Protocolo de tratamiento en terapia de mano tras la reconstrucción artroscópica del ligamento escafosemilunar basado en la patomecánica y control neuromuscular de la articulación escafosemilunar

Mireia Esplugas; Josep Maria Sole Artigau

doi:10.1055/s-0043-1777113

Revista Iberoamericana de Cirugía de la Mano, Table of Contents

CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(02): e66-e78
DOI: 10.1055/s-0043-1777113

Artículo de Actualización | Update Article

Hand Therapy Protocol after Arthroscopic Reconstruction of the Scapholunate Ligament Based on the Pathomechanics and Neuromuscular Control of the Scapholunate Joint

Article in several languages: español | English

Authors

Mireia Esplugas

¹Institut Kaplan Barcelona, Barcelona, España
Josep Maria Sole Artigau

²Tarragona Hand Clinic, Tarragona, España

Abstract

Objective This study aimed to assess the efficacy of a hand therapy protocol following the arthroscopic reconstruction of the dorsal scapholunate ligament according to the Corella technique.

Methods We implemented a protocol lasting less than 3 months, divided into seven therapeutic phases, based on the pathomechanics and neuromuscular control of the scapholunate joint. We provided clear guidelines for the clinical evaluation of the patient.

Results We observed a significant improvement in pain, strength, and mobility in all studied patients 6 months after surgery.

Conclusions The proposed sequential protocol seems an effective strategy for hand rehabilitation following arthroscopic reconstruction of the scapholunate ligament. This protocol has positive implications for the clinical practice and could be a new hand therapy standard.

Keywords

hand therapy - scapholunate arthroscopy - carpal stability - scapholunate protocol - scapholunate rehabilitation - corella's technique

Full Text

References

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