Chung, Sze Ryn

ResumenSi bien el papel del complejos volar escafolunar en la estabilidad de la muñeca es cada vez más reconocido la literatura sobre sus técnicas de reparación y resultados sigue siendo limitada. Este artículo ofrece una visión general completa de la anatomía la biomecánica y la importancia clínica del complejo escafolunar volar junto con las técnicas de reparación artroscópica más actualizadas. Al presentar los avances y los desafíos de estos abordajes mínimamente invasivos buscamos fomentar la investigación y el desarrollo para abordar este aspecto aunque poco reconocido crucial de la inestabilidad escafolunar.

Abstract Background A retrospective review was performed of 15 adult patients who underwent arthroscopic suture anchor scapholunate capsuloligamentous repair between 2021 and 2023. Materials and Methods There were 12 male and 3 female patients, with a mean age of 44.9 years. Eight patients had European Wrist Arthroscopy Society (EWAS) II (Geissler II), four patients had EWAS IIIC (Geissler III), and three patients had EWAS IV (Geissler IV). After a follow-up of 12 months (12–26), the mean grip strength significantly improved by 131% compared with presurgery. There was a significant improvement in the visual analog scale score from 6 to 1.2, the Mayo Wrist Score from 43.5 to 86.5, and the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire score from 65.9 to 6.5. Two EWAS IV patients had recurrent symptomatic scapholunate diastasis requiring scapholunate ligamentoplasty. Conclusion The arthroscopic dorsal scapholunate capsuloligamentous repair with suture anchors is a reliable and safe technique with minimal complications. It is recommended for reducible acute or chronic injury to the scapholunate ligament complex with suspected avulsion injury. Level of Evidence Level IV