    CrossrefPubMedGoogle Scholar
  • 9 Mathoulin C, Dauphin N, Sallen V. Arthroscopic dorsal capsuloplasty in chronic scapholunate ligament tears: a new procedure; preliminary report. Chir Main 2011; 30 (03) 188-197
    CrossrefPubMedGoogle Scholar
  • 10 Slutsky DJ. Arthroscopic management of dorsoradiocarpal ligament repairs. J Hand Surg Am 2005; (05) 167-174
    PubMedGoogle Scholar
  • 11 Elsaidi GA, Ruch DS, Kuzma GR, Smith BP. Dorsal wrist ligament insertions stabilize the scapholunate interval: cadaver study. Clin Orthop Relat Res 2004; ; (425): 152-157
    PubMedGoogle Scholar